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HomeMy WebLinkAboutPermit Plumbing 2007-2-26 ~ . 4tCITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00285 ISSUED: 02/26/2007 . APPLIED: 02/26/2007 EXPIRES: 08/26/2007 VALVE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1096 Diamond ST ASSESSOR'S PARCEL NO.: 1703342102700 Springfield TYPE OF WORK: Backnow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: Backflow device Owner: DJS INVESTMENTS LLC Address: 2860 MARTINIQUE AVE EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type Landscape Contractor License SCHELSKYS LANDSCAPE AND IRRIGATI 12170 BUILDING INFORMATION I Expiration Date 08/3112008 Phone 541-744-7135 # of Units: Primary' Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: ' Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Anl::l~llu ~_" I\I.Vlt::'cltll", I PUBLIC IMPROVEMENisl'~~t"'OUll:lCS adOPted by th~ O;;;g' "0" YUQU [0 " n enter Th n to.'y 1/1 OAR 9t&!d~a!kl(j;(I'Pe:hose rules are set fo',; 0090 v -, v our roughOA . . . rOtbOWUspdl/ts/l1r!\-~' R 952-00 1 cal/mg the cente~'(Nw t as of the rules b number for the Or~ 0:: e:, t,he telephone Center is IloD 3Utlllty Notification - 32-23441. Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: 1(01"1. . litis C(;. 1. /),.... JIlt, <'11l1. '" C04141~RI?f;r Sltl/t I Valuation Descriotion I 4'y 4'Ct; U4'O L f..IJ , T r 8./J.;,~ 0. (It" 8.'flhlt,' iOSOIer Sq Ft Square Footage Description ype 01' pnst""c Ion (, '/.n. '1: 1.1"li!ie B'd A Pt; 1 48. ~uP!;:UIt"lt r or I mount RIOO ~4'O/'l R41lr /1tOR, . <.I4'fO ISM If FO!> Vr IT Paeelof2 Notes: Value Date Calculated . _CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-00285 ISSUED: 02/26/2007 APPLIED: 02/26/2007 EXPIRES: 08/26/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line Total Value of Project F..... P~irll Fee Description . + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backflow Device Minimum/Adjustment Plumbing Amount Paid Date Paid $4.50 $2.25 $3.60 $14.00 $31.00 2126/07 2126/07 2126/07 2126/07 2126/07 Receipt Number 2200700000000000247 2200700000000000247 2200700000000000247 2200700000000000247 2200700000000000247 Total Amount Paid $55.35 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L.R..ollir..d ~ Backflow Device, Prior to covering and provide a copy of the test report on site at the time of inspection. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Q, ~ - .---. - - - '~ Owner or Contractors SIgna ure ~ L-h {,/" 7 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-7,16-3759 Phone . ita"'''''', , MiI'''';~'~'"~A~ '--'-, . 1, ~~-"- .""} ~ .""..-c.'......... .,~ -__.;: --' caof Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2007-00285 COM2007-00285 COM2007-00285 COM2007-00285 COM2007-00285 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000247 Date: 02/26/2007 Description Backtlow Device Minimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DARREN SCHELSKY Item Total: L'heck Numbe~ Authorization Received By Batch Number Number How Received lIh 45918 In Person Payment Total: Page I of I 10:50:22AM Amount Due 14.00 31.00 2.25 3,60 4.50 $55.35 Amount Paid $55.35 $55.35 2126/2007