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Home My WebLink AboutPermit Plumbing 2008-3-14 Status Issued CITY OF SPRINGl'TELD Building/Combination Permit PERMIT NO: COM2008-00357 ISSUED: 03/14/2008 APPLIED: 03/14/2008 EXPIRES: 09/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1210 Mohawk Blvd ASSESSOR'S PARCEL NO.: 1703253310100 Springfield TYPE OF WORK: Backflow Device TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: . Backflow Device Owner: CAPLACO TWELVE INC Address: 300 WILMOT RD MS #3381 DEERFIELD IL 60015 I CONTRACTOR INFORMATION I Contractor Type Landscape Contractor CREA TIVE VISIONS LANDSCAPE License 7322 Expiration Date 04/30/2008 Phone 503-793-0361 BUILDING INFORMA TIO~ # 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA nON I REQUIRED PARKING Total: Handicapped: Compact: '(l7Pf:0-2:E8-008- ~ S! JelUeo UO!l~OmlOi': Al!llln uo6eJO eLll JO! Jeqwnu ",,,-,,,,,rb.a} CoIn mnf\l) 'JA1Uap aU16ullleO I PUBLIC IMPROVEMEN~SalnJ 84l!O seldoo U!elqo A8W nOA '0600 I\rnnc~' O-ZS~U~VO 46noJ4l O~OO-~OO-ZS6l::1VO ul Street Improvemefff K:. lpJO! le9~(lf:l~@,\kJIooUtu 'JelUao uO!leO!!!lON Storm Sewer Ava~~.PERMIT SHALL EXPIRE IF THE WORK A}ll!ln lj5lJWrt0a3~ls1BrrapJ~pp8 SalnJ MOIIOI Special Instructioe' tiOR/ZED UNDER THIS PERMIT IS NOT ~ nOA SeJln1faJ Mel U006JO :NOIJ.N3l.1.Y OMMENCED OR IS ABANDONED FOR Notes: ANY 180 DAY PERIOD. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00357 ISSUED: 03/14/2008 APPLIED: 03/14/2008 EXPIRES: 09/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Backflow Device Miscellaneous Plumbing Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $16.00 $34.00 3/14/08 3/14/08 3/14/08 3/14/08 3/14/08 2200800000000000327 2200800000000000327 2200800000000000327 2200800000000000327 2200800000000000327 Total Amount Paid $63.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I ReQuired Insnections . Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 ~ City .~ S (j) ~ (l) u .~ ;>- ~ CIty ~A"S'C"C5 r~ OlLCE:Construction Contractors RegIstration # /t!-13 TH~ch'VIlI ::'HALL tXI-'1Kt 11- I Ht VVUKK ~,~JQJHIZED Uf~DER THIS PERMIT IS NOT C;~[NfR.)DsrgliMfg MlS\~&ililli!aPpOOtion, I agree to call for an inspection once the backflow prevention devIce AN~O [M$~I~alled and is vIsIble for inspectIon (726-3769). I also state that all InformatIon on this (j) permIt/applIcatIOn IS correct ATT~NT!ON: ()reC1011 law requires you to , ~ ?L- fOII"w r'~:"'~ ach!Jtad by the Oregon Utility ~ ,../ /" ./'/ f\IIAI:J~qj'~)f1Center. Thoser~le..2~~e)~Qrt~ (l) Si naturr. 4/Vk / ~/.~ 111 (1:\1'1 9:J2-001-QQaPethro~~~~. ~ g .' ~7 -- - - / / uu.,u YOU may ontam copies or me rUles oy ~, c:7 L/ calling the center. (Note: the telephone number for the Oregon Utility Notification ~ For Office Use Center is 1-800-332-2344). o ~' Date of Application 3)/71' / <1 ~ ~' U' Checked for Delinquenci/"" ro CO ~ o .~ ~ U' .~ ....-----l ~ ~ < '=;1':', ._ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 CIty Job Number;)1f7) k - 06:;57 Job Location ~;l; () /Jf~ AClu/~ 6>~ Assessors Ma~ Tax Lot A // " 7:/.1 J - .-.-1/1 (' / ('nr t:.,.vvcv I ,,~c;.. ~ J:.-," Owner MlI(J/~/a/<:; ~//J4 300 W drno/V1- II r' Address ?D /J1stf 333/ - .' . '"')ZFu tv( ,vt7t/., __ .1iZ-. (oeO/) Phon/" Statp Zip BACKFLOW PREVENTION DEVICE PERMIT F~~E: $63.50 Contractor Information contractor~ ~ k67 U!s: #q/"S Address./."DS:Z;; s.~ ~~CV ~~~ /~ ./f8,( Phon/" 9~ ~7P3'-036/ Statf' ~/ Zip 970P}' 752,2. Expires ~ /.5'O~? ~- Checked for Historical Status ... Shared Drive (T )/BUlldmg Fonns/Backflow Prevention 1-08 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00357 COM2008-00357 COM2008-00357 COM2008-00357 COM2008-00357 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: Description Backflow Device Miscellaneous Plumbmg + 5% Technology Fee + 12% State Surcharge + 10% Admmlstrattve Fee PaId By CREATIVE VISIONS LANDSCAPE City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000327 Date: 03/14/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIved nJm 03391 I In Person Payment Total: Page I of I 1:32:00PM Amount Due 1600 3400 250 600 500 $63.50 Amount Paid $63 50 $63.50 3/14/2008