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Home My WebLink AboutPermit Plumbing 2008-4-29 ~ o . ,........ ~ ~ u . ,........ ~ ~ 04 ~ ~ . ,........ e (j,) ~ (j,) u . ,........ ;>- (1) Q ~ o . ,........ ~ ~ Q) ;>- (j,) ~ ~ ~ o r+J ~ u ro ~ .. 225FIITHSTREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 r O-ODbO~ City Job Number-_ Q"t;t ~O ~ 6 7Dr SL(J~ ~+- Assessors Mar l 7 {) l "3 5" ( Z Job LocatIon (:) 2-( 0)" Tax Lot t3v--iaV\. 5oJ-t-ke Address 101 N ~ '34-+v-. '2>L. City ~lriV))~dr1 Owner Phonf' 5"Z.1'1373 Zip 9'14,8 Statp oR " BACKFLOW PREVENTION DEVICE PERMIT Flm: $63.50 Contractor Information Contractor N W b'r-~-Cl'\ t.,Vi7y'.s (kc.. . I - '4ou j,"'" e~\\\teS \)\\\\"l Addres~ 44B>6"5 ~'vt~ R.,i:tet<=- 'Dr _~\~t _ ~~~ttwt'6' 8700 ~~O"'~ ~~~\ed ~'4 :'~\es at 952-00'\" . City J UIIlc...-nCv'\ C. i~Y p.."\ \~ tl\\9S ~ -^e$t~~osQ.~p..ta f\\\ez:%" q14-4~ I \0\\0 l.\Onve\ oo'\O'\~~~b' \; ~O'lW L..-~e:t.~~<- "t\o\\.\\Ce;~o'\- in co9\. \'(\0 \e\e~ a\\O~ G:JI1:>L. U';"Vu Contractors ReglstratI~R fj;~f\ ~.7J.~~$"! ~\>.10\e',{*,NO\\\\CExPlres~/3<> I Z-oc::>'2> \R;~ 'tv . -:;Qt'\\"" ~'t\ \J\. <I~ 1\4.~. I ~ -^\\\t\C) \\'''' \'(\e O''''l:lOO~~~.", . ~ bet \0'1 \s ,\-e B ' 'h' , / I' . I nU~ c.e~\et, , h b kfl 'd ' y sIgnmg t IS permIt app IcatlOn, agree to caTI lor an mspectlOn once t e ac ow preventIon eVIce has been installed and is visible for mspection (726-3769), I also state that all information on this permit/application is correct. Signaturf' V\A\~ ~;~ Datp 41 zq / "B. I I \t.1~~~ For Office Use if'\V,'i..! ~~ \$~..r. ...\O~\C~~,~~ ~~~~~ \~\:~~~\) ~O~ \~ c. ~t:" (\ ~~v ,\y,fl>.\-" \~\V _ ...~1y_v ~ \c.. I" ~\)\~\5~~Ct.\) ~~\O\). ~ Cheat~~lj~ii~al Status ~~'{ Date of Application \.{-z,-cr ~ Checked for Delmquencie<:: Shared Drive (T )/Buddmg Fonns/Backtlow PreventIOn 1-08 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00605 ISSUED: 04/29/2008 APPLIED: 04/29/2008 EXPIRES: 10/29/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 707 54TH ST ASSESSOR'S PARCEL NO.: 1702331202105 SPRINGFIETYPE OF WORK: Backflow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: Backflow device Owner: BODTKE BRIAN S Address: 705 N 54TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor License NORTHWEST GREENW A YS ..'" LCB 7526 ~f"'r~'~~~MATION I 0(\ ,~e'd se ~ # of Units: O~'. Ote~eo 'O'l \'\~\QJ;S'i~~-OO;.., Primary Occupancy Gr~~\e$ tP~~ t "'("ose ~1~1ij~~re Secondary Occupancy ~ t~O(\ce~\~O'\o\~t~~~(? ~l-P~\O(\ Primary Construction T~~\\~~ ~o'2.-~- o'rA9.\'C\ ~O\W~~ ~)c'O. Secondary Construction '~'''(o~ ~e.'l (\Wt. ~ ~~; ~flf.: # of Bedrooms: 0090'~i(\9J \~e C~e Oteg~<fJD~~~ Path: ce.~~Det \ot ~et \S \-5 Sprinkled Building' ~~ QPt\\; I DEVELOPMENT INFORMATION I Contractor Type Landscape Expiration Date Phone 541-998-8700 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped~ Comp~~~~ "'t ~ ",,'to ~~ \ ~\v.."t. ~ ~~ \<b ~, ~ .~ o~~_ (.\\~ I PUBLIC IMPROVEM~'~~~~ ~;~i~ \;~\)<,)~~'" . \'0\S '0\J~\~~~"~~' t:>-~\~~~~~~~iDrains: C\J '\ lQ\) \) t:>-\\'t Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2008-0060S ISSUED: 04/29/2008 APPLIED: 04/29/2008 EXPIRES: 10/29/2008 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 Minimum/ Adj ustment Plumbing Amount Paid Date Paid Receipt Number $5.00 $6.00 $2.50 $16.00 $34.00 4/29/08 4/29/08 4/29/08 4/29/08 4/29/08 1200800000000000414 1200800000000000414 1200800000000000414 1200800000000000414 1200800000000000414 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 Reouired Insoections I 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 descnbed 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. U1ldtM K. ~ J 412~~6 , ~" Owner or Contractors Signature Date Pal!e 2 of 2 226 Fiftlf'Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00605 COM2008-00605 COM2008-00605 COM2008-00605 COM2008-00605 Payments: Type of Payment Cash Change Job/Journal Number COM2008-00605 COM2008-00605 COM2008-00605 COM2008-00605 COM2008-00605 Payments: Type of Payment Cash Change cRecemtl RECEIPT #: 1200800000000000414 Date: 04/29/2008 DeScriptIOn Backflow Device MInimum/Adjustment Plumbmg + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By NW GREENW A YS INC NW GREENW A YS INC Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How Received djb In Person djb In Person Payment Total: DeScriptIOn Backflow DeVIce MInimum/Adjustment Plumbmg + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee PaId By NW GREENW A YS INC NW GREENW A YS INC Item Total: Check Number AuthorizatIOn ReceIved By Batch Number Number How ReceIved djb djb In Person In Person Payment Total: Page 1 of 1 1 :24:08PM Amount Due 1600 3400 250 600 500 $63.50 Amount Paid $80 00 ($1650) $63.50 Amount Due 1600 3400 250 600 500 $63.50 Amount Paid $80 00 ($1650) $63.50 4/29/2008