HomeMy WebLinkAboutPermit Plumbing 2006-3-21
.
_ CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00333
ISSUED: 03/21/2006
APPLIED: 03/21/2006
EXPIRES: 09121/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
" 1 SITE ADDRESS: 3491 HUTION ST
ASSESSOR'S PARCEL NO.: 1703222000804
Springfield TYPE OF
Backflow Device
TYPE OF USE: New
Commercial ,
PROJECT DESCRIPTION: InstaU backDow device
, " Owner: SYCAN B CORPORATION
Address: PO BOX 4900
SCOTISDALE AZ 852614900
Contractor Type
Plumbing
Contractor
BARRlCH INC
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I CONTRACTOR INFORMATION'I''2:()\) \)'l
, cC; , ur' 0WS
- . \0o~ .....Y\ . I\"'(\e ~ :\e
,( s~\' () \'\I~01.1~jt;ense\e9'\1'Exeiration Date
, ,,~';..,.()()\ .."cOl06~~4\~~,\\\c:a.\\ 06/0712007
I BUILDING:iNF(iR~1A(fIONI!l1.;Il.Il.1-
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ClO# ofStOries:\'\Ie, \,'0
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Heigl1t'Ofr e0\C
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TYpe of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Phone
503-652-2626
..
# of Unlls:
i J Primary Occupancy Group:
. Secondary Occupancy
, Primary Construction Type
Secondary Construction
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
SqFt
Sq Ft Other:
Occupant Load:
nla
,,\
'I Front yard Setback:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I ~l:)~~
W ,\,\t. \~.RED PARKING
Overlay Dist: ~ \,\. t.'1-?\~\t.~~\' ~.!I:
# Street~C ~\-tI\, OS\'\~t.~ ,\,\\OS rl0~t.'\; ~dicapped:
~aved D cy.'ija. 11't.'i) \\~ \OS t-.~t-.~ Compact:
Yo of Lot ~v\e,i\II.?e: C't.'\; a~ a'i),
r.a\-tl\-tl;~ nt-.'l ?'C.~~
.,,, 1....-
IPUuu\.. J1>'1PROvEMENTSI
Street
, "
, Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains
Notes:
,I
T Description
,
Tvpe of Construction
I Valuation Descrintion t
$ Per Sq Ft Square Footage
or multip6er or Bid Amount
Value
Date Calculated
1 of 2
.
. CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2006-00333
ISSUED: 03/21/2006
APPLIED: 03/21/2006
EXPIRES: 09/21/2006
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
L.F~s Paid I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
$4.50
$3.60
514.00
$31.00
3/21/06
3/21/06
3121/06
3/21106
Receipt Number
1200600000000000320
1200600000000000320
1200600000000000320
1200600000000000320
Total Amount
553.10
I Plan Reviews I
~
;' To Request an inspection can the 24 hour recording at 726-3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. win be made the following
work day.
UeoJ]iretUn~nection!ii 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 described herein~
and that NO OCCUPANCY wiD 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 reqnlred inspections are requested at the proper time, that each address Is readable from
::the street, that the permit card i<; located at the front of the property, and the approved set of plans wiD remain on the site
at all times during cong,ction.
~~~ _ ~C~ 3'2-(~(:)b
Owner or Contractors Signature Date
2 of 2
,
~t
"
225, Fift}l Street
v "
. Sp,ringfield, Oregon 97477
591-726-3759 Phone
Job/Journal Number
COM2006-00333
, I COM2006.00333
I COM2006.00333
1CpM2006-00333
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Payments:
Type or Paymeat
:. ,Check
~ ~
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!P.
4
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3/21/2006
.
RECEIPT #:
~
llliiii.ty of Springfield Official Receipt
Wwelopment Services Department
Public Works Department
1200600000000000320
Date: 03/21/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Backflow Device
MinimumlAdjuSbnent Plumbing
Paid By
METRO ROOTER AND
PLUMBING
Item Total:
I,;heck Number Aumortzalloa
Received By Batcb Number Number How Received
djb 4502 In Person
Payment Total:
I of 1
10:26:04AM
Amount Due
3.60
4.50
14.00 I
31.00
$53.10
Amount Paid ~
$53.10
$53.10
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