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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 0\0 \~eS 'l~ \\\\M r\\ ......v ...'1'<\ . t 1,e'0- ~ c.e\. \-- \~ 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- \\.... '\.v~ \.jV. e~- n::J2.. \ "Cl. \'<Ie O~ r;:,Cl.J ClO# ofStOries:\'\Ie, \,'0 ....'0:'\ (~\'r {\'2:1 Heigl1t'Ofr e0\C ;"\u, .J 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 ~l Payments: Type or Paymeat :. ,Check ~ ~ , ,i !P. 4 " " , i \. ~I , . . "' 1" :1; :: .l/ ~ . \. i[~ j " I . 1 ~; ~ , ,.'", ,- "~ ',/ .p '1 J 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 , ~, .,