HomeMy WebLinkAboutPermit Correspondence 2003-6-10
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City of Springfield
225 Fifth Street, Springfield, OR 97477
541-726-3759 Phone
541-726-3676 Fax
June 10,2003
TOSCO MARKETING CO INC
% PHILLIPS PETROLEUM CO-TAX Dr
BORGER TX 79008
Job Number:
Location:
PLM2002~0123
3520 GATEWAY ST
Project:
Install backflow device
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a pennit to remain valid,
the work which has been authorized by the pennitmust begin wthin 180 days of the date of issuance, and an
inspection must be requested at least every 180 days.
According to our records, you obtained a pennit for a project at 3520 GA TEW A Y ST which is set to expire on
6/20/2003. Our records indicate that you have not requested an inspection within the past five (5) months. This
letter is written to notify yoil that your pennit(s) will be expiring shortly. If you are ready to request an
inspection for your project, please phone the inspection line at 541.726-3769. If you do not request an inspection
prior to the expirntion date, your permit(s) will expire and additional pennit fees will be required in order to
complete your project.
If you have any questions, please feel free to phone me at 54 1-726-3790.
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Lisa Hopper ~
Building Safety Supervisor
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Date Time
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City Of Springfield
225 Fifth Street
Springfield, Oregon
Fax Cover Sheet
DATE:
rJ.q -03
TO: "\ ~ t\o f\~
PHONE:
FAX: !20. 0 .f1t::{{).'l33 ~
FROM: \ ,\SL\-t()~?'V .
PHONE: ~\ "'\ '2..LD ~\C\O
Community Services Division
FAX: 541-726-3676
Number of pages including cover sheet: ~
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City of Springfield
Plumbing Permit
Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
PERMITNO.:
ISSUED:
APPLIED:
EXPIRES:
PLM2002-00123
12/20/2002
12/20/2002
6/20/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
3520 GA TEW A Y ST
1703153301400
Install backflow device
Springfield
TYPE OF WORK:
TYPE OF USE:
New
Commercial
OWNER/APPLICANT:
TOSCO MARKETING CO INC
% PHILLIPS PETROLEUM CO.TAX DI
BORGER TX 79008
PLUMBING CONTRACTOR:
HARVEY & PRICE CO
PO BOX 1910
EUGENE OR
Phone: 541.746.1621
541-746.1621
97440 '
CCB#: 77
EXPIRES: 10/31/2004
Descriotion
Amount Pnid
Date Paid
+ 7% State Surcharge
+ 8% Administrative Fee
Backflow Device
Minimum! Adjustment Plumbing
3.15
3.60
14.00
31.00
12/20/2002
12/20/2002
12/20/2002
12/20/2002
, () Receint Num her
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, . -))00200000000000444
:1200200000000000444
, ,12d0200000000000444
, 1200200000000000444
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To Request an inspection call the 24 hour recording at 726.3769. All inspections requested before 7:00 am. will be made the same working day.
inspections requested aller 7:00 a.m. will be made the following working day; , r0<:(;..~
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Reouired Insnections: ~ '\~~ ~ ~
1 Backflow Device: Prior to covering and provide a copy of the test report on site a~t t,\-~~~\'(ion.
By Signature, I state and agree, that I have carefully examined the completed aliPli i!P1l ,'If dvSlereby certify that all
information hereon is true and correct, and I further certify that any andr~'W, ~ ~li~1I be done in accordance
with the Ordinances of the City of Springfield and the laws of the Stat~~~ ~., 1~~i!I.the work described herein. I
further certify that only contractors and employees who are in com~~~ ~will be used on this project I
further agree to ensure that all required inspections are requested at ~~&.~e~ t each address is readable from the
street, and that the approved set of plans, if applicable, will remain on t~~\~\~~<Wmes during construction. '
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owner or Contractors SignmiIre Date
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225 rnTH STRI:!;r . SI'RINCrn:LD, OR ~)7477 . 1'11:(541)72G<,75:' . FAX: (541)72G<,G8D
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BACKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee)
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By signing this permit/application, I agree to call for an inspection once the backf]~'I/l~~tion
devise has been installed and is visible for inspection (726.3769), I also stat~~'f.,~\~ \~ation on
this permit/application is correct. 'i:.i-"\~ ,,'i:."~\ ....'iJ"
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For Office Use
Date of Application
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Checked for DelinquenC" PO
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Shared Drive (T:)lBuilding Fonns/Backfiow Prcventionl.o2.doc
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
PLM2002.00 123
PLM2002.00 123
PLM2002.00 123
PLM2002.00 123
Payments:
Tll'e of Pay men t
Check
Paid By
Description
Backflow Device
12/2(". ~
12:00:23PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000444
Date: 12120/2002
.
Amount Paid
14.00
Minimum/Adjustment Plumbing
3.60
+ 8% Administrative Fee
+ 7% State Surcharge
HARVEY & PRICE
31.00
3.15
Line Item Total:
$51.75
Receind By
Check Number Confirm No
Amount Paid
How Received
djb
51.75
$51. 75
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In Person
Payment Total:
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