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Home My WebLink AboutPermit Correspondence 2003-6-10 . . 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. ~J\~ Lisa Hopper ~ Building Safety Supervisor II I I 7,., S 3 .\tm Htw.W) ~ II Qf1~l'() . II 1~n ~-\.t.-ti~. . III /}[) al -~J II 0~ (U I . ',> II 1 .!) - II ~ -(Jl/1-3 II II )1)&2 7(){o 1,Z(o, _/1__11 \l I~ . > IU .~ c;< I 1-- i cW(O~Mo.~~\~ - I \ ..... , /' /11 II II II " ,.. ; HP OfficeJet Personal Printer/Fax/Copier Identification 912067062333 I.J.O 2.. -J (,', . . Result OK Pues ~ 04 Sent . Fax Log Report Jul-09-03 08:26 AM Date Time puration Diavno."tic JoI-09 08:24A 00:01 :45 002486030022 " . . 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: ~ Message Re-: ~:ru'2.(') ~7\ \e' o'Y', e ~ - \MnV' f f-'.( -" . ~-', o . . 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 ,~ '" i , . -))00200000000000444 :1200200000000000444 , ,12d0200000000000444 , 1200200000000000444 .'''' "..;" 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<:(;..~ , .~~ ~'\ . \- v 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. ' . '\.~ J1~A.A1' ~-P~~ /.;2-""<0- Od.-... owner or Contractors SignmiIre Date - 225 rnTH STRI:!;r . SI'RINCrn:LD, OR ~)7477 . 1'11:(541)72G<,75:' . FAX: (541)72G<,G8D '~ ~ .~ 1'-:'(~ l~ ~J ~ Assessors Ma:> -. .,.-4 .,._ Ij f:!"'" Owne; I::>s c:.o ~j ~" J Address -=? 0 '-;c. b r ~: City '1'<.6(2. H---(L l~ e. ,.-l~ ~j ~ i!!!!!l~ ~ ~ ~i Contractor IlIformation r-- ' ~ ~ "~ ~ ~ Q ""'j ~i o .. " ~ l~ ~j ~i ~ ~ ~ ~i ~ ~ e; r~~ y 1 m C. JbN b C>l/"'200c-OO/Z3 Ity 0 urn p' T Job Location ~ ~A-re. WA<1 3;;-.2.~ 170~{<;;$3, mt:.rG- sf' f( Statp , Tax Lo' Of L/O 0 Phop' IX Zir/ '76Q, r BACKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee) N-4/U/e7 6' Address ~t?I:;; 7laf"f~r C/ I/Z-Ice-- Contractor I:/~ City fu f.L.JV.JZ- ,"'" State (!;J f( Construction Contractors Registrati'~n:ii:': :', :.' '/.7", " .... .~ '-' ,":;'" ,",," \,;::;.." 1......./ PhonpS4'/ - 7'-1"6 - / t",!). I , " Zip ti'70;3 Expires 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" r1 \\\)"\\C~~~\\ t'~~~" ~t~~'V'iJ~'i:.'V Signat~a.,~ 7:-7~ "\\\\S "$',~~t'i:.~~ Cl" \~fJ\Pa'p /",)-,,;J. 0 - (J 2..- \>-$ \ \ ~'i:.~\J'" ~ "...." rv'iJ\f. \ ro'U 'V~ ~~" For Office Use Date of Application I Z -10 ,oz. Checked for DelinquenC" PO ....-- Checked for Historical Statuo ......- Shared Drive (T:)lBuilding Fonns/Backfiow Prcventionl.o2.doc ~ -,- ,~' ""'-"-""";'~'r , , " ! -,.... - ",' - -", ~ 4 ,'-. .- .. .. 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 ei In Person Payment Total: -,.. Page I of I cReecipt.rpt