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Home My WebLink AboutPermit Plumbing 2006-8-30 -. . CITY VI' ~n<'ll'l\.JNJ!.LD . Status ' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01116 ISSUED: 08/30/2006 APPLIED: 08/30/2006 EXPIRES: 02/2812007 VALUE: SITE ADDRESS: 1480 GLENWOOD BLVD ASSESSOR'S PARCEL NO,: 1703343200300 Engene TYPE OF WORK: Backtlow Device TYPE OF USE: New Commercial PROJECT DESCRIPTION: Backtlow device Owner: SANIPAC INC Address: PO BOX 10928 EUGENE OR 97440 Contractor Type Plumbing :..oC; \IOu \''-' I CONTRACTOR,INFORMAIION\IW t:~I\ON' V' '- cl b'l \11" - e '{e see 10lt~ Contractor f\11 l\lle" aclO?te 1\10se l\ll€ti~ense?'()O Expiration Date TWIN RIVERS p)l)\JIYII!'}~fG:INC~~,,, t\1{0\l9\1ij,~~~~- {\lIes b'l 03/11/2007 ';~'I'i,BUli;eDING,iNFORMATION'I,e?"~~;~" 0090. wu :"n ce"te{. \'" \,)\\1\\'1 1'l0t\\\C Ca\l\f#Jof'Slories~{ego" ",,"_2344). ~.ir.'" \.\ It,; ,.. ($l-,J..J'- \l~(Helght o(,Structure {'\ \11 ("'1'),1"",......... Type'of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-688-1444 # of UnUs: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compacl: ,.'aW- e. \\\'t.~' a\ . . ~'iS)\\\~~'QWt\\ \S ~ I PUBLIC IMP.R0VE~El'fl's"I~~~\\ "(\\\~~~G~'t.$ tV" .. '\"",V ,'[tV ~ IS:: ~'Ot>: . ' I,,,,ua\\ e.n a\\ :sidewalk Type: . ~I.J' ,I ~c,...v ~\a\.\. c,aw-W-'t: () \)~'{ ,,'t: DownspoutslDrains: ~~'{ ,\'0 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: " I Valuation Descriotionl Description Tvpe of Conslruclion $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Dale Calculated Paee I of2 . . CITY VI' ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2006-01116 ISSUED: 08/30/2006 APPLIED: 08/30/2006 EXPIRES: 02/28/2007 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 Fee. P"irl I $4.50 $2.25 $3,60 $14,00 $31.00 8/30/06 8/30/06 8/30/06 8/30/06 8/30/06 Receipt Number 1200600000000001351 1200600000000001351 1200600000000001351 1200600000000001351 1200600000000001351 Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Backllow Device Miuimum/Adjustment Plumbing Amount Paid Date Paid Total Amount Paid $55,35 I Plan Reviews , To Request an inspection call 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. will be made the following work day. I ReolJirerl Tn.nection., Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection, By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereou is true and correct, and 1 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 , lhal NO OCCUPANCY will he made of any structure without permission of the Community Services Divisiou, Building Safety, 1 further certify that only contractors aud 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. ~~ ~..' -........ ~/3o/~ , Dati' I Owner or Contractors Signature Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2006-0 1116 COM2006-01116 COM2006-01116 COM2006-01116 COM2006-01116 Payments: Type of Paymenl Check cReceinl1 . RECEIPT #: "!'~'~"~"""""".. Wit, ~, ~ ',",.....'.... ,: . of Springfield Official Receipt "!rvelopment Services Department Public Works Department 1200600000000001351 Date: 08/30/2006 Description + 5% Technology Fee + 8% State Surcharge + I 0% Administrative Fee Backflow Device Minimum/Adjustment Plumbing Paid By TWIN RIVERS PLUMBING INC Item Tolal: Check Number Authorization Received By Batch Number Number How Received djb 24514 In Person Payment Total: Page I of I 8:57:24AM Amount Due 2.25 3.60 4.50 14.00 31.00 $55.35 Amount Paid $55.35 $55,35 8/30/2006