HomeMy WebLinkAboutPermit Plumbing 2006-7-6
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00842
ISSUED: 07/06/2006
APPLIED: 07/06/2006
EXPIRES: 01/06/2007
VALUE: .
Springfield TYPE OF WORK: Plnmbing Only
SITE ADDRESS: 7247 Glacier Dr
ASSESSOR'S PARCEL NO.: 1802022103700
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Backflow installation,
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S,\1 CONTRACTOR INFORMATION I
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Contractor Type Cont~,a,EJor \~S ~()~\..\)
Plnmbing .l"~:' Q.'YNE~\\:.\' . o..'r-~
~I.) \'<\..~~\:.\) \.l'.;\, \':> ~'0' BUILDING INFORMATION I
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# of Units: 'r-\J; ~\:.~ \)~
Primary OccnpancY::'G~up::,1J
,'"' '
Secondary Occupancy/Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: "
Owner: BEECHER BEN W
Address: 7247 GLACIER DR
SPRINGFIELD OR 97478
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Phone Number: 541-731-8040
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License
Expiration Date
Phone
# of Stories: Lot Size:
Height of Structure ,\0 Sq Ft 1st Floor:
Type of Heat: "o'V .,~'\ Sq Ft 2nd Floor:
",' '0'" ~'(:.
Water Type: 0,~e 0" ~\O V Sq Ft Basement:
Range Type: ~ ~e~\eq; ,e ",e :i:\J\J i'\ Sq Ft Garage/Carport
Energy Patb~.\'b'. ~,\e ~e'" 'b' 50 ~'j ~e"''' Sq Ft Other:
Sprinkle<t(B\.ilding:,~oS ~ O~ ,nlaoS o'0eOccupant Load:
.. 0' ..(>~ ,,":)OJ ,r\." \~'- A\\ .\(\\\
I DEVEJ:;OP'MENTclNF:ORMATtON l~\'\\'CP
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~O'l#'StreetcTrees;Rqd:~e ~\J\J
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\'0Paved. D,rJve Rqil. : ',,,, .
D'.i~~ " {'\~ ,0':\ .
\0/. of/Eot (Jovera ~ge:
" >.>- c,"'"
'0'V'$'
REQUIRED PARKING
Total:
Handicapped:
Compact:
! PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00842
ISSUED: 07/06/2006
APPLIED: 07/06/2006
EXPIRES: 01/06/2007
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 Description
+ 10% Administrative Fee
+ 8% State Surcharge
Backnow Device
Minimum/Adjustment Plumbing
Amount Paid Date Paid Receipt Number
$4,50 7/6/06 2200600000000000936
$3,60 7/6/06 2200600000000000936
$14,00 7/6/06 2200600000000000936
$31.00 7/6/06 2200600000000000936
Total Amount Paid
$53.10
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.
L.Rel1l1i~
Backnow 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 will be made of any structure without permission oftbe Community Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 7()).005 will be used on tbis 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 tbe approved set of plans will remain on the site at all
times during construction, .
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Owner or co4ractors Signature
0'1- Db-C)"
Date
Paee 2 of2
2Z5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
.~~
CAof Springfield Official Receipt
_Iopment Services Department
Public Works Department
.fub/Journal Number
COM2006-00842
COM2006-00842
COM2006-00842
COM2006-00842
Payments:
Type of Payment
CreditCard
cReceint]
RECEIPT #:
2200600000000000936
Date: 07/06/2006
Description
Backflow Device
Minimum/Adjustment Plumbing
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BENJAMIN W BEECHER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 155875 In Person
Payment Total:
Page I of I
3:27:44PM
Amount Due
14.00
31.00
3.60
4.50
$53,10
Amount Paid
$53,10
$53,10
7/6/2006