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Home My WebLink AboutPermit Plumbing 2008-6-11 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00840 ISSUED: 06/1112008 APPLIED. 0611112008 EXPIRES 12111f2008 VALUE' 225 F.fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn Lme SITE ADDRESS 506 Mountamgate Dr ASSESSOR'S PARCEL NO 1702343402900 Sprmgfield TYPE OF WORK Backflow Dev.ce TYPE OF USE AlteratIOn ReSldeut..1 PROJECT DESCRIPTION Backflow preventIOn dev.ce for IrrIgatIOn Owner BRESLER AMY S Address 506 MOUNTAIN GATE DR SPRINGFIELD OR 97478 Contractor Type Landscape I CONTRACTOR INFORMATION I Contractor LIcense SCHELSKYS LANDSCAPE AND IRRIGATI 12170 BUILDING INFORMATION I Expiration Date 08/3112008 Phone 541-744-7135 # ofUmts PrImary Occupancy Group Secondary Occupdncy Group PrImary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of StorIes He'ght of St. ucture Type of Heat Water Type Range Type Energy Path. SprInkled Bmldmg Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback S.de 1 Sethack S.de 2 Sethack Rearyard Sethack Solar Setbacks Overlay DlSt # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage Total Hand.capped Compdct I ,PUBLIC IMPROVEMENTS I Street Improvements S.dewalk Type Storm Sewer Available Spec..1 Instruchon ATTEmYowo~~oa5'1!'~w requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth Notes NOTICE: In OAR 952-001-001 0 through OAR 952-001- -", ,. - -~ ...- -. --' ---......... If 111. \~! ""an v..." ""~" ...hto.... """,po "j t~p '1'11'0 hv "'10.1 r I..'"VI" v'It'\I..I.. 1:^f"lnL' calling the c'enter (Note the telephone AUTHORIZED UNDER THIS PERMIVIfi.Na;hn DescriDtion I number for the Oregon Utility Notification COMMENCED OR IS ABANDONElJ rutl ' " Center IS 1-800-332-2344) DescrIptl6WY 180~'{ .fIfi:RJ/J;Q.uehon $ Per Sq Ft Square Footage Value Date Caleulated or mulhpher or B.d Amount Paee 1 of 2 __~N~~ ~ WiL..JI. 11_ '. ' - - - -- - Status Iss u ed CITY OF SPRIr~\.JJ'lJ'.LD' Building/Combination Permit PERMIT NO: COM2008-00840 ISSUED, 0611lf2008 APPLIED. 0611112008 EXPIRES: 1211112008 VALUE: 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Valne of ProJect Fee1 PaId I Fee DescnptIon + 10% Admm,strallve Fee + 12% State Surcharge + 5% Technology Fee Backflow Dev,ce MIDlmum/AdJustment Plumbmg Amount PaId Date PaId ReceIpt Number $500 $600 $250 $1600 $34 00 6/11/08 6/11/08 6/11/08 6/11108 6/11/08 2200800000000000883 2200800000000000883 2200800000000000883 2200800000000000883 2200800000000000883 Total Amount PaId $63 50 I Plan Reviews I To Request an mspectIon call the 24 hour recording at 726-3769 All inspections requested before 7:00 a.m will be made the same workmg day, inspectIOns requested after 7:00 a.m wIll be made the following work day, I ReoUlred Insnedions I Backflow DevIce Prior to covermg and provIde a copy of the test report on sIte at the lime of mspecllon By sIgnature, 1 state and agree, tbat 1 bave carefully exammed the completed apphcatlOn and do hereby cert,fy that all IDformallon hereon IS true .nd correct, and I further cerllfy that any and all work performed shall be done ID accord.nce WIth the OrdIDances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work described hereID, and that NO OCCUPANCY will be made of any structure WIthout permIssIOn of the CommuDlty ServIces DIVISIOn, BulldIDg Safety 1 further cerllfy that only contractors and employees who are ID comphance WIth ORS 701 005 WIll be used on thIS project I further .gree to ensure that all reqUired IDspectlOns are requested at the proper lime, that each address 's readable from the street, that the permIt card IS located at the front of the property, .nd the approved set of plans WIll remaID on the sIte at all times durmg constructIOn ~)~ h ~- to f(/o rr- ( Date , Owner o;C;;ntractors Slgnatu;:;-- 6 Paee 2 of2 ,~ ~-: ~', 'w.'.Q 4S:I?RIDlSl. ,IJg;, ~'-0'@N'*';~~A~'-''"' '~-il2.." i)~ _ '" ~^'itIJ!t'Sl".:liJ"4!i~""~",, al~,\J:","_" ~,; *&/>> ".Zl0X'&&""- 'i:"'~~~~~ '"'" '" "-.- ~"'" ~" F;~ 'l'S~~ '"__"'l ~ ~ _" ~>>>> _""'- 1, " ." ",:fiJ~ SPRINGFIELD, ~ --11~~ l>>~~~ ',/ r ~",_~ . ~ 225 FImi STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ~1 ~ -{l'fe!!!t1 (\ ~J ~ .Jllr-I~ " j~ ~\ 4 Owner ~~ A1 Address ~ I~ "E~: , 4 y- :'-j ~ I?\\ . ~q ~ ~ e", ,..--J{ > ~ Cd, c e; -., 'r-::1( l~ ~~ e..4. ~ > ~ 1~.d1 f/!'\\ . ~j ~ ~ e; ~~ ,q: r--' t)J ~, .~ 00\ CO I'Y\ 2-OV'6 ~Of\O /1/\ City Job Number 00 (U , Job LocatIOn 5Of.o MO\.Mn_:huf1~ Assessors Mat1 O~ ,2., 4 Zq City Tax Lot 02 Cl c::s--o fk....... f: "Us (:v l '5 0 ~ ' .AA. .~~ t-..'vt --<:)~+IJ. } 6t)~ Or. Phonp St"tp OL Z '?7...f7? Ip BACKFLOW PREVENTION DEVICE PERMIT FEE, $63.50 Contractor InformatIOn Contractor Addres~ City -s c.JJs7 ~ LJ~cy'- fJ. 0, ~o y. 7 'i"l{ 5 r I,rv.,'7",-h"-<. I'^c, Phopp 7'fr7fS'C; --- e.....,""'<.- ~>'L Zip 97'f0 ( Expues 2/2-87"'0 '1 State ConstructIOn Contractors RegistratIOn # 0)"30 By signing this penmt/applicatlOn, I agree to call for an mspectlOn once the backflow preventIOn deVice has been mstalled and IS vISIble for mspectlon (726-3769) I also state that all mformatlOn on tills permit/applicatIOn IS correct Slgnaturp Q~ ~,,~- ~~ Date t.,/I (/0 ?' For Office Use Date of ApplicatIOn to fi l/ D~ I ' Checked for DelinquencIPo Checked for Hlstoncal Statuo Shared Dnve (T )/BUlldmg FonnsIBackflow PreventIOn 1-08 doc 225 FIfth Street Sprmgfield, Oregon 97477 /. 5"41-726-3759 Phone 8P~QFlBLD" , ~,-----~= >- j " - - ~ : , i - 'I - --- - CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008-00840 COM2008-00840 COM2008-00840 COM2008-00840 COM2008-00840 Payments Type of Payment Cred,tCard cRecemll RECEIPT #, 2200800000000000883 Date, 06/1112008 DescriptIOn Backflow Dev,ce Mm,mumlAdJustment Plumbmg + 5% Technology Fee + 12% State Surcharge + 10% Admm,strauve Fee Paid By DARREN SCHELSKY Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 004270 In Person Payment Total Page I of I 104232AM Amount Due 1600 3400 250 600 500 $63 50 Amount Paid $63 50 $63 50 6/1 1/2008