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Home My WebLink AboutPermit Fire 2007-05-14I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00684ISSUED: 0511412007APPLIEDz 0511412007 EXPIRESz llll4l2007 VALUE: SITE ADDRESS: 3340 RALEIGHWOOD AVE ASSESSOR'SPARCELNO.: 170322r205300 PROJECT DESCRIPTION: Sprinklersystem. Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Owner: Address: RC&LFKARTHERTRUST 3340 RALEIGHWOOD AVE SPRINGFIELD OR 97477 Contractor \sContractor Type Plumbing GARY'S # of Stories: Height of Structu Type of Heat: Water Range e1 Expiration Date Phone 06t24t2008 Lot Size: Sq Ft lst Floor: Ft 2nd Floor: Ft Basement: Ft Garage/Carport Sq Ft Other: Occupant Load: License 129990 # of Units: Primary Secondary Primary Co Secondary # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: l. Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated Valuation Description I I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00684ISSUED: 0511412007 APPLIEDz 0511412007 EXPIRESz llll4l2007 VALUE: F Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Backflow Device Minimum/Adj ustment Plumbing Total Amount Paid Amount Paid Total Value of Project Date Paid 5n4t07 5n4t07 5fi4t07 5n4t07 5t14t07 Receipt Number 2200700000000000742 2200700000000000742 2200700000000000742 2200700000000000742 2200700000000000742 $4.50 $2.25 $3.60 $14.00 $31.00 $55.J5 Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Backflow 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 of the Community Services Division, Building Safety, I further certify that only contractors and 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 ots , Owner or Contractors Signature Pase 2 of 2 Date a7 Keourreo lnsDectrons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ciq of Springfield Official Receipt I elopment Services Department Public Works Department RECEIPT#: 2200700000000000742 Date: 0511412007 10:36:51AM Job/Journal Number coM2007-00684 coM2007-00684 coM2007-00684 coM2007-00684 coM2007-00684 Description Minimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + lUYo Administrative Fee Backflow Device Amount Due 31.00 2.25 3.60 4.50 14.00 Item Total:$55.35 Payments: Type of Payment Paid By rc Received By Batch Number Authorization Number How Received Amount Paid CreditCard RICHARD C KARTHER Jmp 21416A In Person Payment Total: $s5.35 -sffi cReceint I Page 1 of I 511412007