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Home My WebLink AboutPermit Plumbing 2004-11-17Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01417ISSUED: llll7l2004 APPLIEDz llll712004EXPIRES: 0511712005 VALUE: SITE ADDRESS: 1009 4TH ST ASSESSOR'SPARCELNO.: 1703352103200 PROJECTDESCRIPTION: Backflow device Owner: MELISSA ANTONE Address: 90369 SHADOWS DR SPRINGFIELD OR 97478 Springfield TYPE OF WORI(: Backflow Device TYPE OF USE: New Residential Phone Number: 541- Contractor Type Landscape Contractor BRAUN LANDSCAPE INC License 7436 Expiration Date 05/31/2005 Phone 514-2750 CONTRACTOR INFORMATION # of Units:ATTENttO0t Otgofitstil Primary nbsSecondary Primary Secondary # of Bedrooms:callhg cefiler.(Nob: tr nunbd ff$oOtogon lrdfity Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: Square Footage or Bid Amount Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARI(NG Total: Handicapped: Compact: nla $ Per Sq Ft or multiplier DEVELOPMENT INFORMATION Description Type of Construction Total Value of Project Value Date Calculated Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01417ISSUED: llll712004 APPLIEDz 1111712004 EXPIRESz 0511712005 VALUE: Iees Paid Fee Description + l0o/o Administrative Fee + 7oh State Surcharge Backflow Device Minimum/Adj ustment Plumbing Total Amount Paid Amount Paid $4.50 $3.1s $14.00 $31.00 $s2.65 Date Paid tut7l04 tut1t04 tut7t04 tut7l04 Receipt Number 120040000000000r623 1200400000000001623 1200400000000001623 120040000000000r623 Plan Reviews To Request an inspection call the24 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. Backllow 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 street, that thel ensure that all required inspections are requested at the proper time, that each address is readable from the card is located at the front of the property, and the approved set of plans will remain on the site at all times during tl Owner or Signature Date Reouired Insnect Pzse2 of2 rL 225Fifth Street Springfield, Oregon 97 477 541,-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200400000000001623 Date: llll712004 1o:10:55AM Job/Journal Number coM2004-01417 coM2004-01417 coild2004-01417 coM2004-01417 Description + 7%o State Surcharge + l0% Administrative Fee Backflow Device Minimum/Adjustment Plumbing Amount Due 3.l5 4.50 14.00 31.00 Item Total:$52.65 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check BRAUN LANDSCAPE INC djb 8638 In Person $52.65 Payment total: -Sffi tUt712004 Page I of I $Ka;** City of Springfield 225 Fifth Street, Springfield, OR97477' 541-726-3759 Phone 541-726-3676Fax April 19,2005 ANTONE MELISSA 90369 SHADOWS DR SPRINGFMLD OR Job Number: Location: 97478 coM2004-0t417 1OO9 4TH ST Project:Backflow device Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 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 permit for a project at 1009 4TH ST which is set to expire on 5/l7l2OO5. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(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 expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, M Building Safety Supervisor