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HomeMy WebLinkAboutPermit Plumbing 2007-06-08Building/Combination Permit PERMIT NO: COM2007 -00842Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line ISSUED: APPLIED: EXPIRES: VALUE: 06t08t2007 06t08t2007 t2/08t2007 PROJECT DESCRIPTION: Install backflow device for lawn TYPE OF WORK: Plumbing Only TYPE OF USE: Addition Springfield Residential Owner: Address: Contractor Type Plumbing JARED BOOREN 684I SIMEON DRIVE SPRINGFIELD OR 97478 Contractor OWNER PhoneNumber: 541-505-9241 License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: ATTENTION:O fo!low rules ado pt e reg Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: IHIS PEB REQUIRED PARKING Total: Handicapped: Compact: Downspouts/Drains: AUIHOR n4iI sHAI.I EXP ANY 1 BO 0R/sA PER/OD RE /F IHE ED FrOB IZED I)K BAIVDOil,/Sru IDAY $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFI Description Tvpe of Construction Page I of2 Value Date Calculated L SITE ADDRESS: 6841 SIMEON DR ASSESSOR'SPARCELNO.: 1702341105400 trKlYtA I rt,t\ |L(J1\ D U r|-|-rr i\ (J r r\ r (rr(1vr3_!_!!lN_.] F Status Issued 225 Fifth Street, Springfietd, OR 541-726-3753 phone 541-726-36?6 Fax 541-726-37 69 Inspection Line Fee Description + l0yo Administrative Fee+ 5oZ Technology Fee + 8oZ State Surcharse Backflow Device Minimum/Adj ustmen t plumbing Total Amount paid To Request an inspec a.m. will be made the work day. Total Value of project Date Paid 6/8t07 6/8/07 6t8t07 6t8/07 6/8/07 Building/Combination Permit PERMIT NO: COM2007'00842 ISSUED: 06/08/2007 APPLIED: 06/08i2007 EXPIRES: 12/08/2007 VALUE: Receipt Number I 2007000000 00000729 I 2007000000 0000072s I 2007000000 0000072s r 2007000000 0000072s l 2007000000 0000072s Amount Paid $4.50 $2.2s $3.60 $14.00 $3r.00 $ss.35 tion call the 24 hour recording at 726-3769. All inspections requested before 7:00same working day,inspections requested after 7:00 a.m.will be made the following Backflow Device: prior to covering and provide a copy of the test report on site at the time of inspection. Own er or Contractors Signature Pase 2 of 2 Date a7 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cito of Springfield Official Receipt I elopment Services Department Public Works Department RECEIPT #: 1200700000000000729 Date: 0610812007 2:04:58PM Job/Journal Number coM2007-00842 coM2007-00842 coM2007-00842 coM2007-00842 coM2007-00842 Description Backflow Device M inimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 14.00 31.00 2.25 3.60 4.50 Item Total:$s5.35 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard JARED BOOREN Ilh 44853 In Person $55.35 Payment total: -Sffi cReceintl Page I of I 618/2007 .ilrlilLffi.A