HomeMy WebLinkAboutPermit Plumbing 2005-10-31Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspection Line
CITY F SPRINGFIELD
Buildin g/Co mbination Permit
PERMIT NO: COM2005-01542ISSUED: 1013112005APPLED: 10/31/2005E)PIRES: 04/3012006
VALUE:
SITE ADDRESS: 27915TH sT
ASSESSOR'S PARCEL NO.: 1703233411400
PROJECT DESCRIPTION: Backllow device
Springfield TYPE OF
TYPE OF USE:
Backflow Device
New Residential
Owner:
Address:
Contractor TVpe
WILBUR WILLIS
2791 6TH ST
SPRINGFIELD OR 97477
Phone Number: S4l-746-3474
Contractor
A&KLANDSCAPINGLLC ATTENTIO Phone
s4t-746-3271ir
ln 5
Those rules are set for
10 through OAR 952-001'
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Prim ary Construction Type
Secondary Construction
# of Bedrooms:
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
f of stor[590. Ycu may obtain co1]:':il'o{sfi&Jr- r-' 'y
Heightof callinq the cenier. (llotc: SFRt:IspFIUO,?:
Jyne olHg6in
o Jr to r th e o r e g; o n ui I sq Ftitud'Rl@t:
water rype: center is 1-8i0 33sq:Sf4asement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:Sprinkled nla Occupant Load:
R-3
vtt
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
Sidewalk Type:
REQUIRED PARKING
Total:
Handicapped:
Compact:
D
I
I
$ Per Sq Ft
or muhiplier
Square Footage
or Bful Amount
Description Type of Construction
lof2
Value Date Calculated
T
Status: Issued
225 Fifth Street, Springfield, OR
541:726a753 Phone
541-726-3676Fex
541:7 2647 69 Inspection Line
CITY OF S
Buildin g/Co mbination Permit
PERMIT NO: COM2005-01542ISSUED: 1013112005APPLED: 10/31/2005E)GIRESz 0413012006
VALUE:
Fee Description
+ l0Yo Administrative Fee
+ 7Vo State Surcharge
Backllow Device
Minimum/Adjustment Plumbing
Total Amount
Amount Paid
$4.s0
$3.15
$14.00
$31.00
$s2.65
Total Value of Project
Date Paid
10/31/05
10/31/05
10/31/05
10/31/0s
Receipt Number
1200500000000001642
1200s00000000001642
1200500000000001642
1200500000000001642
tr'ees Paid
Plan Reviews
To Request an inspection call the24 hour recording at 7263769. AII inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the Community Servfoes Division,
Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the street that the permit card is d at the front of the proper$, and the approved set of plans will remain on the site
at all during construction.
lo -1 / -or
Owner or
2oI 2
Date
(
L-
Reouired InsDections I
225 Fifth Street
Springfield, Oregon 97 47 7
5ll-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT#: 1200500000000001642 Date: 1013112005 12207:47PM
Inb/Journal Number
c'JM2005-01542
coM2005-01542
c')M2005-01542
cfM2005-01542
Description
+ 7% State Surcharge
+ l0% Administrative Fee
Backflow Device
Minimum/Adj ustment Plumbing
Amount Due
3. 15
4.50
14.00
31.00
Item Total:$52.65
Payments:
Type of Payment Paid By
Checl(Number Authorization
Received By Batch Number Number How Received Amount Paid
Check A&K LANDSCAPING LLC djb 219 In Person
Payment Total:
$52.6s
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