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Home My WebLink AboutPermit Plumbing 2010-08-13scAFdnrn 5I'RIHGFIE se www.ci. springf ield.or.us PROJECT STATUS: lssued CITY OF SPRINGFIELD Building /, Residential Permit PERMIT NO: 811€PR2010-00049 IVR Number: 81 1 1 10331335 225 Fifth st Springfield,OR 97477 Phone: 541-726-3753 lnspection Phone: 541 -7 26 -37 69 Fax: 541 -726-3676 permitcenter@ci.springf ield. or. us ISSUED:8/13/10 EXPIRES: 21812011 APPLIED: 8l12l10 VALUE: $0.00 SITE ADDRESS: 500 48TH S SPRINGFIELD ASSESOR'S PARGEL NO: 1702324/,07300 PROJECTDESCRIPTION: Backflowdevice SCOPE: Backflow Device WORK INVOLVED: New TYPE OF STRUCTURE: Residential OWNERS ASSOCTATION FOR WESTWIND ESTATES 2464 SW GLACIER PL STE 110 REDMOND OR 97756 Phone Number: INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone BUILDING INFORMATION # of Units # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required 0 # of Stories: Heioht ofrStructure:v t, i Type of Heat: Water Type: Range Type: Hazmat: Electrical Specialfy Code Edition : Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal / Development Code: Plumbinglspecialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 811312010 2:31:35PM Lot Size: Sq Ft'lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load T! fr E. PERIVIIT SHALL EXPIRE IF THE WORK ORIZED UNDER THIS PERMIT IS NOT ,Jii'JCED OB IS ABANDONED FOB 80 DAY PERIOD. AITENT|ON: Oregonrlaw requires you to follow rules adoptedty the. Oregon Utitity Notification Center. TtrOLtruef'ale set for[h !r 94R.952-001-0010 lhqpush oAR e52-0ol- 0090.. You may obtainicopies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1 -800-332 -2A44). t Site lnformation Springfield Building Permit Page 1 of 3 OWNER: ADDRESS: k\ffiX CITY OF SPRINGFIELD Buildin$ /'Residential Permit PERMIT NO: 811-SPR2010-00049 IVR Number: 81 1 1 10331335 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 lnspection Phone: 541 -726-37 69 Fax: 541 -726-3676 permitcenter@ci.springf ield.or.uswww.ci.springfield.or.us PROJECT STATUS: lssued ISSUED:8r13/10 EXPIRES: 21812011 APPLIED:8112110 VALUE: $0.00 SITE ADDRESS: 500 48TH S SPRINGFIELD ASSESOR'SPARCELNO: 1702324407300 PROJECTDESCRIPTION: Backflowdevice SCOPE: Backflow Device WORK INVOLVED: New TYPE OF STRUCTURE: Residential DEVELOPMENT INFORMATION REQUIRED PARKING Frontyard Setback lnterior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to . north property line: 'i , Total: Handicapped: Compact: PUBLIC IMPROVEMENTS Street lmprovements: Storm Sewer: Storm Sewer Available: Special lnstructon: Subdivision Accepted: Notes: Description Backflow preventer Sidewalk Type: DownspouUDrains: Description Tvpe of Construction Unit Amount Unit Type Unit Cost Value ,i FEES PAID Amount Paid $19.00 Date Paid 08113t2010 o,t13t2o1o 08t1312010 08t13t2o1o Receiot # 224441 224441 224441 224441Technology fee (5% of permit total) $2.90 $67.86 Valuation Description Springfield Building Permit Total Amount Paid 811312010 2:31:35PM Page 2 of 3 ,;J $39.00 lkffi CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2010-00049 IVR Number: 81 1 110331335 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 lnspection Phone: 54'l -7 26-37 69 Fax: 541 -726-3676 permitcenter@ci. springfield.or. usffi .ci.springfield.or.us PROJECT STATUS: lssued TSSUED:8113110 EXPIRES:21812011 APPLIED: 8l12t1} VALUE: $0.00 SITE ADDRESS: 500 48TH S SPRINGFIELD ASSESOR'S PARCEL NO: 1702324407300 PROJECTDESCRIPTION: Backflowdevice SGOPE: Backflow Device WORK INVOLVED: New TYPE OF STRUCTURE: Residential Plan Review Department Application Acceptance lnitial Review Planning Review Public Works Review Structural Review Permit lssuance Due Date 08t12t2010 08/1 3/201 0 08t1312010 08t13t20't0 08t13t2010 08t't3t2010 Result Over the Counter Over the Counter Not Required Not Required Not Required lssued Reviewer David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby David Bowlsby Comments Over the counter permit Over lhe counter permit Over the counter permit Over the counter permit Received 08t13t2010 08t13t2010 08t13t2010 08t13t2010 ogt13t2010 08t1312010 Gomplete 08t1212010 o8t13t2010 08t1312010 08t13t2010 08t't3t2010 08t1312010 INSPECTIONS REQUIRED lnspections 3620 Backflow Device By signature, lstate and agree, that I have carefully examined.the completed application and do hereby certify that all information hereon is true and correct, and I further certifythat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the,state or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701 .005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. V,P,1d A,L ,--r9n$ efiaflo'l 3 o Owner or Contractor Signature P9 []l'ar. .irlu ir],Date Springfl eld Building Permit 811312010 2:3'l:35PM Page 3 of 3 .i' TRANSACTION RECEIPT CITY OF SPRINCFIELD 225 Fifth st Springfield,OR 97477 541-726-3753 permitcenter@ci.springf ield.or. uswwvr.ci.sPringfield.or.us RECEIPT NO: 2010000060 RECORD NO: 8l 1-SPR20l0-00049 DATE:08/13/2010 Backflow preventer 224-00000-425603 $19.00 Balance of Minimum Plumbing Permit Fees 224-00000-425603 $39 00 State of Oregon Surcharge (12% ot applicable fees)821 -00000-21 5004 $6.96 Technology fee (5% of permit total)1 00-00000-425605 $2.90 Check 4474 Dave Easdale $67.86 TOTAL DUE: $67.86 PAYMENT TYPE PAYOR : CISHICN: DBOWLSBY' COMMENTS ', AMOUNT PAID