The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2003-12-15F SPRIN Building/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: COM2003-01252ISSUED: 1211512003APPLIED: 1211512003 EXPIRES: 06/1512004 VALUE: SITE ADDRESS: 400 S 32nd St Springfield TYPE OF WORK: Backllow Device ASSESSOR'S PARCEL NO.: 1702310000503 TYPE OF USE: New Public PROJECT DESCRIPTION: Backllow and irrigation electrical installation Owner: CITy OF SpRINGFIELD Address: 225 sTH ST SPRINGFIELD OR 97477 Contractor Type General Electrical Contractor CEDARLANDSCAPE INC CEDARLANDSCAPE INC License 75535 75535 Expiration Date 09t27t2004 09t27t2004 Phone 503-625-3700 503-625-3700 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group : Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 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: lmpervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: T S,l' F:i,,'' 3'il;5'5$[ffi i r:$iffi.' DEVELOPMENT INFORMATION Notes: Paee I of2 \ rrurr-ulr\u rN-r uKrvr,q, r r!-,l'r_l aFR[]t&Fr5u] 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: COM2003-01252ISSUED: 1211512003 APPLIEDz 1211512003EXPIRES: 06/1512004 VALUE: Description Tvpe of Construction Fee Description + llYo Administrative Fee + 7o/o State Surcharge Backflow Device Irrigation Pump Minimum/Adjustment Plumbin g Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 2200200000000001872 2200200000000001872 2200200000000001872 2200200000000001872 2200200000000001872 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $111.15 $9.s0 $6.6s $14.00 $s0.00 $31.00 t2n5l03 t2n5l03 t2trst03 t2lt5l03 t2nst03 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. I Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 2 Special: See Plan Review and/or Inspector notes. Reouired fnsnections 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 during construction. Owner or Contractors Signature Pase 2 of 2 Date Valuation Description I r ees raro I dFI i. s t...ntl -k#' o. $.,f4Hi.*{ $-q, 0$,; ffid flJ,, (}., r yl*i{,i ffi) ffi, d.id;AUr@+r.@+4,rl \, t' flJri +-iffi, F Fh(J F{rt{-{ V4'lF"d+t(,), ffi, ffi,i L2t(t4,/(t3 THIT 16:.31 FAI 5r117?6$68(|q]11[ I)F SPRINGFIELT) 925 HllH S'IREET r SPRINT-IFIELD, OR 97477 r PI-I:(541)7ZG-3751r r FAX: (541)716-$(iB$ B ooe ciffJob Nunb.,CQ44-?2-A9t ZS L 9, "Zd SF PooPJob Locirtion Assessors M 70 3l oc> Owner 5<)_S G a Tax L Phon I l' Addrc's -,D llt't sf, ir{dK ZiCity EACIffLOViI Conffactor Information Corrtractor Sirzt,Doel S fnfe es Ferrnit [ree, State Surcharge &istrutivc F'ce) /s lbrea{L Df, n I ACB zip Expires 7, ECiry Conslructiorr Confactt-rrs Registration # By signing this pcnnit/application, I agree to cali for an inspection once the devise has been installed and is visible for inspection this permiVapplication is correct. On t0R a </ For Officc Usc Date of Applicatiorr Chet:ked for Historical Status $52.65 Checked for Delinquen /Z -/ f -a'> $hururl Drivc (l':)/lSuildirtg Pn:r,cntion l-03.doe I 1 H\S OR \S 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Of{icial Receipt Development Services Department Public Works Department #z 220020000000000 I 872 Date: 1211512003 11:16:53AM coM2003-01252 coM2003-01252 coM2003-01252 coM2003-01252 coM2003-01252 Backflow Device Minimum/Adj ustment Plumbing Irrigation Pump + 7o/o State Surcharge + l0o/o Administrative Fee Item Total:$111.1s 14.00 31.00 50.00 6.65 9.50 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard KEITH MILLER djb 000249 015261 In Person Payment Total: $lll.ls -ffi *FElr'rcB*l*S 12/'0.11'(rl THLT 16:32 FAI 5,t17?63680 225 FIFTH STR.EET T SPRING}.IELD, OR97477 I E LECTF.I CAL P E RMIT AP P LI CA?TOII City Job Nr:mber ZooS -O\ZSZ Datc 1,//0 ,, 3 st- LECAI DESCRIPTION lToLSto,>c)o s<]f JOB DESCRIPTION (]ITI- I]F,SPRINTiFIELT) PH; (5aI)726-3753 r F A-\: DatelZ-/f -os horrzed Signature J. A. Service fncluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each lvlanufact'd llome or Modular Dwelling Service or Feedcr B. 200 Amps or less 201 Anps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over t000 AntpsIVolLr Recolaect Ouly C. Irrstallirtion, Alteratiotr or Relocation 200 Amps or less 201 Amps tci 400 A-Eps 401 Amps to 600 Amps v{ OTICE @ oor has the tollowing req re specific land use o -ov 9(u) $ r06-00 s 19.00 s50.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ s0.00 s 50.00 $ 69-00 $100.00 lUilbna /aru-d Pcrmits are non-trtnsfersble and expire if work is not started within 180 days of issuunce or if work is Suspended for 180 days. 'l /h/,,ltt I lElcetisfrl Contactor Address Supervisor Liccusc Number Expirahon Date A eGl ,rEq3 Constr. Conu. Number /.t8/ lL "a3ciry Sloru,,oa d Phouc A4r- 378p a< q7//n 3- 3a. Ot/ v /-oy Expiration Date Signature of Supervising Electrician 1 Orancrg Narne Address ZZ {5+L \F City >Pr=a Fhone i- O\}/}{ER L\STAILATION The instaliatiou is beiag n:ade on properr,v I orvn which is not intended tbr sale, lesse or rent. Owners Signsture Pump or irigarir-ru SigtV0utline Lighting Limited Energy,lRes ideutial Liurited Eacrgly'Courmercisl Minimum Electric Permit Iuspe ction Fee is 0 + Surcharges 7% State Surcharge 10% Admiristrative Fec TOTAL Sharcd Drivc(Tr)i E uilding HIS P Aul c0M ANY Per Panel Circuit or rvith $ 43.00 $ 3.00#Service or Feeder Peruit E. s 50,00 $:U.UU s 25.00 $ 45.00 504- ,3 Inspection Request: 776-3769 1. Pemit AFpliqfltion I{i.doc .49 ?-