HomeMy WebLinkAboutPermit Plumbing 2004-01-12Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00038ISSUED: 0111212004APPLIEDz 0111212004
EXPIRESz 0711212004
VALUE:
SITE ADDRESS: 2281361h Court
ASSESSORTS PARCEL NO.: 1702194305800
PROJECTDESCRIPTION: Backflow
Owner: TOWtt & COUNTRy HOMES INC
Address: 35920 ELLINGTON DR SPRINGFIELD OR 97478
Springfietd TYPE OF WORJ(: Backflow Device
TYPE OF USE: New Residential
Contractor Type
Landscape
Contractor License
SCHELSKYS LANDSCAPE AND IRRIGATI 6330
Expiration Date
02t29t2004
Phone
541-744-7135
CONTRACTOR INFORMATION
)RMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
$0Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
VN
# of Stories:
Height of
Type of
Wr \T
Overlay Dist:
# Street Trees
Paved
oh of
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARI(NG
the
tos
$ Per Sq Ft
or multiplier
ie
Square Footage
or Bid Amount
Total Value of Project
Paee I of2
Description Type of Construction Value Date Calculated
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00038ISSUED: 0111212004
APPLIEDz 0111212004
EXPIRES: 0711212004
YALUE:
Fees Pa
Fee Description
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Backflow Device
Minimum/Adj ustment Plumbing
Total Amount Paid
Amount Paid
$4.s0
$3.15
$r4.00
$31.00
$52.65
Date Paid
Ut2l04
ut2l04
Ut2t04
ut2t04
Receipt Number
1200400000000000038
1200400000000000038
1200400000000000038
1200400000000000038
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.
Reouired Insnect
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 front of the property, and the approved set of plans will remain on the site at all
times during
Owner or Contractors Date
Paee2 of2
\
City of Spridgfield Official Receipt
Development Services Departrnent
Public Works Department
2t2004
coM2004-00038
coM2004-00038
coM2004-00038
coM2004-00038
Backflow Device
Minimum/Adj ustment Plumbing
+ 7Yo State Surcharge
+ lUoh Administrative Fee
Item Total:$52.65
14.00
31.00
3.15
4.50
TypeofPayment PaidBy Received By Batch Number Authorization Number How Received Amount Paid
CreditCard MARK SCHELSKY djb 000273 012130 In Person
Payment Total:
$52.65
-$s2i-f
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676Fa;x
June 02,2004
TOWN & COUNTRY HOMES INC
35920 ELLINGTON DR
SPRINGFIELD OR 97478
Job Number:
Location:
coM2004-00038
228136thCourt
Project:Backflow
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 at228136th Court which is set to expire
on7ll2l2004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff 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,
Building S afety Supervisor
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