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HomeMy WebLinkAboutPermit Miscellaneous 2008-9-8 CITY OF SPRINGFIELD Status Issued I Building/Combination Permit PERMIT NO: COM2008-01357 ISSUED: 09/08/2008 APPLIED: 09/08/2008 EXPIRES: 03/08/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 890 MOUNTAINGATE DR ASSESSOR'S PARCEL NO,: 1802032208300 Springfield , TYPE OF,WORK: Backtlow Device , , , TYPE OF;USE: Addition Public PROJECT DESCRIPTION: Install Backtlow Device in Park Owner: WILLAMALANE PARK'& RECREATION DISTR Address: 250 S 32ND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Landscape Contractor License, EASDALE BACKFLOW AND IRRIGATION 7305 ,BUILDING INFORMATION t Expiration Date 03/31/2009 Phone 541-926-8119 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type:. Range Type: Energy Path: , Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ff Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla . I DEVELOPMENT INFORMATION I' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I . I Street Improvements: , Sidewalk Type: , ; TION' 0 gon law requires you to I Storm Sewer Available: ATTEN . ,re h 0 n Utility . Downspouts/Drains: Special Instruction: follow rules adopted by tel re~~ set forth . Notification Center, Those ru es a Nt' in OAR 952-001-0010 through OAR 952-001- o es, 0090, You may obtain copies of the rules by , ,'I - ._J._~ 1I\1.....to.. tho tolAnhnne, ' 4.lClII'b1tj f~.~ th~.Or~ci9~1~:lIllY I~Ul;;;va~v'-1 I I num erC~riter is 1~ti~nr,qescrinti~n- d!A.l'L E~PIRE IF THE WORK $'p S F 1% ii~">ZiD ~'iJ;)ER THiS PERMIT IS NOT Description Type of Construction erl,qlt" '1""'-~'~B,~.rd.~)AmlW a~ANDON. <l:i',J:/'\R Date Calculllled ormuhpler "" "'or' I" mount"!:.S IL!J~ .{ '1." "I 'PERIOD .. ,,'l' .1 li,HI '. ' . Page I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008~01357 ISSUED: 09/0812008 APPLIED: 09/0812008 EXPIRES: 03/08/2009 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line Total Value of Project Fees P3id .1 Fee Description + 10% Administrative Fee + 12% Statc Surcharge + 5% Technology Fee Backflow Device MinimumlAdjustment Plumbing Amount Paid Date Paid Receipt Number $5.20 $6,24 $2.60 $17,00 $35.00 918/08 918108 918/08 9/8/08 .918/08 2200800000000001354 2200800000000001354 2200800000000001354 2200800000000001354 2200800000000001354 Total Amount Paid. $66.04 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Rellllired Insllectio~s 1 Backtlow Device: Prior to covering and provide a copy of the test reporton 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 certify that any and all wo~k performed shall be done in accordance with 'the Ordinances of the City of Springfield and the Laws of the State of Oregon p~rtaining to the work described herein, and that NO OCCUPANCY will be made of any strnctnre 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. . , .~---- ~ ------=- ---~-.-- ~ ------- c:=..-- ~.._. ~_;""'_ t-j'-IJ( Owner or Contractors Signature Date " Pag.e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541=726~3759 Phone Job/Journal Number COM2008-0 1357 COM2008-0 1357 COM2008-0 1357 COM2008-0 1357' COM2008-0 1357 Payments: Type of Payment CreditCard " cReceintl RECEIPT #: Description Sackflow Device Minimum! Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By DAVE EAS8ALE City of Springfield Official Receipt Development Services Department . Public Works Department 2200800000000001354 Date: 09/08/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 238194 In Person Payment Total: Page 1 of 1 1:10:54PM Amount Due 17,00 35,00 2.60 6.24 , 5.20 $66,04 'Amount Paid $66.04 $66,04 , 9/8/2008