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HomeMy WebLinkAboutPermit Miscellaneous 2008-9-18 ,CITY OF ~rKH'IGFIELD Building/Combination Permit PERMIT NO: cOM2008-01435 ISSUED: 09/18/2008 APPLIED: 09/18/2008 EXPIRES: 03/1812009 VALUE: Status . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 520 COLLIER DR ASSESSOR'S PARCEL NO.: 1702343303800 .' Springfield TYPE OF WORK: Backllow Device PROJECT DESCRIPTION: Backllow device TYPE OF USE: New Residential Owner: DEAGOSTINO GRAZIANO & MARIA ANGELA Address: 520 COLLIER DR SPRINGFIELD OR 97478 Contractor Type Landscape I. CONTRACTOR INFORMA nON I License 6236 r cont~actor BARDEN ENTERPRISES INC J #'01' Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bcdrooms: . , BUILDING INFORMATION' to on laW rel\uu~u J u.. ATTENT\C1I'l;,81t~9~ijibY the oregon Ut,"tyh R-31ollow rulefU\w/rP'f~t<WfN\\!3S ~~ ~~~~gg1' Not'ltcat'o1\fr&r_/lfi\ttWlfOl,lgh 0 h utes by VBin OAR 95~ l~tc"~'copies 01 t e r 0090 '(ou 1l:lY U Note' the telephOne caliing ui'ea!\t'&Jl\n Utility Notilication number~~-2344). u/a' ',DEVELOPMENT INFORMAno~ I -Front yard Setback: Side I Setback: Side 2 Setback: - Rearyard Setback: Solar Sethacks: - Overla/Dist: --- # Street Trees Rqd: Paved Di-ive Rqd: % of Lot Coverage: ,... Expiration Date 05/3112009 Phone 541-995-9457 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq FtBasement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ' '1\\'C. \NO~~ "Ol\lIt~ ~\1 '5~\!.~~~t~,,^\1 \S~01 1t11'5 !i~2E\).\ltill;~~~~Q fO~ p..1.l1 fl ' EO OR IS P.o . COWlWlE~O~p..'l PERIO\). . p..N'l ~B _ _. Street Improvements: Storm Sewer Available: Special Instruction:. Notes: I Valuation DescriDtion I, Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee I 01'2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01435 ISSUED: 09/18/2008 APPLIED: 09/18/2008 EXPIRES: 03/18/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, Total Value 0)' Project I Fees Pair! 1 Fee Description + 10% Administrative Fee -l; 12'10 State Surcharge + 5% Technology Fee Backllow Device Minimum/Adjustment Plumbing Amount Paid Date Paid. Receipt Number $5.20 9/18/08 1200800000000000979 $6.24 9/18/08" 1200800000000000979 $2.60 9/18/08 1200800000000000979 $17.00 9/18/08 1200800000000000979 $35.00 9/18/08 1200800000000000979 Total Amount Paid \ $66.04 Plan Reviews I To Request lID 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 Renuirer! Insnections I' r Backllow 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 he'~eon is true and correct, and' I further certify 'that any and all work performed shall b~ d,one 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 witho~t 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 furt ler agree to ensure that all required inspe tions are requested at the proper time, that each address is readable from the st~:; Ithat the )lermit cIG-d is located at the fro to)' the prop~rty, a~ld the approved set of plans will remain on the site at all ti x~uring ~ucti~.. \ '_I ""'~.~"..." . .,,: !r;o )( \ Paee 2 01'2 225 Fifth Str~et , , Springfield, Oregon 97477 541-726-3759 Phonc Job/Journal Number COM2008-0 1435 COM2008"01435 COM2008-0l435, COM2008-01435 COM2008-01435 Payments: Type of Payment Check cRcceiotl RECEIPT #: Description Backflow Device Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By BARDEN ENTERPRISES INC City of Springfield Official Reccipt Development Services Department Public Works Department 120~800000000000979 Date: 09/1812008 Item Total: Check Number Authorization Received By'; Batch Number Number How Received djb 2099 In Person Payment Total: , Page 1 of 1 2:17:I2PM Amount Due 17,00 35,00 2,60 6.24 5.20 $66.04 Amount Paid $66,04 ' $66.04 9/18/2008