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