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Home My WebLink AboutPermit Building 2010-3-24 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00357 ISSUED: 03/24/2010 APPLIED: 03/24/2010 EXPIRES: 09/24/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3282 OSAGE ST ASSESSOR'S PARCEL NO.: 1802062108600 Springfield TYPE OF WORK: Backtlow Device PROJECT DESCRIPTION: Backtlow device TYPE OF USE: New Residential . . ~ ;.:;ti:-::':?'.;'::'" .., -' .,'f.."" ...'Orr.t- Sidewalk,Type:' ~~~'6' \\0'\ ;DOW~it~~'l,,\I.\\ ~v. \\~1\~~~~ ~~~v. :~~O~~O , "~\~~Ov.\~~o a" \~oo. 1{ \~\} ~~ Owner: STRYFFELER DANNY T & MARY L Address: 3282 OSAGE ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor OWNER License BUILDING INFORMATION ~ # of Units: # of Stories: ..,\. ,'I'~ Primary Occnpancy Gronp: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water Type: Secondary Construction Type: . R:n.:..~,\CT ~.'" ~,"" # of Bedrooms: ,..Ji~~: :\I~~ ,.e~'~i:'~~~; nla "'~~"~ATION I =~~.oO\ ~(lO\l~.. ~e~ 9~ . ",op5''CoU~-'''.et. ~~~.,,\. ~. ~Gl"'-Ol~ _ esRqd: ~'<<'9 \ol \"e \S \ Drive Rqd: . ~-., cel\\91 % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbllcks: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instrnction: Notes: .. . ;'.\,:11 .1,> . Valuation Descri Description $ Per Sq Ft or multiplier Square Footllge or Bid Amount Type of Constrnction Page I of2 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occnpant Load: REQUIRED PARKING Totlll: Handicapped: Compllct: Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00357 ISSUED: 03/24/2010 APPLIED: 03/24/2010 EXPIRES: 09/24/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Backflow Device Minimum/Adjustment Plumbing Amount Paid Date Paid $6.96 $2.90 $19.00 $39.00 3/24/10 3/24/10 3/24/10 3/24/10 Receipt Number 1201000000000000259 1201000000000000259 1201000000000000259 1201000000000000259 Total Amount Paid $67.86 I Plan Reviews ~ 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, inspection's requested after 7:00 a.m. will be made the following work day. .", , . Reouired InsDec~ Backflow 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 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 aj"e 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. 3,1:<'1;//0 Date ',:p 1'" , ;".",,,," , ,..;: 'f Paee 2 01'2 iir4tA City of Springfield Official Receipt Development Services Department . Public Works Department 225 Fifth Street . . Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: . 1:08:57PM 120]000000000000259 Date: 03/24/2010 Job/Journal Number COM2010-00357 COM20 1 0-00357 COM20 1 0-00357 COM20 1 0-00357 Payments: Type of Payment CreditCard cReceiotl Description Backflow Device Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Amount Due 19.00 39.00 6.96 2.90 $67.86 Paid By DANNY STRYFFELER Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 054521 In Person Payment Total: $6786 $67.86 /"." ... Page 1 of 1 3/24/20 I 0