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Home My WebLink AboutPermit Plumbing 2007-7-10 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01015 ISSUED: 07/10/2007 APPLIED: 07110/2007 EXPIRES: 01110/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5001 FRANKLIN BLVD ASSESSOR'S PARCEL NO.: 1803022003300 Eugene TYPE OF WORK: Backflow Device TYPE OF USE: Commercial PROJECT DESCRIPTION: Backflow Device Owner: WILDISH LAND CO Address: PO BOX 7428 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor HARVEY & PRICE CO License 77 Expiration Date 10/31/2008 Phone 541-746-1621 BUILDING INFORMATION I # 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 Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ~(j;ftCe: HE WORK !,!otification Center. Those rules are set forth = /i"1" ,!.l~~rr 4tHAll EXP1RE IF T _ n T In ~!,~~52-001-~010through OAR 952-001- Iltpv~ CJ't5n. NDER TH'~ rt;:-::--.mn. \u U~ ee..,..,. .vu IIlay VLJlallll"UjJl~l) Ul me JUles oy iiWl~ORIZED U \5 ABANOO~i'Hm~on Description I calling the center. (Note: the telephone C~MMENCED OR - number for the Oregon Utility Notification Description AWl ~geq~tf~~;~Ri~n $ Per Sq Ft squBa,rdeAFootage Center is J~?u~O-332-23~lie Calculated or multiplier or I mount Notes: Pa2e 1 of2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01015 ISSUED: 07/10/2007 APPLIED: 07/10/2007 EXPIRES: 01110/2008 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 I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backflow Device Minimum/Adjustment Plumbing Amount Paid Date Paid $5.00 $2.50 $4.00 $16.00 $34.00 7/10/07 7/10/07 7/10/07 7/10/07 7/l 0/07 Receipt Number 2200700000000001103 2200700000000001103 2200700000000001103 2200700000000001103 2200700000000001103 Total Amount Paid $61.50 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 Reouired Insoections I 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 ofany 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 at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa2e 2 of2 ~b~r:>;:;7~':!.(.. C:-.~:~ C~::~L:\ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54l)726-3753 · FAX: (541)726-3689 g .~ ~ C\$ U .~ I ~ (""') ,,, I ~.. City job Number (jsyn 2--t5D7 - 0 I 0 I S Job Location90 \ r:(c::u..>Kf "f'.) 5\vd.., Assessors Mar I <:6 0 3 0 ~ :;}. no Owner W l-\ J \s.~ , Address ~, 0 . B DX. 7 Lf d-.<6 City ~~ :( \,~ Tax Lot 53 0-0 .Phon~ b 03- 77ld.- Zip Cj 7'1'0 I . S tatf> 0 l2- BACKFLO'V PREVENTION DEVICE PERMIT FEE: $61.50 Contractor ~ -t- D~ ee.- I Address dO \ '3 N ~ City 0~re Phopp qL.j b - 1 b"d-\ e~ Zip 97~03 Expires to - 31 - 00 By signing this permit/application, I agree to call for an inspection once the backflow prevention device has been installed and is visible for inspection (726-3769). I also state that all information on this permitiapplicaf on is correct. -::-- Datp ;-10 -Or For Office Use ATTENTION: Oregon raw requires you to innnw rulao Cl~Optgg by the OregeR Utili!)" NotificatIon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You ma~ abtaln eaplAA of the rules by . calling the center. (Note: the telephone __ Checked~.ri~~~ I - I 0 ,- ;;; (p '7 Shared Drive (T:)/Building Fonns/Backflow Prevention 7-07.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01015 COM2007-01015 COM2007-01015 COM2007-01015 COM2007-01015 Payments: Type of Payment CreditCard cReceint J RECEIPT #: Description Backflow Device Minimum/Adjustment Plumbing + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By KATHY A. ROSS/HARVEY & PRICE City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001103 Date: 07/10/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 010164 In Person Payment Total: Page 1 of 1 8:46:43AM Amount Due 16.00 34,00 2.50 4.00 5.00 $61.50 Amount Paid $61.50 $61.50 7/10/2007