The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2003-9-23 Status: Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00952 ISSUED: 09/23/2003 APP,LIED: 09/23/2003 EXPIRES: 03/23/2004 VALUE: SITE ADDRESS: 1425 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252200702 Springfield TYPE OF Backflow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: Backflow device Owner: WARREN ROBERT A & REBECCA J Address: 1425 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-746-6711 I CONTRACTOR INFORMATION I Contractor Type Landscape Contractor NEW MOON YARD CARE License 7433 Expiration Date 05/31/2004 Phone 541-431-6616 BUILDING INFORMATION I VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: R-3 ..._.....~['iTlr.,l\td.)"..J'"'\,.~n~.' \~\ii"l.pnJjl{~,.:.... \/(llll"C) nil .....-..'.---"" . --- follow rules adopted by thlflDR~MBNT INFORMATION I SErJMiff~~ion Center. Those rUles are Sl::llIUI L11 Front yard Se't~ 952-001-0010 through OAR8~~~~tist: Side 1 SetbaeooO. You may obtain copies of th~~'rPe~t~rees Side 2 Setback:calling the center. (Note: the tel~ijEDrive Rqd: b for the Oregon Utility Notification Rearyard SettP..\I1P. er. . % of Lot Coverage: Solar Setbacks: Center IS "! -800-332-2344), REQUIRED PARKING Total: Handicapped: Compact: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK Stor~ Sewer A~a~~~ORIZED UNDER THIS PERMIT IS NOT SpeCial InstructIOn: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. IPUBLIC IMPROVEMENTS I Street Sidewalk Type: Downspouts/Drains Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00952 ISSUED: 09/23/2003 APPLIED: 09/23/2003 EXPIRES: 03/23/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Backflow Device Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $4.50 $3.15 $14.00 $31.00 9/23/03 9/23/03 9/23/03 9/23/03 1200200000000002192 1200200000000002192 1200200000000002192 1200200000000002192 Total Amount Paid $52.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. L Reouired Insoections I 1 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 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 t~dUri~.~ t uction~. , ~A>-^- k>--,- ~-2 ~~OrS Owner or Contractors Signature --------- Date Pae:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00952 COM2003-00952 COM2003-00952 COM2003-00952 Payments: Type of Payment CreditCard Reccipt#: 1200200000000002192 Description + 7% State Surcharge + 10% Administrative Fee Backflow Device Minimum! Adjustment Plumbing Received By djb Check Number Batch Number Authorization Number Paid By ROBERT WARREN 000177 105187 City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/23/2003 lO:59:42AM Amount Paid ..,; Item Total: 3.15 4.50 14.00 31.00 $52.65 '\ How Received In Person Payment Total: Amount Paid $52.65 $52.65