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Home My WebLink AboutPermit Plumbing 2011-3-16 ..( CITY OF SPRINGFIELD 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00430 IVR Number: 811135324393 perm itcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/16/2011 ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 SITE ADDRESS: 2555 GATEWAY ST, APT# 1, Springfield, OR 97477-1121 . SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703220002208 WORK INVOLVED: Addition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Install Backflow Device OWNER: ADDRESS: CHALET.BIRD 2677 WILLAKENZIE RD STE 3 EUGENE OR 97401 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name RIGHT WAY PLBG & BACKFLQW SERVICE lie Type PLUMBING Lie No 20-195PB lie Exp 07f01f2011 Phone 000-484~3787 BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd' Floor: Sq Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information ~ Engineered Fill: . Fill Volume: Flood Hazard Area: Land Hazard Area: Retaini~1WiNTION: Oregon law requires you to Soils RfqIhw#l611laRldldopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). . '~',-::; ';'~'j,.;i;:':;',;" -:,' NOTICE: . - '. . ORK THIS PERMIT SHAll EXPIRE IF THE W NOT AUTHORIZED UNDER THIS PERMIT IS COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 3f16f2011 11:47:24AM Page1of3 4. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-00430 . IVR Number: 811135324393 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 03/16/2011 SITE ADDRESS: 2555 GATEWAY ST, APT# 1, Springfield, OR 97477-1121 ASSES OR'S PARCEL NO: 1703220002208 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Addition Commercial PROJECT DESCRIPTION: Fr:ontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install Backflow Device DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ DescriDtion Tvoe of Construction: Unit Amount Unit TVDe Unit Cost Value FEES PAID ~ DescriDtion Amount Paid State ~()~..g_on Su!c:h_a!g~1.o~' o~~pplicabl..fees)___ ~chnology fee 15_'1, o!'p..:c":,it!~)tal) Backflow preventer Balance of Minimum Plumbing Permit Fees Total Amount Paid $6.96 $290 $19.00 $39.00 $67.86 Date Paid 03/16/2011 03/16/2011 -- -_._~..- -.., 03/16/2011 03/16/2011 ReciDt # 2011000495 2011000495 2011000495 2011000495 Springfield Building Permit 3/16/2011 11:47:24AM Page 2 of3 . .' .. S'p~N.G....~.~ Ii,'!' .. ;~ tf/i . ~=,\ OREGON CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 Phone. 541-726-3753 Inspection Phone. 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2011-00430 IVR Number: 811135324393 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 03/16/2011 03/16/2011 EXPIRES: VALUE: 09/12/2011 $0.00 03/16/2011 SITE ADDRESS: 2555 GATEWAY ST, APT# 1, Springfield, OR 97477-1121 ASSESOR'S PARCEL NO: 1703220002208 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Plumbing Only Addition Commercial PROJECT DESCRIPTION: Install Backflow Device Plan Review , Deoartment Permit Issuance Received Due Date Comoleted Result 03/16/2011 03/16/2011 03/16/2011 Issued Reviewer David Bowlsby Initial Review 03/16/2011 03/16/2011 03/16/2011 Over the Counter David Bowlsby :,. >, : f:r ~ ;'~:j' ~ ",'-." y,..,."C/t.-.. .: _. ~< s",,'.;;', :- "J" '. --. ~~ INSPECTIONS REQUIRED ~ Inspections 3620 Backflow Device 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 tru.e 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 or 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 times during construction. .~.-? ~ /' :..-- ~ / C:, r< /i+- :;20 ( ( Owner or Contractor Signature Date Springfield Building Permit 3}"l6J20"l1 11 :47:24AM Page 30f3