HomeMy WebLinkAboutPermit Plumbing 2006-6-27
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00803
ISSUED: 06/27/2006
APPLIED: 06/27/2006
EXPIRES: 12/27/2006
, VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 875 S ST
ASSESSOR'S PARCEL NO.: 1703261308100
SPRINGFIETYPE OF WORK: Backflow Device
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install backflow device
Owner: LYNN DAMON
Address: 1326 WIMBLEDON PL
SPRINGFIELD OR 97477
Phone Number: 541-
I CONTRACTOR 1l'ljI< U.l{l\1A TION I
Contractor Type
Landscape
Contractor License
DECKER LANDSCAPE AND IRRIGATION I 8308
,'\..1 ,.....~ ..... .
I BUILDING INFORMATION'I-:s you to
,,- . '.' -.. .....son Utility
. - vI. l'llJs'=' rule
". I . .# o(;~t.oriesl':O t/l..... s are set forth Lot Size:
Or.-... vv rough OAR
R-3 VCJv, YCiHeig.htoofSt-ructure 952-001 Sq Ft 1st Floor:
..... Uld/n co ' -
calling 1f~pi&M~~at:N pIes of the rules by Sq Ft 2nd Floor:
VN number }8,at!Tel~Pt( ote:, the telephone Sq Ft Basement:
C~tW&le iTYfe90n UtIlity Notification Sq Ft Garage/Carport
EnergySPat~90-332-2344), Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Expiration Date
09/30/2006
Phone
541-688-7991
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBr.l.c;~~OVEMENTS ~ K
THIS PERMIT SHALL E PlRfSJ~eAlj~, ~~~1
. AUTHORIZED UNDER THIS PERMfli I 0 .
COMMENCED OR IS ABAN~~rrolf\'9~/Drams:
ANY 180 DAY PERIOD.
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calcu'ated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00803
ISSUED: 06/27/2006
APPLIED: 06/27/2006
EXPIRES: 12/27/2006
VALUE:
225 Fifth Street, Springfie'd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L. Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Amount Paid Date Paid Receipt Number
$4.50 6/27/06 1200600000000000976
$3.60 6/27/06 1200600000000000976
$14.00 6/27/06 1200600000000000976
$31.00 6/27/06 1200600000000000976
Total Amount Paid
$53.10
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.
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 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.
~)
~
Owner or Contractors Signature
r~~
;::: ;:2-7- CJ 6
---------
Date
Pal!e 2 of 2
225 Fifth Street
Springfield? 0regon 97477
541-726-3759 Phone
Cj..., of Springfield Official Receipt
1 Jopment Services Department
Public Works Department
Job/Journal Number
COM2006-00803
COM2006-00803
COM2006-00803
COM2006-00803
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200600000000000976
Date: 06/27/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Backflow Device
Minimum/Adjustment Plumbing
Paid By
DECKER LANDSCAPE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 187382 In Person
Payment Tota':
Page 1 of 1
12:09:41PM
Amount Due
3.60
4,50
14,00
31.00
$53.10
Amount Paid
$53,10
$53.10
6/27/2006