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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