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Home My WebLink AboutPermit Backflow Test 2006-7-28 -. . ~ll l' OF ~rKml>rIELD Status Issued Building/Combination Permit PERMIT NO: COM2006-00948 ISSUED: 07/28/2006 APPLIED: 07/28/2006 EXPIRES: 0112812007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2224 ROSE BLOSSOM DR ASSESSOR'S PARCEL NO.: 1703261103218 Springfield TYPE OF WORK: Backllow Device TYPE OF USE: New Residential PROJECT DESCRIPTION: Backllow . . .... ,eC1lJires you to . _ I I~:'it" Owner: Address: CURTIS SWITZER 2224 ROSE BLOSSOM DR SPRINGFIELD OR 97477 ul......';:J...... - . '--'~r~'es are ~J!h6neJNumber: ~ _ ..~I. II,.).. . -001- ':,; c 1.00 10 through OAR 952 ..... . ..,~_-Ou _' .'c;n ~nnies 01 the rules by OC:::J. l\JU I"....) -.-. ~ /"'ntO' the telepnUltl;j I CONTRACTOR'INFORMATION,;I' Notilication numo'" IU' '''-. .- . - 2-2344). Contractor Center IS 1-I,12e~~e Expiration Date A & K LANDSCAPING LLC 8146 10/31/2006 541- Contractor Type Landscape Phone 541-746-3271 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 Basemenl: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla _..../ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT n,iFORMA'f,ION\-IILL EXPIRE. n- ,,^~~\~vNOT ,...- \ORIZED UNDER WIS PER REQUIRED PARKING ,\Ul1- BI>.NDDNED fUK Overlay Dist:rDMMENCED OR IS I>. Total: # StreetT..ees'~9h tl0 Q,\Y PERIOD. Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage:.. I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of2 . . CITY OF SPRI~t.l' IJ'.LD . Building/Combination Permit PERMIT NO: COM2006-00948 ISSUED: 07/28/2006 APPLIED: 07/28/2006 EXPIRES: 0112812007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees ~ $4.50 $3.60 $14.00 $31.00 7/28/06 7/28/06 7/28106 7/28/06 Receipt Number 1200600000000001152 1200600000000001152 1200600000000001152 1200600000000001152 Fee Description + 10% Administrative Fee + 8% State Surcharge Backnow Device MinimumlAdjustment Plumbing Amount Paid Date Paid Total Amount Paid 553.10 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 Rf'~f'"tions I Backnow 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 witb 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. ~ /.-: ~~~ 7/z~/:>(,. Owner or Contractors Signat~re Date Paee 2 of 2 225 fifth Street Spri!1!i1dd, Oregon 97477 541.7'26-3759 Phone ./ . '~...,.~ Wit~~'~'~ , . - ,,' . ",-- . Cia of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 1200600000000001152 Date: 07/28/2006 8:25:04AM Paid By A&K LANDSCAPING Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb 344 In Person Payment Total: Amount Due 3.60 4.50 14.00 31.00 $53.10 Job/Journal Number COM2006-00948 COM2006-00948 COM2006-00948 COM2006-00948 Description + 8% State Surcharge + 10% Administrative Fee Backflow Device M inimum/ Adjustment Plumbing Payments: Type of Payment Check Amount Paid $53.10 $53.10 cReceintl Page I of I 7/28/2006