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HomeMy WebLinkAboutPermit Backflow Test 2006-6-13 (2) ZZ5 Firm STREIT. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726-3689 g City Job Number c." vV\ ZOO b - 6'07 z:S- "oj; ~~ Job Location 5=r /e; ,aj~re$+ iJ tL. ~ Assessors Mar I K 0 L () t..{ 1 '-f ..~ ~ Owner V iold . ~Nd~ <II Addre<< 6-11:0 Ridrf9.ves+ ~ City 1nYJI\~ fjpld Stotp ();e.. Zip CJ 7#78 , ~ BACKFLOW.PERMIT IS....,., (incl.d~ P,~" F"" S<"'.~'~h''''':& Adm;,;"..ti" Ftt) ~h 53~ '" 'c~ lJ'.' _.:' JJ1- ~ . .' ~ '...,2 r"1.'13S b ~ . . ..r'("";'1'" y Contractor Information "",."",. . /., 0' ..,. . e ',:',lone ...I.J ..h.; ("c"on r, , <. . C """'''1' '~C;'lcat' '1) tJIJlt:r is 1 tluO 3' 2 ,,' Jon ~ . v '2344). ~ Contractor , ,,~,,~ r' ..> Addres< /;27 r 1J1T11~ Jli/;Zd ~h I "-IfC City G U4~ Q / Construction Contractors Registration # = ..2 ~ ~ t ~ ~ ~. o ~ Date of Applicatiol' ~ ~ Checked for Delinquencief M . . .. .~.-, . " " CITY OF SPRINGFIELD, OREGON Tax Lot Dts,,/3 Phorp Phol'P '37 r:,qOf,O State--L1f Zip 97 Y-02 Expires /oh/I Oq 72-1 t By signing this permit/application, I agree to caU for an inspection once the backflow prevention devise has been instaUed and is visibleJq~ inspection (726-3769). I also state that all information on this permit/application is correct. I HiS Pl HI'I' : 'I [." -. ,i . I 01", . ,,'"!;,[Ii' T,IE WOR:< . ~.~. ~U;HOHIZtO UNOEH H1,~ r'E:R,I'iIT IS i~OT . '" _ / J _<O:VirViE,~\ICF:] ORIS I1HAi'!lJONEO FOR (/1,"'1). / ~ SIgnature '-"A~/h../~. ,.-. .' \, nrrw""\r. Datp / /'..Jj /u", .., "U'J. For Office Use &!~b ~ Checked for Historical Stan'< ...--- ~~ 06 \ ~ Drive (f:)IBuilding FormslBac:ktlow :-._,_':_l-03,doc 225 Fifth Stree~ Springfield, Oregon 97477 541-726-3759 Phone . ~~.'."". ~' Ia,. .. <;& of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-00725 COM2006.00725 COM2006-00725 COM2006-00725 COM2006-00725 COM2006.00725 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: 1200600000000000860 Date: 06/13/2006 Description Baekflow Deyice Minimum/Adjustment Plumbing Low V oitage - Residential Minimum/Adjustment Electrical + 8% State Surcharge + 10% Administratiye Fee Paid By REXIUS FOREST Item Total: (;heck Number Authorization Received By Batch Number Number How Received djb 613123 In Person Payment Total: Page 1 of 1 2:36:40PM Amount Due 14.00 31.00 25.00 20.00 7.20 9.00 $106.20 Amount Paid $106.20 $106.20 , 6/1 3/2006 Oct-~6-9B 09:45A Mor,.,r Engineering ~,\t (i I .....' . "1', /.. . f.;. ~: ' .' f-o\;' !fftJ 1-:-,,".1,.;,. _' '(. ~",..,.. - '1\ I \.\,\ .: )4B4-6B5~ G,OQ [;)r- u /.\...\,?I1/~"'V P.Ol r.LIGN1 CAlCULATED 9'1 {J ~'< .11'\ or t- om I.J h:Jh ~ ( f CALCULATIONS SHEET NO STRUCTURAl BUILDING DESIGN. FIRE PRorecnoN CODE CONSULTANT. PlAN CHECKINO CON$TRUcnON IN$PBC'1'ION CHECKED DV DATE w.o.. -=It- 117.. 8") .:'~ ~ r.: A 61. it f:,t1 ; 'vlv~ ~;'I I -/ ~ ';{;.6 (',: i..~--r- ',,1 r:;,. J:' r,:~(, I/Z. wvl ~ L- fir.. ~. '1% , zlfl ''''--/i 1ft; l'l;b (I~.;SC ,.. . _..." L ~:... t.. ,'j i. . "':;' '~)/fif PhOnc'b 80 - 7, {,-;2.. F.... · ~ iI (~- 2 4 0.3 DalO/(~/lt. /?S Ip'.g~." 4- From p.IJ..A." ,- CO'M(tA'T,J;" E "-.6,,,- PhOM'C; ~4-J ~ l;L4- F..... 4~4' 685? poat.lt. Fax Note 7671 TD .... . 1......\\"'/) CD/Mpt. . . f f JI~'~ ~ 3tH \ I " 2. -O~, ,. " -(1 J. I ~-- .-- ..... ....~ (.. j"'\!J Lv 1'1 \ "- /Ii! ~V~ _L. f3 II (,11' of C:.A G'\\lof /,' -I I ~-) ~~\J ~.- J. -Yl I " -r-- -l "-~l ~ ~ I II I - CI ~ "'L ';,}I I I ~ ;(,~I' r /. , -1 mrr' r:-4 " , r: o-J/JO rl 'T"'.1 IJ 'r S - P ~ 11.,... 111.." po \.1'\ "-J ....-. . pct-26-9B 09:45A Mortier Engineering . (541)4B4-6B59 P.02 /.-. "'. I r I: \..I.. !. : .... (. . \ ~ V '.....' .' .~ L:. . ,< . ;/1" CANTI LE''/EF: r:r::T .:.\.1 N.I.NJ;> J.lA1.I.. rjAS(~, CES I GN ------------------------------------.-------------...: U: I / 7. lI.7 DENSITY or STr::M 75 pcr STEM HEIGHT 4.000 rT STEM THICKNESS 8 INCHE'S OTM -, (:.5':) L.B-F'T -.' BASE Hr.I GHT 10 INGHE:S BASE WroTH 35 INCHES F:M ::::::) 1496 L 8-'FT ASSUMED TOE LEN'3TH 28 INCHES DEAD LOAD ON WALL 15() F'l..F W ::1" 7:25 LOS .' SURCHAr.:GE ON SOIL (I F'SF' . SOIL WE I '3HT 100 pcr- liE. t} 5.0(> INCHES HOF: I Z ONT AL PRESSURE ~.,. F'Sr- "',., AI.LOWABLE SOIL Pf;:ESSURE: 1(")0 F'sr 1 ' :::.:> 3E..00 INCHES SLI D I N(:; FRICTION COEFF. 1 ____~N__~~~_.__~~-----------------------------! ;-. ~ '-,."'.,.,........"........................................---..--.................-- e -> 4.14 INCHES ..IN MIDDLE THIRD~. SOIL PRESSURE AT TOE => OVERTURNING S.F. e> SLIDING S.F. ~) MOMENT AT BASE OF STEM "'> SHEAR AT BASF OF STEM ~> 40'3 PSF O. t<. 2.27 O,K. 1. 77 O.K. 373 LB-F'T 280 LES . , u\......-.....u-.....,~ .......J.........r' ,'IU, ....,>.,;:, .......~J"'t::::!t::::, lll~ '. \.LLJ.._, . CALCULATIONS .....' , i:~l. :. i:'-"iiL ..-(1': ta..:....l... I.. ,,,-,' ,--- \ "/\ I \ \'- STRUcrUI\AL BU/U)INCl DESIGN . FIRE PROTECTION COOE CONSULTANT. PlAN CHECI<ING CONSTRUCTION INSPEC'nON c.. 0 I.J ( (H':' (. .(', - -~ OQa f!," ~, ~ p._, '''L hI' I' r"", , ,>"j r~; ~J' . . - '.- -10 I'.t; G:\il ,,,; .~ .' \r. \,; f: 'lJ',.a !: ,~ f t.. , . .J;. ,:'t,."! L. D \.J i. ~ C.". ....,;. ':J~t;c.p .,-:'r.J"'" "1', <;'1.. 1:, .' p",. ';:'l '" '..1 . J ':It 't trlr. rnv; (4-) p\...lIns' " "J ~", ,...., '.; -j ( t . "'\ .~ --' .. I' /llr L' ~ J l' , "'; ,r(l ~,,(. 1-" ,,---. "36 kt. i^"v'''!c.._.'dAlL ,v-ri (!.l(~U.)o.,J /11' 3' rC!vIIDI'17/0'V ) 5/1"1 (ZtDr..L " r ,:.., v & TIEl.. D c 12c:\'7 I) (L G Itf.';'''' , \~"".J.)......u......-uw:...J;;'" .......u...,;, CLIENT (.'.:,6[ V)'J!JfiA'I,-J J " .., SHeET W' OF CALCUlA TEO RV Yll.~ nATe CHECKED !:IY DATI" wo. . ., - ""1. (17 o,,'.J. ./ "':4. 9'" 11)0. ':,1.."", ~/ ~.t2\ ~,a:.;,V, ~ '. f --, ~:~; "r(< le- . .... ~.5.~..~.::... tI '" '" 1" . . __,. ~- , I;' I /. :~JoN '"_ · , ... 4-" , C i ~., -- '..... .'(' - 'Iv ,-~ ~....---"' ~.. w/t-rr...r< v(l. n~ ....,..,i".\~' -~ -<... .' , (". . . , ..... ~.,")" ~ " .. . f. ",' ... ~ ('" 1:';-:0"'';) )'I~ '(;' J~I,. ~'r.. "'.- .-J ...~ I ' ... ,~) 1 -.; 'fL.., t ../Il $l'T If... (\lVlI/) (l~...., r:., r\.~ I.... "TO F\('Pfl..!;.Ii QV'lle., ~I~ 1~~i6 1::'4fi PF=ARL ST . 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