The URL can be used to link to this page

Home My WebLink AboutPermit Building 2004-9-13 . .- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-01131 ISSUED: 09113/2004 APPLIED: 09/13/2004 EXPIRES: 03113/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1736 RAINBOW DR ASSESSOR'S PARCEL NO.: 1703273100116 Springfield TYPE OF WORK: Single Family Residcnce TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Backflow device Owncr: MCLEOD GENEVIEVE E TE Address: 1736 RAINBOW DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Landscape Contractor BRAUN LANDSCAPE INC BUILDING INFORMATION I License Expiration Date Phone 514-2750 # of Units: Primary Occupancy Group: Seeondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Typc: Rangc Typc: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I. DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setbaek: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trces Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsmrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee I on , -Wlr.~R~~~I!I~' I .. . - .' ,-' ~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-01131 ISSUED: 09/13/2004 APPLIED: 09113/2004 EXPIRES: 03/13/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line I Fp.p.s Pllid I Fee Description + 10% Administrative Fee + 7% State Surcharge Backnow Device Minimum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $4.50 $3.15 $14.00 $31.00 9/13/04 9/13/04 9/13/04 9/13/04 2200400000000001154 2200400000000001154 2200400000000001154 2200400000000001154 Total Amount Paid $52.65 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 1"'\~\7\llilred Irls'Iections I rlllll fIIll J I , Backnow Device: Prior to covering and provide a eopy 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 descrihed herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in eomplianee 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' located at the front of the property, and the approved set of plans will remain on the site at all tim~Ji~;~nstruction. 9 _ !? _ ~tj orer or 'Contractors ~ Date Page 2 of2 . 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ."~INQFla.o Ijr'-- ." '-"'j ",.. I' , ., I' _. i .-..,,~.....,...---- . av of Springfield Official Receipt "elopment Services Department Public Works Department RECEIPT #: 2200400000000001154 Date: 09/13/2004 1:14:49PM Job/Journal Number COM2004-0 1131 COM2004-01131 COM2004-0113I COM2004-01131 Description Backflow Device Minimum! Adjustment Plumbing + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 14.00 31.00 3.15 4.50 $52.65 Check BRAUN LANDSCAPE INC dIm 8431 In Person Payment Total: Amount Paid $52.65 $52.65 11?" ~"'~\.),. 9/13/2004 Page I of 1