HomeMy WebLinkAboutPermit Building 2007-9-10
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01370
ISSUED: 09/10/2007
APPLIED: 09110/2007
EXPIRES: 03/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 568 S 5TH ST
ASSESSOR'S PARCEL NO.: 1703353405200
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Water heater, fireplace, bbq and range
Owner: DAMIAN HOMMEL Y
Address: 568 S 5TH ST
SPRINGFIELD OR 97477
Phone Number: 541-221-9290
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Plumbing
Contractor
AMBASSADOR PIPING INC
BARNES HIGH TECH PLUMBING INC
License
121469
83311
Expiration Date
03/27/2009
02/17/2008
Phone
541- 726-5723
541- 726-9854
BUILDING INFORMATION'
VB
# 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 Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
Notes: THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
AI I cl.rrRfR:"B}iYI~WtiWl6qulres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952.0()1.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Pae:e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Vent
Fireplace (Listed)
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01370
ISSUED: 09110/2007
APPLIED: 09/10/2007
EXPIRES: 03/10/2008
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.00 9/10/07 1200700000000001174
$10.00 9/10/07 1200700000000001174
$5.00 9/10/07 1200700000000001174
$8.00 9/10/07 1200700000000001174
$7.00 9/10/07 1200700000000001174
$17.00 9/10/07 1200700000000001174
$16.00 9/10/07 1200700000000001174
$5.00 9/10/07 1200700000000001174
$21.00 9/10/07 1200700000000001174
$34.00 9/1 0/07 1200700000000001174
$143.00
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~e(]uireCUnSDections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pae:e 2 of3
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01370
ISSUED: 09/1 0/2007
APPLIED: 09/10/2007
EXPIRES: 03/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
HmeSdllring#.Yk_ 7-/(}-O),
, ,
Owner or Contractors Signature
Date
Pae:e 3 of 3
225 Fifth Str~et
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01370
COM2007-01370
COM2007-01370
COM2007-01370
COM2007-01370
COM2007-01370
COM2007-01370
COM2007-01370
COM2007-01370
COM2007-01370
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200700000000001174
Date: 09/10/2007
Description
Fixture
Minimum/Adjustment Plumbing
Appliance Vent
Gas Outlets 1-4
Fireplace (Listed)
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MATTHEW CLEMENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 03560B In Person
Payment Total:
Page 1 of 1
8:37:46AM
Amount Due
16.00
34.00
7.00
5.00
17.00
21.00
20.00
5.00
8.00
10.00
$143.00
Amount Paid
$143.00
$143.00
9/1 0/2007