HomeMy WebLinkAboutPermit Building 2007-11-6
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01620
ISSUED: 11/06/2007
APPLIED: 10/30/2007
EXPIRES: 05/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 812 W OLYMPIC ST
ASSESSOR'S PARCEL NO,: 1703274201008
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Solar water heating system (closed loop system)
Residential
Owner: TRUDIE ATKINSON
Address: 812 W OLYMPIC ST
SPRINGFIELD OR 97477
Phone Number: 541-726-2769
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
THE ENERGY SERVICE CO
License
108322
Expiration Date
08/24/2009
Phone
541-302-6808
VB
I BUILDING INFORMATION I
',es ,/ou to
# of Stories: on laW ,eqU\ on U\\\\\,/ Lot Size:
~:rrEJf{eigb~ &~~~~l\!rftU'\e o(e~e set 10n" Sq Ft 1 st Floor:
10\\0\[1/ ~df~~t:1hose (u\e~AR 952-OO1-Sq Ft 2nd Floor:
Noti1iC~ijleP~{Jtlci~0 \\'\,oU,gh 01 the tu\es b1;q Ft Basement:
in OA.~7';If'b~\a\n COP\?~he te\ephO~e Sq Ft GaragelCarport
0090.. . ~~-eBHt&r. lNO\~f\\tY NoU1\oa\\o"sq Ft Other:
ca\\lqi:h ~'()~~ tl'2,~.234t\la Occupant Load:
........."'r 0' ~ . .,.QOO-.;JV
I DEVELO~1' fNFORMA TION I
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primal)' Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dis~:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMi~NTS I
,mfDloe..n: THE WOR\(
THIS PERMIT SHAl~lu:ewarro-l1fMlT 'S NOT
AUTHORIZED UNDEBolJi\taf'~~toamR
COMMENCED OR'S ABA'Nu'(j!
ANY 180 DAY PERIOD.
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01620
ISSUED: 11/06/2007
APPLIED: 10/30/2007
EXPIRES: 05/06/2008
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Miscellaneous Plumbing
Amount Paid
Date Paid
$10,00
$5.00
$8,00
$50,00
$50,00
11/6/07
11/6/07
11/6/07
11/6/07
11/6/07
Receipt Number
1200700000000001372
1200700000000001372
1200700000000001372
1200700000000001372
1200700000000001372
Total Amount Paid
$123,00
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.
I Reouired Insoections I
Final Building: After all required inspections have been requested and approved and the building is complete,
Final Plumbing: When all plumbing work is complete,
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] 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 dudng constructiorf.
----
tl/6!tfi7
,;
Date
Pa2e 2 01'2
225 Fifth Street
Springfield: Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1620
COM2007-01620
COM2007-01620
COM2007-01620
COM2007-0 1620
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
Description
Building Permit
Miscellaneous Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ENERGY SERVICE COMPANY
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001372
Date: 11/06/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
7459
In Person
Payment Total:
Page I of I
10:59:25AM
Amount Due
50.00
50.00
5.00
8.00
10.00
$123,00
Amount Paid
$123.00
$123.00
11/6/2007