HomeMy WebLinkAboutPermit Building 2007-12-27
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CITY OF ~rKJ1'1t:.t<lJi,LD
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2007-01926
ISSUED' 12/27/2007
APPLIED 12/27/2007
EXPIRES: 06/27/2008
VALUE:
225 FIfth Street, Spnngtield, OR
541-726-3753 Phone
541-726-3676 F JX
541-726-3769 InspectIOn LlDe
SITE ADDRESS 184 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO 1703233304400
Spnngfield TYPE OF WORK SlDgle Family ReSIdence
TYPE OF USE New
PROJECT DESCRIPTION Install gas plplDg, fireplace and water heater
ReSIdential
Ownel JOHN GARLAND
Address 184 HA YDEN BRIDGE WAY
SPRINGFIELD OR 97477
Phone Number 541-726-8697
I CONTRACTOR INFORMA TlON I
Contractor Type
MechanIcal
PlumblDg
Contractor
AMBASSADOR PIPING INC
BARNES HIGH TECH PLUMBING INC
LIcense
121469
83311
Expiration Date
03/27/2009
02/1712008
Phone
541- 726-5723
541-726-9854
BUILDING INFORMATION 1
VB
# of Stones Lot S,ze
of Stl ucture Sq Ft 1st Floor
H . Oregon raw Sq Ft 2nd Flool
nl~acloPtedbythe~~lliI Basement
IlMI&enter. ThoSe ruli OregOfllS~Garage/Carport
~r 141111-OO10throu9h~88 areae~ther
~. 9MIJJlI}!tBlaIn COpies ..._ ~Jnt Load
r lfuj/1Aftt8. ft/_- u"''''-'4;;
I DEVE~'lM'(lJR~~
-t.l, to .~~--'~ REQUIRED PARKING
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
# of UJllts
Pnmary Occupancy Group
Secondary Occupancy GI oup
Pnmary ConstructIOn Type
Secondary ConstrultJOn Type
# ot Bedrooms
R-3
Frontyard Setback
S,de 1 Setback
S,de 2 Setback
RearyJrd Setback
Solar Setbacks
Total
HandIcapped
CompJct
I PUBLIC IMPROVEMENTS 1
Street Improvements
Storm Sewer AVJllJble
SpeCial InstructIOn
Sidewalk Type
DownspoutslDralDs
Notes
NOTICE:
THIS PERMIT SHAll EXPIRE WMWOftIC
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
P J2e 1 of 3
Status
Issued
225 FIfth Street, Spnngtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
DescnptlOn
Tvpe of Construction
Fee DescriptIOn
-Mechamcallssuance Fee-
+ 10% AdmmlStratlve Fee
+ 5% Technology Fee
+ 8% State SUI charge
Apphance Vent
Fireplace (LISted)
Fixture
GJS Outlets 1-4
Mlmmum/AdJustment Mechamcal
Mlmmum/AdJustment PlumblDg
Total Amount PaId
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. cOM2007-01926
ISSUED: 12/27/2007
APPLIED' 12/27/2007
EXPIRES 06/27/2008
VALUE:
I ValuatIOn DescrlDtion I
$ Per Sq Ft
or multlpher
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of ProJect
Ff1~<' Pl'tlJ
Amount PaId
DJte Paid
ReceIpt Number
$20 00
$1000
$500
$800
$700
$1700
$1600
$500
$2100
$34 00
12/27/07
12/27/07
12/27/07
12/27/07
12127107
12/27/07
12/27/07
12/27/07
12/27/07
12/27/07
1200700000000001528
1200700000000001528
1200700000000001528
1200700000000001528
1200700000000001528
1200700000000001528
1200700000000001528
1200700000000001528
1200700000000001528
1200700000000001528
$14300
I Plan Reviews I
To Request an inspection call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7.00
a m Will be made the same workmg day, mspections requested after 7.00 a.m will be made the followmg
work day.
~eOlll1 e1.lnr,n~l'tl?n~ I
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
Rough Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an appliance
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
P J2e 2 ot 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01926
ISSUED 12/27/2007
APPLIED. 12/27/2007
EXPIRES' 06/27/2008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 FJX
541-726-3769 InspectIOn Lme
By SIgnature, I state and agree, that I have carefully exammed the completed applicatIOn Jnd do hereby celllty thJt all
mformatlOn hereon IS true and correct, and I further certIfy that anv and all work performed shall be done m accOl dance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wdl be made of any strnctUl e WIthout permISsIOn of the Commumty ServIces DIVIsIOn, BUlldmg Safety
I further certlty that only contractors and employees who are))] comphance WIth ORS 701 005 will be used on thIS proJect
I fUl ther agree to ensure that all reqUIred mspectlOns are I equested at the pI oper lime, that each address IS readJble from the
;treet, that the pel mlt cJrd IS 10cJted at the tront ot the property, and the approved set of plans will remam on the SIte at all
tlme~"ih("lo__. ;2-275-07
.
Owner or Contractors SIgnature
Date
P J2e 3 of 3
225 FIfth Street
,
Sprmgfield, Oregon 97477
541-126-3759 Phone
~.1iI
CIty of Sprmgfield OfficIal ReceIpt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2007-01926
COM2007-0 1926
COM2007-01926
COM2007-01926
COM2007-0 1926
COM2007 -01926
COM2007-01926
COM2007 -01926
COM2007 -01926
COM2007-0 1926
Payments
Type of Payment
CredltCard
cRecelOt]
RECEIPT #:
1200700000000001528
Date. 12/27/2007
DescriptIOn
Fixture
MIDlmum/AdJustment Plumbmg
Appliance Vent
Gas Outlets 1-4
Fireplace (Listed)
MIDlmum/AdJustment MechaDlcal
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Admmlstratlve Fee
~MechaOlcal Issuance Fee-
PaId By
MATTHEW CLEMENT
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIVed
dJb
005598 In Person
Payment Total
. .
. ,
Page 1 of 1
9 06 35AM
Amount Due
1600
3400
700
500
1700
2100
500
800
1000
2000
$14300
Amount Paid
$143 00
$14300
12/27/2007