HomeMy WebLinkAboutPermit Building 2008-2-19
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00239
ISSUED: 02/19/2008
APPLIED: 02/19/2008
EXPIRES: 08/19/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1369 L ST
ASSESSOR'S PARCEL NO.: 1703253306100
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Replace water heater
TYPE OF USE: Repair
Residential
Overlay Dist:
# Street Trees Rqd:- '
Paved Drive Rqd:--
% of Lot Coverage:
~nT'C~~ . tr1?': 't:-mEWO~~
PUIrnl6 tm\\l{~ 1S PERM1'T '5 NU'
COMMENCED OR 1S ABANDQNt~a~P~ype:
ANY 180 DAY PER\OD. Downspouts/Drains:
Owner: LOWELL RUTH ELLEN
Address: 1369 L ST
SPRINGFIELD OR 97477
I CONTR_AC!?R INFORMATION I
Contractor Type
Plumbing
Contractor
GARY ALAN MUSTIN
License
129990
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFOR~A TIO~
ATTENTION: uragoll ItlVV n:".1U .. 1--. .
follow rules adrtmtfl~t1~MJ~e Oregon ~~~~h
NtRi-6cation cen\ll~iclh~,~~~~ 9S:2-o01-
in OAR 952-001-i9~]&IflW~. b
OO'9a You may W!\liQlb~S of the rules V
. tEVthe telephone
calling the celijl'r,glo .i1ity Notification
number for thetrlt'~ . _ ~).
Center ~.JiiRHe uiffimg n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa!!e 1 of 3
Phone Number: 541-
Expiration Date
06/24/2008
Phone
541-463- 7568
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Vent
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00239
ISSUED: 02/19/2008
APPLIED: 02/19/2008
EXPIRES: 08/19/2008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.00 2/19/08 1200800000000000144
$10.00 2/19/08 1200800000000000144
$12.00 2/19/08 1200800000000000144
$5.00 2/19/08 1200800000000000144
$7.00 2/19/08 1200800000000000144
$16.00 2/19/08 1200800000000000144
$5.00 2/19/08 1200800000000000144
$38.00 2/19/08 1200800000000000144
$34.00 2/19/08 1200800000000000144
$147.00
I Plan Reviews'
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.
UeouirecUnsnections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pal!e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00239
ISSUED: 02/19/2008
APPLIED: 02/19/2008
EXPIRES: 08/19/2008
VALUE:
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
times during construc ion.
-P~
Owner or Contractors Signature
Paj!e 3 of 3
d-/19/o y
Date
225 Fifth Street
Springfield, Oregon 97477
541':726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00239
COM2008-00239
COM2008-00239
COM2008-00239
COM2008-00239
COM2008-00239
COM2008-00239
COM2008-00239
COM2008-00239
Payments:
Type of Payment
CredltCard
cRecelOtl
RECEIPT #:
1200800000000000144
Date: 02/19/2008
Description
Fixture
Mlmmum/ Adjustment Plumbmg
Appltance Vent
Gas Outlets 1-4
Mlmmum/ Adjustment Mechamcal
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
AARON MUSTIN
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
94200 I In Person
Payment Total:
Page I of I
10:44:37AM
Amount Due
1600
3400
700
500
3800
2000
500
1200
1000
$147.00
Amount Paid
$147 00
$147.00
2/19/2008