HomeMy WebLinkAboutPermit Building 2006-6-13
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00724
ISSUED: 06/1312006
APPLIED: 06/13/2006
EXPIRES: 01/28/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
SITE ADDRESS: 2833 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703224105700
J
,
Springfield TYPE OF WORK: Single Family Residence
Owner:
Address:
RICHARD CARUSO
2833 GAME FARM RD
SPRINGFIELD OR 97477
TYPE OF USE: Remodel Residential
New 200 Amp Electrical Service and Two new circuits with AC,and ga~furnace install
i\V'''''' LEXPIKt1r l"~ .
"",l' 01-\1.\\',,1 Sh~L_ nrn,^IT 1c,I\\OI
~\JIHOR\ZED \JNU~; ~~~~\Ddl~:<!iierNli'mber: Unlisted
COMMrNCED OR
.\i"Y 1.1,' S,\'{ Pf:RIOD.
PROJECT DESCRIPTION:
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
STEVEN GEISLER
COMFORT FLOW
License
95472
460
BUILDING INFORMATION I
Expiration Date
1lI23/2006
06127/2007
Phone
541-726-0618
541-726-0100
VN
# of Stories: Lot Size:
Height of Structure . S9 Ft I~t ~Ioor:
Type oflf!fa't:TION: Oregon law req\JI'SitF'f2na Floor:
t d b the Or8<:1,)n I "'"IV
Water;,T,ype:rulcs adop e Y Sq Ft Basement:
Th les -,.' oe TOru,
RangeiFype:ion Center. ose ru S9'Ft GaragelCarport
I O^!j, nl;"_'\(I._
Energy):ath:::2-001-0010 throu9 1 Sq FIOther:
S.. .. 't' 1--'..:l.CO'O"',........IC.C'.L'" d
pn,!k.le<!.BuJldmg:y co,am (n a'v, , ccupant oa :
, ~ -, . .."......: ',; ,., po
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION' r.
......~;~,on
....f ,;j I -~.
'/ REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Stnrm Sewer Available:
Special Instruction:
Sidewalk Type,
DownspoutslDrains:
Notes:
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectioo Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount Paid
.
. CITY OF i:)rKlj~hl'lELD
Building/Combination Permit
PERMIT NO: cOM2006-00724
ISSUED: 06/13/2006
APPLIED: 06/13/2006
EXPIRES: 01128/2007
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp<, P~i.-l .
Amount Paid
Date Paid
Receipt Number
2200600000000000825
2200600000000000825
2200600000000000825
2200600000000000825
1200600000000001188
1200600000000001188
1200600000000001188
1200600000000001188
1200600000000001188
1200600000000001188
1200600000000001188
$6.90
$5.52
$6,00
$63,00
$10,00
$4,50
$2.25
$3,60
$12.00
$12.00
$21.00
6/13/06
6/13/06
6/13/06
6/13/06
8/2106
8/2106
812/06
8/2106
812106
812106
812106
$146.77
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 Rpo.1irrrrllnsnections I
Electric Service, Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Pa!!e 2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00724
ISSUED: 06/13/2006
APPLIED: 06/13/2006
EXPIRES: 01128/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541- 726-3 753 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 tbe work described 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 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, tbat 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 construction.
,/
-o:=:/d 6. M
S"-;l- 06
Owner or Contractnrs Signature
Date
Pa!!e 3 of 3
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
Payments:
Type of Payment
Check
Cash
Job/Journal Number
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
COM2006-00724
Payments:
Type of Payment
Check
Cash
cReceinll
. '!PoJIJNO~'-~ _...'-.'_.,".'"....
u.. .'
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c.of Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
1200600000000001188
Date: 08/02/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
Paid By
COMFORT FLOW HEATING
COMFORT FLOW HEATING
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
ddk
ddk
35070
In Person
In Person
Payment Total:
Description
+ 8% State Surcharge
+ 10% Administrative Fee
BoilerlComp Up To 100,000 btu
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
Paid By
COMFORT FLOW HEATING
COMFORT FLOW HEATING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
ddk
35070
In Person
In Person
Payment Total:
Page I of I
10:16:06AM
Amount Due
3.60
4.50
12.00
12.00
21.00
10.00
2.25
$65,35
Amount Paid
$63.10
$2.25
$65,35
Amount Due
3.60
4.50
12.00
12.00
21.00
10.00
2.25
$65,35
Amount Paid
$63.10
$2.25
$65,35
8/2/2006