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HomeMy WebLinkAboutPermit Building 2006-6-13 -1IIt~:-~~_O,'~~~} ~ .... ~... " "",. . . 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.. .' ~. ' 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