HomeMy WebLinkAboutPermit Building 2003-7-9
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
*
. CITY OF ~rKlI'lt.NJ!,LD
Building/Combination Permit
PERMIT NO: COM2003-0060S
ISSUED: 07/09/2003
APPLIED: 07/09/2003
EXPIRES: 01/09/2004
VALUE:
Status
Issued
SITE ADDRESS: 2150 LAURA ST SPACE 201
ASSESSOR'S PARCEL NO.: 1703271004700
Springfield TYPE OF WORK: Manufactured Home in
Park
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Install heat pump
Owner: MARIAN STEVENS
Address: 2150 LAURA ST 226 SPRINGFIELD OR 97477
Phone Number: 747-2937
I CONTRACTOR INFORMATION I
Contractor Type
Owner
Contractor
MARIAN STEVENS
License
Expiration Date Phone
747-2937
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
-Impervious Surface Area:
SETBACKS
I DEVELOPMENTINFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
. .- -~:::1Vi. /aV' II
-.. ':"L~ ,'oomed b .... tPUBLI~;'}MPROVEMENTS I
,I il,{ ~.. 1. Y -1ft: L..",~u" t
Street Improvements: . Lt, el Thcs;;! I I U I/Ily Sidewalk Type:
, "'''''U(', -(1r. < n t u es are set to"c'
Storm Sewer Avallable:1I'1" Ob;': 1;;01/011 OAR 952-00: NOT/Cf)pwnspoutslDrains:
Special Instructlon:(' I~~' cemt 1m Ccpias 01 the rules b THIS PIiRMIT SHAll E
~.. t ). "1" o:r. (Nota: the telephone AYiHORIZED UN XPIRE IF THE WORK
Notes: , . "'~, ,':~~n Utifity Nctitication GQMMfNCED 0 DER THIS PERMIT IS NOT
""??"AA' 4~IV <nil 3 R IS ABANnmll:n ("{'r,
.... \ ".~.. 1'\1 rtHIUD. - .
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paeelof2
.
. CITY OF SPRIr~ut<mLJJ.
Building/Combination Permit
PERMIT NO: COM2003-0060S
ISSUED: 07/09/2003
APPLIED: 07/09/2003
EXPIRES: 01/09/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F..... Paid'
Fee Description
-Mechanical Issnance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
7/9/03
7/9/03
7/9/03
7/9/03
7/9/03
2200200000000001202
2200200000000001202
2200200000000001202
2200200000000001202
2200200000000001202
Total Amount Paid
$62.65
I Plan Reviews ,
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 Relluir..d J n.n..ction.,
1 Final Mechanical: When all mechanical work is complete.
By signature, 1 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 construction. .
~~,)y~~
Owner or Contractors Signature
~711/cJd'
Dati
/
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2003-00605
C0M2003-00605
COM2003-00605
COM2003-00605
COM2003-00605
Payments:
Type or Payment
Check
~~'_....
~
Receipt #: 2200200000000001202
Description
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fe....
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dim
Check Number
Batcb Number Autborization Number
Paid By
ASSOCIATED HEATING
10500
City of Springfield Official Receipt
Development Services Department
,
Public Works Department
Date: 07/09/2003 11:29:40AM
Amount Paid
12.00
33.00
10.00
3.15
4.50
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65
.
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