HomeMy WebLinkAboutPermit Building 2005-3-22
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2155 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271001700
*
. CITY OF ~I"Kli'l\d'lELD
Building/Combination Permit
PERMIT NO: COM2005-00322
ISSUED: 03/22/2005
APPLIED: 03/22/2005
EXPIRES: 09/22/2005
VALUE:
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install Rinnal water heater
'CONTRACTOR INFORMATION ,
Contractor ATTENTION: Oregdnmrs-equ~lJI'#atlon Date
AUTOMATIC HEAT follow rules adopted4YI~l3e Oregon 1I.\\?il12005
Buli;D~:Ir,- I ';W~"",w~\e NltnlllnllltlllUIUI
, 16(,/wIU__~7.:'~ughOAR952.0C)1.
/ilQflgt.xilY,may obtain copies of theBpsPzl:
Hergtl~\lMMAll\lt9t (Note:.~ tel~ ?l;; Floor:
TY\lBilbWefar the Oregon Utility Notif nd Floor:
Water Ty{ilenter 181-800-332-234'Q. Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Otber:
Sprinkled Building: n/a., Occupant Load:
Owner: DON VINCENT
Address: 2155 LAURA ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:,
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vallable:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541-744-0152
Phone
541-726-7654
VN
I DEVELOPMENT INFORMATION'
REQUIRED PARKING'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
"'r;~'''f..
% of LotlCoverage:
THIS PERMIT SHALL EXPIRE IF THE WORK
Total:
Handicapped:
Compact:
~.... ..-.~..~:-:-, : :;~:=;--; -:-: ::: ~=~~.~:-:-:: ~~:T
I PUBLIC IMI}ROYiE!\1ElI!:TS 'R IS ABANDONED FOR
ANY 180 DAY PERICSldewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Palle I of2
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LIne
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Fixture
Gas Outiets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid '
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00322
ISSUED: 03/22/2005
APPLIED: 03/22/2005
EXPIRES: 09/22/2005
VALUE:
Total Value of Project
FI'I'~~
Amount Paid
Date Paid
3/22/05
3122/05
3122/05
3/22/05
3122/05
3122/05
3/22/05
3122/05
Receipt Number
1200500000000000354
1200500000000000354
1200500000000000354
1200500000000000354
1200500000000000354
1200500000000000354
1200500000000000354
1200500000000000354
$10.00
$9.00
$6.30
$6.00
$14.00
$4.00
$35.00
$31.00
$115.30
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,
~rl'd Tnsnl'~tjon'iJ
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: Wben all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 tbe 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 ail
times during construction. ,
o_S1,:.~f!2 'b
~-g:),-c5
Date
Paee 2 of2
.,
225 Fifth Street
Springfield, Oregon 97477
541-726-37$9 Phone
.
BIILD .
1Iiit...-...... -'- ........
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,
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/
Job/Journal Number
COM2005-00322
COM2005-00322
COM2005-00322
COM2005-00322
COM2005-00322
COM2005-00322
COM2005-00322
COM2005-00322
1
Payments:
Type or Payment
Cash
Change
Job/Journal Number
COM2005-00322
COM2005-00322
CpM2005-00322
COM2005-00322
COM2005-00322
COM2005-00322
COM2005-00322
"
C,OM2005-00322
Payments:
Type or Payment
Cash
Change
312212005
RECEIPT #:
1200500000000000354
Descrlpllon
Fixture
Minimum!AdjuSbnent Plumbing
Appliance Vent
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
AUTOMATIC HEAT
AUTOMATIC HEAT
Received By
djb
djb
Descrlpllon
Fixture
Minimum! AdjUSbnent Plumbing
Appliance Vent
Gas Outlets 1-4
Minimum!AdjUSbnent Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
AUTOMATIC HEAT
AUTOMATIC HEAT
Received By
djb
djb
Page I of I
Check Number
Balch Number
Check Number
Batch Number
.JIi.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 03/22/2005
Item Total:
Authorization
Number How Received
In Person
In Person
Payment Total:
Item Total:
AuthoriZation
Number How Received
In Person
In Person
Payment Total:
10:11:58AM
Amount Due
14,00
31.00
6.00
4.00
35.00
10.00
6.30
9.00
$115.30
Amount Paid
$120.00
($4.70)
$115.30
Amount Due
14,00
31.00
6.00
4,00
35,00
10,00
6.30
9.00
$115.30
Amount Paid
$120,00
($4.70)
$115.30