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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...-...... -'- ........ .' ."" .... ~. : r~- - ,: , ""' .... .. ,.~ ,-.....:'. " / 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