HomeMy WebLinkAboutPermit Building 2008-6-5
t.
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00800
ISSUED: 06/05/2008
APPLIED: 06/05/2008
EXPIRES: 12/05/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS. 1587 S 57TH PL
ASSESSOR'S PARCEL NO . 1802033206200
SPRINGFIETYPE OF WORK' Smgle FamIly ReSidence
TYPE OF USE
AdditIon
ReSidentIal
PROJECT DESCRIPTION. Air condItIOner
Owner
Address
Contractor Type
MechaOlcal
I CONTRACTOR INFORMATION'
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2008
Phone
541-683-2590
# of UOltS.
Pnmary Occupancy Group'
Secondary Occupancy Group'
Pnmary ConstructIon Type
Secondary ConstructIOn Type'
# of Bedrooms
# of Stones
Height of Structure
Type of Heat.
Water Type
Range Type'
Energy Path:
Sprmkled BuIldmg
Lot Size'
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load'
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback.
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd'
Paved Dnve Rqd
% of Lot Coverage'
REQUIRED PARKING
Total'
Handicapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements' ATTCf\lT!ON ~~~~llhXW~qulres you to
Storm Sewer AvaIlable -, ItS adnoWfispQ'uts~atlgon Utility
SpeCial InstructIon. ' '.,,1. Center Those rules are set forth
NO \ i '": J01-001 0 through OAR 952-001.
neE: oJl I '0'..1 iYlay obtain copIes of the rules by
THIS PERMIT SHAll J:YDIO L r] the center (Note the telephone
AU, nUN/L.I:D UNDER ~ rr TII:-l,"\,,~~ - - :: "-::-:. V~VI' UlIl,(y I~UUll\';i::U10n
COMMENCED THIS PE~nnTIIC' un:r D . t' Cl3rllar IS 1-800-332-2344).
OR IS ABANDO ~"V a 'l'PamJll escnp IOn
ANY 180 DAY PER N u tUH
DescnptIon Type of con~q~'ctIon $ Perlsq]Ft squBardeAFootage
or mu tIp ler or I mount
Notes.
Value
Date Calculated
Pa2;e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00800
ISSUED: 06/0512008
APPLIED: 06/0512008
EXPIRES: 12/0512008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
Total Value of Project
Fees Paid I
Fee DescnptIon
-MechaOlcal Issuance Fee-
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling UOlt Up to 10,000
MlOlmum/ Adjustment MechaOlcal
Amount Paid
Date Paid
$20 00
$500
$600
$250
$900
$41.00
6/5/08
6/5/08
6/5/08
6/5/08
6/5/08
6/5/08
Receipt Number
2200800000000000834
2200800000000000834
2200800000000000834
2200800000000000834
2200800000000000834
2200800000000000834
Total Amount Paid
$83 50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, lDspections requested after 7:00 a.m. will be made the following
work day.
ReQuired InsDections I
Rough MechaOlcal Pnor to Cover
Fmal MechaOlcal: When all mechaOlcal work IS complete
By signature, I state and agree, that I have carefuHy exammed the completed applicatIOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done ID accordance With
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure Without permissIOn of the CommuOlty Services DIVISIOn, BuIldmg Safety
I further certify that only contractors and employees who are m compliance With ORS 701 005 Will be used on thiS project
I further agree to ensure that all required mspectlOns 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 remam on the site at all
times durmg construction
t7 ! II_~ ~ \1a&te-5' -0 q;
twn" ff Cnnt""'n,, S.gnatn<e i'
Paee 2 of2
~/' City Job Number ~ ~ g -- L"r-2> 500
OJ: WCATION OF PROPOSED WORK / C)?; 7 0.
4~ ASSESORS MAP
Q!. /I v .
~, OWNER u/t2dc JJ~~
~~ ADDRESStl;,5J7 S. S!fI.- jOJl1I:~
CD CITY ~0hc~
l ~: ~ESCRIPTION OF WORK / /z,j h/~ If / C
~ .
r ~l :EW REMODEL
o CONTRACTOR'S NAME
GENERAL
-
~4
'J~;
~l
r ~ ~
4
~~ J;
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fit
I ~
t
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~'"~"~ 1
SPRIINGF'IlEU," ~
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477. PH (541)726-3753 . FAX
57-1L PlaLe
TAX LOT
PHONE
,5"L/ / - tj J'5-h( ~(p
STATE
Ole
9751N
ZIP
.
ADDITON
DEMOLISH
~ VALUE
OTHER
.
ADDRESS
CaNST
CONfRAcrOR #
PHONE
EXPIRES
PLUMBING
MECHANICAL ASsoclakd I.:lm=hn~ .(>0 ene, 4121 ~1L/Lj.O 1::/0w).75 :--f1[03~ lSo;o
J
ELEcrRICAL
MECHANICAL PERMIT
PLUMBING PERMIT
ITEM FEE
ITEM
FEE
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/Insert/Fireplace Umt
FIxtures
ReSIdentIal Bath(s) No
Samtary Sewer IT
Water IT
Storm Sewer IT
Mechamcal PermIt Subtotal
**M1mmum of $45 00
State Surcharge 8%
AdmInIstratIve Fee 10%
Issuance Fee
Technology Fee %5
Plumbmg PermIt Subtotal
**M1mmum of $4500
State Surcharge 8%
AdmmlstratIve Fee 10%
Technology Fee %5
TOTAL MECHANICAL
TOTAL PLUMBING
Mfe~:l~nica:
-I lf~ _+-I ~)...l ~ "''' ,
.
1l~~lmr t~)l~ng" if
f ,;UH.. . ,r:J'
--=- ~ ~~- - !
#I
.
Y:iscel~~ne(1)us
Shared Dnve(T )/BUlldmg FonnsJPenmt W orksheet08-06 doc
225 Fifth Street
.
SpringfIeld, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00800
CO M2008-00800
COM2008-00800
COM2008-00800
COM2008-00800
COM2008-00800
Payments
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000834
Date: 06/05/2008
DescriptIOn
-Mechamcal Issuance Fee-
Mmlmum/ AdJustment Mechamcal
Air Handlmg Omt Up to 10,000
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ASSOCIATED HEATING
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
Ikw
17986
In Person
Payment Total
Page 1 of 1
11 45 41AM
Amount Due
2000
4100
900
250
600
500
$83 50
Amount Paid
$83 50
$83 50
6/5/2008