HomeMy WebLinkAboutPermit Mechanical 2008-6-23
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO. COM2008-0091S
ISSUED 06/23/2008
APPLIED. 06/23/2008
EXPIRES' 12/2312008
VALUE
225 F.fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
SITE ADDRESS 255 DEADMOND FERRY RD
ASSESSOR'S PARCEL NO 1703154001500
Sprmglicld TYPE OF WORK Site Work Only
PROJECT DESCRIPTION SaOltdry and water for parhtlOn approval
TYPE OF USE New
ReSIdential
Owner COUNTRY MANOR NO 3 LLC
Address 2815 WAYSIDE LN
SPRINGFIELD OR 97477
Contractor Type
General
Plumbmg
I CONTRAC fOR INFOR~A T10N I
Contractor License
CONSTRUCTION CONSULTANTS LTD INC 120549
CHAPIN ENTERPRISES INC 81994
BUILDING INmRMATlON I
# of U OIts # of Stolles
Pnmary Occupancy Group Height of Structu. e
Secondary Occupancy Group Type of Heat
Pnmary ConstructIOn Type W dtel Type
Secondary ConstructIOn Type Range Type
# of Bedrooms ATTENTION: Oregon Iiivf~ll111 ~l~ /
/nll(lW rules .adoPte~.~~~IB& g~...tn~ n a
NotificatIOn \jB~'?t[~~~A T10N I
in OAR 952-00 btal~~~lgrm t.1:iiiT:ii'
0090. You may ntO er .Ie: the telephone
calling the ce. ~lIcaliOD
number for the Oreg -ti44,~ Rqd
Center is t dve Dnve Rqd
0/0 of Lot Coverage
Frontydrd Setback
S.de 1 Setback
S.de 2 Setback
Rearyard Sethdck
Soldr Setbacks
Street Improvements
Storm Sewer Available
Special I nstruchon
Notes
I PUBLIC IMPROVEMENTS I
ExpiratIOn Date
02/24/2010
05/06/20 I 0
Phone
541-688-1907
541-485-1146
Lot S,ze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
HandIcapped
Compact
Slde"dlk Type
Down,pouts/Drdlm
NOT\CE~ ~,t\t"'n\tWO-
THIS PERMlT S~~l\. n\\S PERMIl IS NOt
AUTHORIZED UNDEISR ABANDONED fOR
OMMENCEO OR
~Y 180 DAY PERIOD.
P.12e 1 of 3
CITY OF ~rKll~GFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED
APPLIED:
EXPIRES'
VALUE.
CO M2008-009 I 5
06/23/2008
06/23/2008
12/23/2008
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation Descrllltlon ,
, I
Descrlotlon
Tvpe of ConstructIOn
$ Per Sq Ft
or mulhphel
Squal e Footdge
or B,d Amount
Value
Ddte Cdlculated
Totdl Value of Project
Fpp'l, P',urlJ
Fee DescriptIOn
+ 10% AdmmlStrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each AddtlIOO'
Water Lme - 1st 50 Feet
Water Lme - Each AddtllOO'
Amount PaId
Ddte PaId
i
I
ReceIpt Number
$22 80
$2736
$11 40
$50 00
$48 00
$50 00
$80 00
6/23/08
6/23/08
6/23/08
6/23/08
6123/08
6123/08
6/23/08
1200800000000000678
1200800000000000678
1200800000000000678
1200800000000000678
1200800000000000678
1200800000000000678
1200800000000000678
Total Amount PaId
$289 56
I Plan Reviews I
To Request an mspectJon call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7 00
a.m. WIll be made the same workmg day, inspectIOns requested after 7.00 a.m. WIll be made the followmg
work day
I 'Rpnlllrprl 'n~nppt.wW
Sdmtary Sewer Lme Prior to filhng trench and mcludmg required teslmg
Water Lme Prior to filhng trench and mcludmg reqUIred te;lmg
Page 2 of 3
Status
Issued
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO COM2008-0091S
ISSUED: 06/23/2008
APPLIED. 106/23/2008
EXPIRES 12/23/2008
VALUE' I
By sIgnature, I state dnd dgree, that I have carefully exammed the completed apphc,'tlOn and do hereby certIfy that all
informatIOn hereon IS true and correct, and I further certify thdt any and JII WOI k pCI formed shdll be done In accordance With
the Ordmances of the CIty of Sprmgfield and the Laws of the State of O. egon pertammg to the work descnhed herem, and
that NO OCCUPANCY wIll be made of any structure w.thout permISsIOn of the Commulllty Serv.ces DIVIsIOn, Blllldmg Safety
I further cerhfy that only contractors and employees who are III comphance w.th ORS 701 005 wIll be used on thIs project
I further agree to ensure that all reqlllred mspectlOns are requested at the proper hme, that each address IS readable from the
street, that Ihe perm.t card IS located at the front of the property, and the appl oved set of plans w.1I remam on the s.te at all
hmes dunng constructIOn
11F~ ,_dv ~
Owner or Contractors SIgnature
Page 3 of 3
6 ''J-.:/ "fJr'
Ddle
225 Fifth Street
Sprmgfield, Oregon 97477
541-'726-3759 Phone
~.._. R~~FlnD ~
i ju. ,.
..:-
CIty of Sprmgfield Official Receipt
Development Services Department
Pubhc Works Department
Job/Journal Number
COM2008-009 J 5
COM2008-00915
COM2008-00915
COM2008-00915
COM2008-00915
COM2008-00915
COM2008-00915
Pdyments
1 ype of rayment
Check
t..Rcccmtl
RECEIPT #:
1200800000000000678
Date' 06/23/2008
DescriptIOn
Sanitary Sewer - J st 50 Feet
Sanitary Sewer Each Addtl 100'
Water Line - I sl 50 Feet
Water Line - Each AddU 100'
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIStratIve Fee
raid By
HAROLD BERRY
Item Jolal
Check Number Authorl/ataon
Received By Batch Number Number How Received
dJb
4057
In Person
Payment Total
Page I of I
1028 IIAM
Amount Due
5000
4800
5000
8000
1140
2736
2280
$289 56
Amount Paid
$28956
$289 56
6/23/2008