HomeMy WebLinkAboutPermit Building 2008-9-4
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01335
ISSUED: 09/04/2008
APPLIED: 09/04/2008
EXPIRES: 03/04/2009
VALUE: $ 3,645.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1485 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703252200400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Residential
PROJECT DESCRIPTION:
Owner: COLE DONALD E
Address: PO BOX 70142
EUGENE OR 97401
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I CONTRACTOR INFORMATION "
Contractor Type
Mechanical
Contractor
AMBASSADOR PIPING INC
" License" 'ExpirationDate
121469 03127/2009
Phone
541-726-5723
# of Units:
Primary Occupancy Group:
Secondary O~cupancy Group:
Primary Construction Type
Secondary Construci'ion Type:
# of Bedrooms:
R3
BUILDING INFO~~ATlON I
_ _ '. on law requires' yOU ,to .
!1~'t:."4..DN. Oreg d by tile Oregon l}1i)'i.'/>lze:
RtwltrclIIS&-ilOOll-te Th se rules are seSlpF,P1st Floor:
lt1Il1i1111:li<en~er'1 0 t~rough OAR 95:S~!::!?nd Floor:
1~fl:jnj~jle\101 ogtain copies 01 the nSq:Ft'~asement:
~~ ~/JE\I~e~ter. (Note: the ,\e.lep!,Sq F~, Garage/Carport
E~l1&~ Oregon U\I\\ty , '-Sq FI Other:
SIItit11billIDIii9I'n!!:, 800.33:i1/ii;;",j, Occupant Load:
", GAnter I~ ,-
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
VB
Frontyard'Selba,ck:
Side 1 Setback:
Side 2 Setback: '
Rearyard Setback:
Solar Setbacks:
Overlay Disl:
# Street.Trees Rqd:
Paved Driye Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEME,NTS,'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsmrains:
Notes:
I Valuation Desuiotion 1
Description
Tvpc of Construction
, $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
J'1.tJ",
Pa!!e 1 of2
~~'1
~-~(j).J~
CITY OF SPRINGFIELD'
Building/Combination Permit
".1
Status
Issued
PERMIT NO: cOM2008-01335
ISSUED: 09/04/2008
ApPLIED: 09/0412008
EXPIRES: ' 03/04/2009
VALUE: $ 3,645.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541_726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
3,645,00
$3,645.00
$3,645.00
09/04/2008
Total Value of Project
Fees Pai~,1
Fee Description
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanicai
Pellet StovelInsert '
Amount Paid
'Date Paid'
Receipt Nnmber
$21.00
$18.00
$34.00
9/4/08
9/4/08
9/4/08
1200800000000000940
1200800000000000940
1200800000000000940
Total Amount Paid
$73.00
Plan Reviews 1
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, inspections requested after 7:00 a.m. will be made the following
work day.
I Relluirerl Insnections I
, 1
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 complcted,application .and do hereby certify that all
'information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
ttie Ordinances of the City of Spriuglield and the Laws of the State of Oregon pcrtaining to the work described herein, and
that NOOCCUP ANCY will be made of any strncture 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 dilJ2;-dn y c;J-Y-c8
- {- ,
Owner or Contractors Signature Date'
Page 2 01'2
225 Fjfth'Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Departmcut
Public Works Departmeut
.'
RECEIPT #:
1200800000000000940
Date: 09/04/2008
10:20:36AM
Job/Journal Number
COM2008-0 1335
COM2008-01335
COM2008-01335
Description
Pellet Stove/Insert
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paymcnts:
Type of Payment
CreditCard
Paid By
MATTHEW CLEMENT
Item Total:
<;heck Number Authorization
Received By Batch Number Number How Received
Amount Due
34,00
18,00
21.00
$73.00
Amount Paid
cjc
02526b In Person
Payment Total:
$73,00
$73,00
"
cRcceintl
Page I of I
9/4/2008
225 Fifth Street
SpringfiJld, Oregon 97477
541-726-3759 Phoue
Job/Journal Number
COM2008-01335
COM2008-01335
COM2008-01335
Payments:
Type of Payment
CreditCard
cReccintl
City of Springfield Official Receipt
Development Services Departmeut
PubHc Works Department
RECEIPT #:
2200800000000001334
Date: 09/04/2008
Description
+ 5% Technology Fee
+ ] 2% State Surcharge
+ ] 0% Administrative Fee
Paid By
MA TTHEW CLEMENT
j
Received By
cjc
Page 1 of I
':'
Item Total:
Check Number Authorization
Batch Number Number How Received
05568b Phone
Payment Total:
11:55:24AM
Amount Due
2,60
6,24
5,20
$14.04
Amount Paid
$14,04
$14.04,
9/4/2008