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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 -.+." . -". -- .,'r- .'rl"'-1Mf;)~fAAt( 'i::~,,,'h., ,:,..','\'"...fl'0'.!'.~I.. M"if \S'~T ''':ii'ii'fJ :j\'JDER;T:ftll~:Pt,~"", \-" ,,'i"~~ LD OF\ IS' ABhN9.9,~,@ ',F1))l -,.- ....,...., MrDlnn . ~j \I . -- 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