HomeMy WebLinkAboutPermit Mechanical 2008-11-13
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01653
ISSUED: 11/13/2008
APPLIED: 11/13/2008
EXPIRES: 05/1312009
'VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1496 8TH ST
ASSESSOR'S PARCEL NO.: 1703264306700
Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Water line replacement
Owner: DONOHO RORY
, 'Address: 1496 8TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
JOHN PHILLIP DECKER
License
163938
Expiration Date
03/2912009
Phone
54] 726-6124
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type'
Secondary Construction Type:
# of Bedrooms: .
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I. DEVELOPMENT INFORMATION ,
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: , __ 'oSofflpact:
% of Lot Coverage: gon laW requireS Y Utility
",\n:t-li.~~~~~~~ted bY, :.n.~,~~eir~r~et t?~t~
I PUBLIC IMP~\iHiMEN~t':~~~ ~'t~;OUgn oit~::~;s- by ,
\~ op.f\ ,,~~C- "ob""1'l Cop.llke~ 0 . '1lepnone
'{ou ma, "'1O,e~Jk,ype." "tion
, ' 0090., tne center. ,I , I "'''IN NO\ltIC"
. calling tM c:.'.WD'ns"ol{I\2!?"'!\\~S:
, number tor '~_BOO-33'"
. center IS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
, Tvpe of Construction
I Valuation Description I
. NU 11\J~~~" dO't~~l EXPIRE IF THE WORK
o~ ~~I~~I~:r THIS !;~i~~'\I.ii@ER THIS PE'fIIlW'.\S NOT Date Calculated
'\UTHvp,,~~ IS ABANDONED FOR
COMMENCED OR
ANY 180 DAY PERIOD.
'!'age I of 2
Status
Issued,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Water Line - 1st 50 Feet
Water Line - Each AddtllOO'
,
Total Amount Paid
Amount Paid
$6.90
$8.28
$3.45
$52.00
$17.00
$87.63
Total Value of Project
Fee,s, P9id I
Date Paid
I Plan Reviews I
CITY OF SPRlNt,iHI:"LD
Building/Combination Permit
PERMIT NO: COM2008-01653
ISSUED: II/13/2008
APPLIED: II/13/2008
EXPIRES: 05/13/2009
. VALUE:
Receipt Number
11113/08
11113/08
11113108
11113/08
11113108
2200800000000001637
2200800000000001637
2200800000000001637
2200800000000001637
2200800000000001637
To Request an inspection call the 24 hour recording at726-3769. 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 Renuired I nsnections I
Water Line: Prior to filling trench and including required testing.
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 Cit)' 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 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 during construction. .
elD~
,
Owner or Contractors Signature
Page 2 of2
D~j I'~/& R!
225 Fifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1653
COM2008-0 1653
COM2008-0 1653
COM2008-0 1653
COM2008-01653
Payments:
Type of Payment
Cash
cReceintl
RECEIPT #:
Description
Water Line - 1st 50 Feet
Water Line- Each Addtl! 00'.
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
RORY DONOHO
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001637
Date: 11/13/2008
1:23:43PM
Item Total:
<":hcck Number. Authorization
Received By Batch Number Number How Received
njm In Person
Payment Total:
Amount Due
52.00
17,00
3.45
8.28
6.90
$87.63
Amount Paid
$87,63
$87.63
Page 1 of 1
11113/2008