Loading...
HomeMy WebLinkAboutPermit Miscellaneous 2008-12-3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01728 ISSUED: 12/0312008 APPLIED: 12/0312008 EXPIRES: 06/0312009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1123 E ST ASSESSOR'S PARCEL NO.: 1703351406301 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Install Renai water heater and,shower Owner: . Address: BALL DONALD W 19204 FISH CREEK RD BLACHLY OR 97412 Phone Number: 541-285-1756 I CONTRACTOR INFORMATION I Contractor Type. Mechanical Plumbing . Contractor "Licenw 0 Expiration Date EUGENE HEATIN1 C.-&fl/1~~on law reQU\W4YQlt.\t"It'( 10/22/2009 f\ n:.n . d by the Orego!f'U OWNER ',,\I!1)!, ~ul:~ ado~te_\.___ :~.I_~ ~,,. '\"1 torth No\ii,v.BriIt~RM~ 52-001- in 0, . bt in copta'WI llt1rules by 0090.. '1o't~~~U:: (Note: the tel~pho~e R-3 callinglj@ltl\ll<4>l'lIgnnJJ1i\i\y NotlllcatiOn numberCiYilleflijl.t.wO-332-2344). ' Water Type: Range Type: Energy Path: Sprinkled, Building: Phone 541-726-7654 # of Units: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type Secondary Construction Type: # of Bedrooms: VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street ImprovementS: Storm Sewer Available: Special Instruction: tJ.Q1Ir.,"~ .'_. 11'11: ffT.7- \.~I't" I PUTmJ:~~~SPERMIT IS NOT, COMMENCED OR,IS ABANDOKP&9:i0Rype: ANY 180 DAY PERIOD. Downspouts/Drains: Notes: Page 1 of 3 S;lI!RINallrnuPi' - ."'~ "~~'~'\'f',,!.~.'H .., ,Wi, ,.~",,:,-' lit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 1 nspection Line I Valuation Descrintion I Description Tvpe of Constrnction $ Per Sq Ft . or mnltiplier Square Footage or Bid Amount I' Total V~lue of Project I F~p" ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01728 ISSUED: 12/03/2008 APPLIED: 12/03/2008 EXPIRES: 06/03/2009 VALUE: Value Date Calculated Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee- $21.00 12/3/08 2200800000000001700 + 10% Administrative Fee $10.40 12/3/08 2200800000000001700 + 12% State Surcharge $12.48 12/3/08 2200800000000001700 + 5% Technology Fee $5,20 12/3/08 2200800000000001700 Fixture $34,00 12/3/08 2200800000000001700 Minimum/Adjustment Plumbing $18,00 12/3/08 2200800000000001700 Miscellaneous Mechanical $52,00 12/3108 2200800000000001700 Sanitary Sewer - Improvement $42,07 12/3/08 2200800000000001700 Sanitary Sewer - Reimbursement $55,33 12/3/08 2200800000000001700 SDC Sanitary/Storm Admin $4,87 12/3/08 2200800000000001700 Total Amount Paid $255,35 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, inspections requested after 7:00 a.m. will be made the. following work day. R~f~'~ Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work. is complete:' Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical .work. is complete. , Paee 2 of 3 -s.,f:"'!\I~lii!~lg> 'I " Ij; Status Issued CITY OF SPRtl~L.t<lf,LD Building/Combination Permit PERMIT NO: COM2008-01728 ISSUED: 12/0312008 APPLIED: 12/03/2008 EXPIRES: 06/03/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 City 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 nsed 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 perm' I'd is located at the front of the property, and the approved set of plans will remain on the site at all times during cons u/jon / "-. he, 3 - (]~ 1./ Owner or Contractors Signatnre Date ',Page 3 of 3 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1728 COM2008-0 1728 COM2008-0 1728 COM2008,0 1728 COM2008-01728 ' COM2008-0 1728 COM2008-0 1728 COM2008-0 1728 COM2008-0 1728 COM2008-0 1728 Payments: Type of Poyment ereditCard cRcceintl RECEIPT #: 2200800000000001700 Date: 12/03/2008 1l:21:19AM Description Fixture Minimum/Adjustment Plumbing Miscellaneous Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Amount Due 34.00 18.00 52.00 21.00 5.20 12.48 10.40 55.33 42.07 4.87 $255,35 Poid By DON BALL Item Total: t.:heck Number. Authorization Received By , BatchNumber Number. How Received Amount Paid djb 203430, .In Person Payment Total: $255.35 $255.35 Page 1 of I 12/3/2008