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'
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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