HomeMy WebLinkAboutPermit Mechanical 2009-5-28
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Perm~t
PERMIT NO: COM2008-01274
ISSUED: 08/22/2008
APPLIED: 08/22/2008
EXPIRES: 11/28/2009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 275 55TH ST
ASSESSOR'S PARCEL NO.: 1702334201100
Springfield TYPE OF WORK: Dryrot
. I
Owner:
Address:
, JOHNSON VICKI LYNN
342 S 35TH ST
SPRINGFIELD OR 97478
ATTENTI ,~ TYPE OF USE: Rep'air
Dryrot / water damage,.rep'aiP~Lildifig'isln'OW/ aC'omp'l~te rehuild'
'~",-:.v . Ules adOpted ", '1u,,,,, you to
NOf'fr('!:.lti,....."'....._. by the On~n""h 'ha:...
In OAR 952-00-1 :0-0'1 0 ~huse rUles are set faith
0090, You may obtain rough OAR 952,001_
calling the center (~oPles of the rules by
numhpr f,..",. H..._ ,..' ote: the teJp.nh,",hl'"
.GQnh,... -;_-~ ....}1_U! I UUI/lY Notification
I, CONTRACTOKINFORN1JKllONlj
Residential
PROJECT DESCRIPTION:
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
ANGEL FAUSTINO ORTIZ ANGELES
OWNER NnTI"'"_
THI<:BUlbDIf)/G mFORM~ TlON I
AUTHORI7FJ1 ,~;!" '~~ r.:^'"rl~t If THE WORK .:
COMA ffrl'~'~r~liJ"R THIS PERMIT IS Lot SIze:
ANY 11EI~e)~~lco'jjSlf~~!Hl'FJDONED FO NOT Sq Ft 1st Floor:
80T.ype 6ftJjl.)H~H), R Sq Ft 2nd Floor:
Water Type: . Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
,
License
Expiration Date Phone
174821
03/16/2011 541-653-0297
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
11,326
R-3
VB
I D~VELOPMENT I~FORMATlON I
Frontyard Sethack:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~EQUlRED PARKING
Total:
, Handicapped:
Compact:
"
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type: "
Downspouts/Dr~ins:
,
Notes:
;tDOC~ M€t-11 fl IV I C-If '-- ')/-:>-fjo ~
Pa2e 1 of 3
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phnne
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee,
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
Minimum/Adjustment Plumbing
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
***+ 100/0 Administrative Fee***
-Mechanical Issuance Fee-
+ 12% State Surcharge
+ 5% Technology Fee
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD
I,
Building/Combination Permit
PERMIT NO: €OM2008-01274
ISSUED: 08/22/2008
APPLIED: 08/22/2008
EXPIRES: 11128/2009
VALUE: $ 2,000.00
I V~Iuation n~~cr.iJltion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
,
Date Calculated
Total Value of Project
L.F~p, f"W
Amount Paid
Date Paid
Receipt Number
$24.70
$29.64
$12.35
$52.00
$51.00
$1.00
$121.00
$22.00
$11.80
,$14.16
$5.90
$102.00
$16.00
$5.80
$21.00
$6.96
$2,90
$15.00
$43.00
8/22/08
8/22/08
8/22/08
8/22/08
8/22/08
8/22/08
8/22/08
8/22/08
2/26/09
2/26/09
2/26/09
2/26/09
2/26/09
5/28/09
5/28/09
5/28/09
5/28/09
5/28/09
5/28/09
1200800000000000905
1200800000000000905
1200800000000000905
1200800000000000905
1200800000000000905
1200800000000000905
1200800000000000905
1200800000000000905
2200900000000000206
2200900000000000206
220~900000000000206
2200900000000000206
2200900000000000206
3200900000000000402
"
3200900000000000402
3200900000000000402
3200900000000000402
3200900000000000402
3200900000000000402
$558,21
I 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.
~Rp:llllirprl fn~nfl('ti"iLI
Shear Wall Nailing: Before covering sheathing with tinish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved,,,
Paee 2 of 3
_li1i~",I",QF!I,!J,;IlJ' ,
t ~ ..
I
,
Status
Issued
CITY OF SPRINGFIELD
Building/Cbmbination Permit
Ii
PERMIT NO: COM2008-01274
ISSUED: 08/22/2008
APPLIED: 08/22/2008
EXPIRES: 11128/2009 '
VALUE: ~ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
WalI'lnsuhition: Prior to cover.
'i
Final Building: After all required inspections have been requested and approved and the building is complete.
,i
Rough Plumbing: Prior to cover and including required testing,
Water Line: Prior to filling trench and including reqnired testing.
Sanitary Sewer Line: Prior to filling trench and including reqnired testing.
Final Plumbing: When all plumbing work is complete.
Rongh Electric: Prior to Cover
Final, Electric: When all electrical work is complete.
Rough Mechanical, Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do h'ereby certify that all
information hereon is true and correct, an~ J further certify that any and all work performed shalj be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w~rk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
J'. .
J further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
J further agree to ensure that all required inspections are requested at the proper time, that each ~ddress is readable from the
street, that ihe 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. . J:,
_ \[21.. p- C)rt~A'- s- \}-x 1. 0 I
Owner or Contractors Si~re Date Ii
Page 3 of 3
225 Fifth Street
r '
Springfield, Oregon 97477
541-726-3759 Phone
ii
City of Sp~ingfield Official Receipt
Developm~nt Services Department
Public Works Department
j
Ii
Date: OS/28/2009 IO:33:44AM
Job/Journal Number
COM2008,Ol274
COM2008,0127~
COM2008-0 1274
COM2008-0 1274
COM2008,Ol274
COM2008-0 1274
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
3200900000000000402
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
***+ 10% Administrative Fee***
Amount Due
15,00
43,00
21.00
2,90
6,96
5,80
$94,66
Paid By
VICKI JOHNSON
Item Total:
Check Number Authorization
Received By Batch Number Number Ho~:Received
Amount Paid
CJC
028358 In Person
Paym~nt Total:
$94,66
$94.66
Page I of I
5/28/2009