HomeMy WebLinkAboutPermit Building 2010-3-31
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, Building/Combination Permit
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Status Issued PERMIT NO: COM2010-00391
225 Fifth Street, Springlield, OR ISSUED: 03/31/2010
541-726-3753 Phone APPLIED: 03/31/2010
541-726-3676 Fax EXPIRES: 09/30/2010
541-726-3769 Inspection Line VALUE:
SITE ADDRESS: 3324 RALEIGHWOOD AVE Springlield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1703221205100
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Tankless water heater
Owner: FAIRCHILD JESS M
Address: 3324 RALEIGHWOOD AVE , .
SPRINGFIELD OR 97477 '-d';-- ....'..L.. .
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I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
Mechanical AMBASSADOR PIPING INC 121469 03/27/2011 541-726-5723
I BUILDING INFORMATION.
# of Units: # of Stories: Lot Size:
Primary Occupancy Group: R-3 Height of Structure Sq Ft I st Floor:
Secondary Occupancy Group: Type of Heat: . 'IOU \0 Sq Ft 2nd Floor:
Primary Construction Type . .. VB Wate\'M"et\~\IeSO(lIj\i\\\'/ Sq Ft Basement:
Secondary Construction Type: ''''f'''''''''' '" ,""" Sq Ft Garage/Carport
# of Bedrooms: ~~O~'''~~i \J lltlU\eS a.~ 9'07...00\- Sq Ft Other:
~ro'14 t';l\eS;e(ltlPri ~{bB\l))~f~e IU\~~~'/n/a Occupant Load:
~~~~~~~~~~~~;it)N'. REQUIRED PARKING
fifdO. . \'(19 Ce Ole90(l '37...7..'3 .
Frontyard Setback: &1\,1'19 ;fAe !fiO-?>
c rn~el \01 X'I&la 1St: " Total:
Side I Setback: \\\I OS Street Trees Rqd: Handicapped:
Side 2 Setback: P_~red p~iye Rqd: Compact:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: -. -....<. .-...... ,
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I PUBLIC IMPROVEMENTS ~
Street Improvements: ' . Sidewalk Type:~:,..j.y..... . :
Storm Sewer Available: Downspo~W~~O?-~ .'
Spedallnstruction: ct" f1.?\?>'C \ ~ \S ~O
~Oi\ ~WI\i S\-Ir>.\.\. 1\'\\'5 ?E?>l-J'i fOR ":"
Notes: \\-I\'5?C 'CO \It-\O'CI' p.t-\OOt-\'CO ".
^\\\\,\O?>\l .....(\1'. \'5 p.~
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Valuation DeScr.iotiQnO
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Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Page I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00391
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 09/30/2010
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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Total Value of Project
Fees Paid.'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Fixture
LP Gas Tank & Piping
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$18.48
$7.70
$79.00
$19.00
$17.00
$39.00
3/31/10
3/31/10
3/31/10
3/31/10
3/31/10
3/31/10 ,
1201000000000000283
1201000000000000283
1201000000000000283
1201000000000000283
1201000000000000283
1201000000000000283
Total Amount Paid
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$180.18.,', .'
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I. Plan Reviews ~
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 ReQuired InsDect~
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.
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 oflhe City of Springfield and the Laws of4he'.State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structu~t~itho'iit permission of the Community Services Division, Building Safety.
I further certify that only contractors and employee~ \vho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectioris 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.
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Owner or Contractors Signature
Date
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Pa2e 2 of 2
225,Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #:
1201000000000000283
1:26:44PM
Date: 03/31/2010
Job/Journal Number
COM2010-00391
COM20 1 0-00391
COM20 I 0-00391
COM20 I 0-00391
COM20 I 0-00391
COM2010-00391
Payments:
Type of Payment
Cred itCard
cReceintl
Description
Fixture
Minimum/Adjustment Plumbing
I sl Appliance
LP Gas Tank & Piping
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
MATTHEW CLEMENTS
,HI!
Amount Due
19.00
39.00
79.00
17.00
18.48
7.70
$180.18
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 02553c In Person
Payment Total:
Amount Paid
$180.] 8
$180.18
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3/31/2010