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HomeMy WebLinkAboutPermit Building 2010-5-18 ..-:. '~. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00617 ISSUED: 05/1812010 APPLIED: 05/1712010 EXPIRES: 11/18/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5094 DAISY ST ASSESSOR'S PARCEL NO.: 1702333301729 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: install ductless split Owner: SANDERS MARC Address: 5094 DAISY ST SPRINGFIELD OR 97478 \?l~J~i :t~- '\\-~"'!' I CONTRACTOR INFORMATION I Contractor Type Mechauical Contractor J COO INC License 169209 BUILDING INFORMATION I Expiration Date 05/06/2012 Phone 541-746-7065 Front yard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: #'of Units: # of Stories: " Primary Occupancy Group: " Height of Structure Secondary Occupancy group:.. Type of Heat: Primary Construction Type .__.,,,. .... Water Type: Secondary Constructiori Type: ~U~~.\O # of Bedrooms: . Ol9QOft \8.W r~'6f~dt\1IA~ ,.,.,.Et{OONi.dop\ed '0'1 \1RWkl(lllB\i.~'OIf,g: No\i\iCa\~J1 MA TlON ~ 'lOll maY 0 r (No\e: .\!Ie No\\1ica\IOn "";\\\nQ \he C8n\~;egon U\iID-'f~~~t:. , mb8f 10f \he \8. 1.eoQ~P'~~\'~rees Rqd: t\\I center Paved Drive Rqd: "'~o/,o, of Lot'Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS. . Co'" <':~:ii':;" , Sidew~I~ Type:i,,";'i~~-:~O?-~ :.; ~: Downs~~~W&i~: ~\1 \$ t\O\.\ ~01\C '}!I\1 S",f>..~ 1\,\\5 ~t.~ D fO? z;;;,:', \\-\\'0 ?t?-ltD \)\'\Dt.?' B~\'\DO\'\t: ..~ ,-' '.'., ^\.\\\-\o?-, "O?' \5 Jl: "",. ' " ," \,\ct:v D. '\'CO Valu'ation Descri Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2C I of 2 .)~,.5-.~ '.:,:',~ iH-., I' ," ! .,,}:_. ~\!~~, ."''''''' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00617 ISSUED: 05/18/2010 APPLIED: 05/17/2010 EXPIRES: 11/18/2010 VALUE: . ;.'..'~.. .~N', ,: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project 'FeesPaid~ Fee Description + 12% State Surcharge + 5% Technology Fee. 1 st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 5118110 5118110 5118110 2201000000000000524 2201000000000000524 2201000000000000524 Total Amount Paid $92.43 I P,!:*n R~~iews . ~ 't.l<t"'" ':c" . ~\'J';lI; 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. ReQuired Insoections , Rough Mechanical: Prior to Cover " . "" Final Mechanical: When all mechanical w~i~ !is complet~. 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 withont permission nfthe Community Serviccs 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 oq~}' prgiJ'i;i'~y; and' the approved set of plans will remain on the site at all times during construction. ...... ~~;'~"! n.t:. 'J ~'" .,;';ff1.:':;". 1,,:/.\.'. "",1,\ '\" '. !~.. I "'- ~ 05)-8/iQ Owner or Contractors Signature Date Ii ", \>a2e 2 of2 225 Fifth Street Springfield., Oregon 97477 541-726-3759 Phone ;;~),' . hJ t' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000524 Date: 05/18/2010 9:58:02AM Job/Journal Number COM2010-00617 COM20 1 0-00617 COM2010-00617 Payments: Type of Payment CredilCard cReceiotl Description 151 Appliance + 12% State Surcharge + 5% Technology Fee Paid By J COO INC ((em Total: Check Number Authorization . Received By Batch Number Number How Received Amount Due 79.00 9.48 3.95 $92.43 Amount Paid djb 015736 In Person Payment Total: $92.43 $92.43 ; 1 ::~t, , , ;!. ' ..; "~;i<.!. , {'$' .. .fk. ~ ., ",,; . . " .. .,-;>:' ~ j\ '1-" Page 1 of I 5/18/2010