HomeMy WebLinkAboutPermit Building 2010-5-18
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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
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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\.\
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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
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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 . ~
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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 ~'"
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Owner or Contractors Signature
Date
Ii ",
\>a2e 2 of2
225 Fifth Street
Springfield., Oregon 97477
541-726-3759 Phone
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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
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5/18/2010