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HomeMy WebLinkAboutPermit Building 2010-5-11 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00586 ISSUED: 05/II/2010 APPLIED: 05/1112010 EXPIRES: 1 VII/201 0 VALUE: Status Iss u ed 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line t:",. 'I" SITE ADDRESS: 3987 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802061108600 Springtield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install ductless split system TYPE OF USE: New Residential Sidewalk Type: ","l;j.~~::<' .. ...~ <%<",,,,,, ~ .' DownspoutsfD~;'ln~:';~'C. ~C~\ [~. . y\?-t. \r ~~ \S ~ ,d;"- ~O"'i\C~' WI\1 S~~\.\.$~\S \l~~t.D r()~ ~:~:i( ',\1\'2> ?t.~\1t.\) \}~\)~S ~~~~tl / . ",\lOP n ()? ' il-IJ '~t.~c.t:v rr.?\Qtl. c.O~'" \) \JiI-'{ \I iI-~'{ ,'0 Owner: CARR JACOB Address: 3987 DOUGLAS DR SPRINGFIELD OR 97478 I. CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical License Contractor OWNER J COO INC 169209 BUILDING INFORMATIONi # of Units: Primary Occupancy Gro~p:' ..... Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: .".... ..,......~.. "'~ ." ,- R-3 --.... Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: "I,. I PUBLIC IMPROVEMENTS I Street Improvements: Storm SewerA."ailable: Special InstruCtion: Notes: ,. .1 - . f'!',:: ',I.~, '..t.' . i' "'-'.-;''7 'y. .' '!:. Paee I of 3 Expiration Date Phone 05/0612012 541-746-7065 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00586 ISSUED: 05/11/2010 APPLIED: 05/11/2010 EXPIRES: 11/11/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ,i-" .:;~;~. .' ;.... I V al~<~tion Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical + 12% State Surcharge + 5% Technology Fee 1st Appliance , Amount Paid Date Paid Receipt Nnmber .". $6.96 5/1I!10 2201000000000000486 $2.90 5/1I!10 2201000000000000486 $55.00 5/1I!10 2201000000000000486 $3.00 5/11/10 2201000000000000486 $9.48 5/18/10 2201000000000000525 $3.95 5118/10 2201000000000000525 $79.00 5118/10 2201000000000000525 Total Amount Paid $160.2~~::: , I ~."- _0' ..~ -'"'-'.. -. I :'PI;n"Re~iews ~ .,,'ii'" 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. ~e(]lIirecUns~ections ~ . Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Fioal Electric: When all electrical work is complete. " ~, ,- . ,-. >..).., "-",-, ,::"",.:,;....., ~},~~ , .p,'.~' ; .. ,,' Paee 2 of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00586 ISSUED: 05/11/2010 APPLIED: 05/11/2010 EXPIRES: 11/11/2010 VALUE: 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 employe~s..;"ho ,!re)n 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 10 ted at the front of th'; property, and the approved set of plans will remain on the site at all times during construction. I/^- Owner or Contractors Signature --- '~Wl ' " );:1,> .; :J.,',' :~. '\~. ~q r{'" It,~', \.~,"~' , Paee 3 of 3 ....... /'.~~. '..- .';....' ('),c:;J;If//o Date 225 Fifth Street SpringfieJil, Oregon 97477 541-726-3759 Phone ~:;G~;~ WtL, City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000525 '. .':1.:.,' ..'.~. ..:.:.,. ", _ . Date: 05/18/2010 9:58:49AM Job/Journal Num~er COM2010-00586 COM20 1 0-00586 COM20 1 0-00586 Payments: Type of Payment CreditCard cReceintl Description 1st Appliance + 12% State Surcharge + 5% Technology Fee Paid By J COO INC "l';~ 1 ,". " Amount Due 79.00 9.48 3.95 $92.43 .'~ J Item Total: Check Number Authorization Received By Batch Number Number How Received djb 015736 In Person Payment Total: Amount Paid $92.43 $92.43 ... . }:~\ .~'~~}ib~;:";~' ~-.~a .;~tt~' , .~. l}" h_" J ,:.J. ," ~t~...~ '".' ; :"1 , . Page 1 of] 511812010