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