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Home My WebLink AboutPermit Mechanical 2004-1-27 Status Issued pCITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00110 ISSUED: 01127/2004 APPLIED: 01127/2004 EXPIRES: 08/11/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~~. SITE ADDRESS: 1134 1ST PL ASSESSOR'S PARCEL NO.: 1703263300538 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas h20 heater Owner: NANCY ROSE Address: 1134 1ST PL SPRINGFIELD OR 97477 Phone Number: 541- I CONTRACTOR INFORMATION. Contractor Type Electrical Plumbing Contractor JOSEPH BUNCH ELECTRIC INC SHAD CHASAN SURRETT License 156761 158295 Expiration Date 08/21/2007 01/14/2006 Phone 541-344-8745 541-741-3553 ~ I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 Street Improvements: SETBACKS Front yard Setback: \\?I~~~ Side 1 Setback: "01\C~:. t\p..Ll E~J)\~t l#,~ttE\~I Rqd: Side 2 Setback: \\-\\5 Pt~WI~6 ~~OE~ \\-\\5 6~t~o~ve Rqd: Rearyard Setback: p..U1\-\O~\1 ED OR \5 p.:a~~ % of Lot Coverage: Solar Setbacks: COWl~t.~C ~ p't.R\OD. I\N l t,8~ L'~ I PUBLIC IMPROVEMENTS I Side~~~ mq:eqUlres you t.o ATTENTION:Ure\:j ~regon Utility folloW rules a~~~~~~;Jle~: are set fort' \\otification cen.t~~1 0 through OAR 952-00 n OAR 952-001- . copies of the rules \ 0090. You may obtalO Note: the telepho~e calling the center. (on Utility NotificatIon numper;~~~~~;?~~~O()_332-2344). I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: '!l> Storm Sewer Available: Special Instruction: Notes: Pal!:e 1 of3 ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical + 10% Administrative Fee + 7% State Surcharge Fixture Minimum/Adjustment Plumbing Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00110 ISSUED: 01127/2004 APPLIED: 01127/2004 EXPIRES: 08/11/2004 VALUE: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $4.50 1/27/04 1200400000000000116 $3.15 1/27/04 1200400000000000116 $43.00 1/27/04 1200400000000000116 $2.00 1/27/04 1200400000000000116 $4.50 2/11/04 1200400000000000190 $3.15 2/11/04 1200400000000000190 $14.00 2/11/04 1200400000000000190 $31.00 2/11/04 1200400000000000190 $105.30 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. lJeouire1Jnsnections. 2 Rough Electric: Prior to Cover 1 Final Electric: When all electrical work is complete. 3 Rough Plumbing: Prior to cover and including required testing. 4 Final Plumbing: When all plumbing work is complete. Pal!e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2004-00110 ISSUED: 01/27/2004 APPLIED: 01/27/2004 EXPIRES: 08/11/2004 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 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 of the property, and the approved set of plans will remain on the site at all timf).s-,bu:ingsQ nstruction. ~~\)m/~~ Owner or Contractors Signature Pal!e 3 of 3 ~ ./ 11/fl-j I Date 225 FIfth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00110 COM2004-00110 COM2004-00 11 0 COM2004-00110 Payments: Type of Payment Check Reccipt#: 1200400000000000190 Description + 7% State Surcharge + 10% Administrative Fee Fixture Minimum! Adjustment Plumbing Received By djb Check Number Batch Number Authorization Number Paid By SURRETS PLUMBING 3580 City of Springfield Offidal Receipt Development Services Department. Public Works Department Date: 02/11/2004 8:43:36AM .. Amount Paid 3.15 4.50 14.00 31.00 $52.65 Item Total: How Received In Person Payment Total: Amount Paid $52.65 $52.65