HomeMy WebLinkAboutPermit Building 2007-7-9
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00992
ISSUED: 07/09/2007
APPLIED: 07/05/2007
EXPIRES: 01/09/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1065 DELROSE DR
ASSESSOR'S PARCEL NO.: 1703234404700
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair
PROJECT DESCRIPTION: Install ac unit, tankless water heater and gas line
Residential
Owner: RONALD METZLER
Address: 1065 DELROSE DR
SPRINGFIELD OR 97477
Phone Number: 541-7741-1814
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Plumbing
Contractor
MARSHALLS INC
CRAIG ARNEY
License
25790
167015
BUILDING INFORMATION I
Expiration Date
12/23/2009
10/25/2007
Phone
541-747-7445
541.736-9582
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instruction:
AI I iclmON: Oregon law requires you to
Notes: follOW rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 3
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
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
Boiler/Comp Up To 100,000 btu
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00992
ISSUED: 07/09/2007
APPLIED: 07/05/2007
EXPIRES: 01/09/2008
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
1200700000000000893
$20.00
$4.50
$4.50
$2.25
$2.25
$3.60
$3.60
$14.00
$16.00
$5.00
$26.00
$29.00
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
7/9/07
$130.70
I Plan Reviews ~
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.
~eouire~nSDections I
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00992
ISSUED: 07/09/2007
APPLIED: 07/05/2007
EXPIRES: 01109/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
times during construction.
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7 -v-oj
Owner or Contractors Signature
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00992
COM2007-00992
COM2007-00992
COM2007-00992
COM2007-00992
COM2007-00992
COM2007-00992
COM2007-00992
COM2007-00992
COM2007-00992
COM2007 -00992
COM2007-00992
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000893
Date: 07/09/2007
Description
Fixture
Minimum/Adjustment Plumbing
Boiler/Comp Up To 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee~
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
+ 8% State Surcharge
+ 10% Administrative Fee
+ 10% Administrative Fee
Paid By
MARSHALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 19878 In Person
Payment Total:
Page 1 of I
2:53:34PM
Amount Due
16,00
29,00
14,00
5,00
26.00
20.00
2.25
2,25
3,60
3.60
4.50
4.50
$130.70
Amount Paid
$130,70
$130.70
7/9/2007