HomeMy WebLinkAboutPermit Building 2010-5-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00571
ISSUED: 05/06/2010
APPLIED: 05/0612010
EXPIRES: 12/18/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4982 DAISY ST
ASSESSOR'S PARCEL NO.: 1702333301734
Springfield TYPE OF WORK: Heating System
, .
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Ductless
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Owner:
Address:
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CERTIFICATEHOLDERS CWABS INC.
400 COUNTRYWIDE WAY SV-35
SIMI V ALLEY CA 93065
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
SPRINTER ELECTRIC INC.
MARSHALLS INC
License
174458
25790
BUILDING INFORMATION ~
Expiration Date
02/20/2011
12/23/201 I
Phone
541-743-1213
541-747-7445
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structnre
Se~ondary Occupa~cy GrouPArrENTJO,N: oregonlf!!I:YOU to
PrImary ConstructlO~ Type follow rurd adopted M'if fE!tfiln Utility
Secondary ConstructIOn TY~tification Center. Th life set forth
# of Bedrooms: . In OAR 952-001-0010ttItBll!Jt'cgA!\1952-001-
0090. You may obtain dimiH\5fItlle\4Jle#by n/a
ATION
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor: .
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. 'Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
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DownspoutslDrains:
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Notes:
~-"': -;"<;i~~~j":i~w{;)7;;~"':"'- ,
NOTICE" ",
THIS PERMIT SHALL EXPIRE IF THE WORK:.
AUTHORIZED UNDER THIS PERMIT IS NOT,:,_
COMMENCED OR IS ABANDONED FOR ':":
ANY 180 DAY PERIOD.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Valuation Description ~ .
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
. Square Footage
or Bid Amount
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount P~'id(";; ':T -;f"'
'"', ",?.;~, .,.' '" ..~,.
$7.32::..::
$3.05' ;
$55.00 .
$6.00
$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$183.69
I :,,:],>'Ian Revie,ws' I
Date Paid
5/6/10
5/6/10
5/6/10
5/6/10
6/18/10
6/18/10
6/18/10
6/18/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-0057]
ISSUED: 05/06/20] 0
APPLIED: 05/06/2010
EXPIRES: ]2/]8/20]0
VALUE:
Value
Date Calculated
Receipt Number
3201000000000000188
3201000000000000188
3201000000000000188
3201000000000000188
1201000000000000725
1201000000000000725
1201000000000000725
1201000000000000725
v
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.
~eh'lii~ecUrisl~ections I
. ''''+~ ,t
Rough Electric: Prior to Cover
1,,;;',. ".. ~. ,,_ ;\,
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Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00571
ISSUED: 05/06/2010
APPLIED: 05/06/2010
EXPIRES: 12/18/2010
VALUE:
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 dnring constrnction. .
~
Owner or Contractors Signature
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Pa2e 3 of 3
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Date
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 #:
1201000000000000725
12:02:58PM
Date: 06/18/2010
Job/Journal Number
COM2010-00571
COM2010-00571
COM2010-00571
COM20 10-00571
Payments:
Type of Payment
Check
cReceintl
Desc:ription
I st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
KENNETH STINNETT
Item Total:
" .' Check Number Authorization
Received By Batch Number Number How Received
djb 1145 In Person
Payment Total:
Amount Due
79.00
17.00
11.52
4.80
$\12.32
Amount Paid
$112.32
$112.32
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