HomeMy WebLinkAboutPermit Building 2010-8-17
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
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CITY OF,SPRINGFIELD
www.ci.springfield.or.us
Building I Residential Permit
PERMIT NO: 811-SPR2010-00070
IVR Number: 811176134698
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/17/10
APPLIED: 8/17/10
EXPIRES: 2/12/2011
VALUE: $0.00
SITE ADDRESS: 4907 DAISY Springfield
ASSESOR'S PARCEL NO: 1702333301723
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SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install ductless heatpump
OWNER:
ADDRESS:
ESSMAN JIMMY L & JOAN E
36742 STACEY-GATEWAY RD
PLEASANT HILL OR 97455
Phone Number:
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Contractor Type
CONTRACTOR INFORMATION I
Contractor Name ___.. ..:-_,.."~__,__._ _~ Lic Type Lic No
LOWES WEATHERIZATION INC CCB 176741
Lic Exp
06/19f2011
Phone
541485.2282
si:hliJiNGINFORMA nON ,
, \
# of Units: ;
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat: ;
lot Size:
Sq Ft 1 st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Fl Other:
Occupancy Load:
I
# of Bedro~ms:
Sprinkled $uilding:
Fire Alarm~:
Energy Pa~h:
,
Eleā¬;trical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
.!';;~' Site .Inf~rma~ion .',
Engineered Fill: :'::::=-.. .::=:.....:::::-:--
Fill Volum~:.
1'~.:r.:':'''':~\''':~'''~1 ,.
Flood Haz~rd Area: 1~d)(ri"",;~iF~f' \',
Land ~azard AreaATTENTION: Oregon law requires'tou. t,o
Retaining Wall: W rules adopted by the Oregon Utility
SOils Report ReN~Wcatlon Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
ce.ltlng tha center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
I
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NOTICE: ' '". .."",:,~. '"'' .:
THIS PERMIT SHALL EXPIRE IF THE WORK :;~
AUTHORIZED UNDER THIS PERMIT IS NO~,~:
COMMENCED OR IS ABANDONED fOR )t?":
ANY 180 DAY PERIOD. ,'"de-,; -; ,
Springfield Building Permit
..: 'C\'<?<:a'/17/2010 '1'1':;~:32AM
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Page 1 of 3
CITY OF SPRINGFIELD
BuildingJ.~e~i_d~,'!tial.Rermit
www.cLspringfield.or.us
PERMIT NO: .l;lM;~P~?010-00070
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IVR Number: 811176134698
PROJECT STATUS: Issued
ISSUED: 8/17/10
APPLIED: 8/17/10
225 Fifth St
Springlield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
EXPIRES: 2/12/2011
VALUE: $0.00
SITE ADDRESS: 4907 DAISY Springfield
ASSESOR'S PARCEL NO: 1702333301723
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install ductless heatpump .
DEVELOPMENT INFORMATION
, "..!. ~':-", ,
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure to
north property line:
pUBticIM~RbvEMENTS ,
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
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:, J' Ft~~
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~::~ .
,
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspout/Drains:
OescriDtion
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TVDe of Construction' .
'w."..""';
; .~ V_aluation;D~scription ' "
Unit Amount Unit Tvoe
Descriotion
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid'
Amount Paid
$79.00
$9.48
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,~.-...... ~1~"~,$"92~43 .,.~;,!,'
Dep'artment
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Permit Issuance
Comqlete: :
0811712010
0811712010
0811712010
08117/2010
08117/2010
08/17/2010
Result
Over the Counter
Over the Counter
Not Required
Not Required,
Not Required
Issued
Received
08/1712010
08/17/2010
08/17/2010
08/1712010
08/17/2010
08/17/2010
Due Date
08/1712010
08/17/2010
08/17/2010
08/1712010
08/17/2010
08/1712010
Springfield Building Permit
, 8117/2010 11:36:32AM'"
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Unit Cost
Value
pate Paid
08117/2010
08117/2010
08117/2010
ReceiD.t #
299246
299246
299246
p,
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1
Reviewer
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
Comments
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Page 2 of 3
~.PtRINGFIEL~D ,
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, /."OREGON
www.ci.springfield.or.us
CITY OFSRRING.FIELD
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Buildilig' 'R-esidential Permit
PERMIT NO: 811-SPR2010-00070
IVR Number: 811176134698
225 Fifth St
Springfield,OR 97477
Phone: 541-726.3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/17/10
APPLIED: 8/17/10
"<'."":' 1" ,\. ~ Ii, ..
EXPIRES: 2/12/2011
,VALUE: $0.00
SITE ADDRESS: 4907 DAISY Springfield
ASSESOR'S PARCEL NO: 1702333301723
".".. . "- "~
~-_.- ....,... .-~
tL'c-'r' "'-"~Lr~.~'?::; ~'~,.., SCOPE: Heating System
.~?j}h{r'~ !:.,/;;~,;~' . WORK INVOLVED: New
',tW,': ' TYPE OF STRUCTURE: Residential
Install ductless heatpump
PROJECT DESCRIPTION:
INSPECTIONS REQUIRED ,
Inspections
2300 Rough Mechanical
2999 Final Mechanical
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 ttiatariy,'and ,al\work performed shall be done in accordance with the
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Ordinances of the City of Springfield and the Laws of .t~~I~t,~.te or Orego~' pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without per'm!ssion of the Community Services Division, Building Safety. I further
certify that ~ly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure th ,t all required inspections are requested at the proper time, that each address is readable from the street, that the
p. it ca d ; located at the front of the property, and the approved set of plans will remain on the site at all times during
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'3/17f,o
Owner o~ Contractor Signature
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Springfield Building Permit
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.N;~/17/2010 11:36:32AM
Page 3 of 3
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~'OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
541~726-3753
www.cLspringfield.or.us
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pe rmitcenter@ci.springfield,or,us
RECEIPT NO: 2010000071
RECORD N01'S'h -SPR20 1 0-00070
DATE: 08/17/2010
- ., '''/!,r,AQUI{r;D_UE c5 j
224-00000-425604 $79.00
821-00000-215004 $9.48
100-00000-425605 $3,95
TOTAL DUE: $92.43
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$92.43
fOESCRIJ5TION-;'X,,'-:'; ,to;;:,
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
t;r+f>A YMENT-T-Yf>E,-' 'F'A YORJ_';~ASHIERI,OBOwtSil2"';: J:,OMMENIS ,-0.", ~_0
Credit Card josh lowe
012514
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