HomeMy WebLinkAboutPermit Miscellaneous 2010-8-27
www.cLspringfield.or.us
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00128
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SJ,'RIH. G.FI.E~
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permitcenler@cLspringfield.or.us
IVR Number: 811120323989
PROJECT STATUS: Issued
ISSUED: 8/27/10
APPLIED: 8/25/10
.
EXPIRES: 2/22/2011
VALUE: $0,00
SITE ADDRESS: 408 34TH
ASSESOR'S PARCEL NO:
Springfield
1702312409700
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install ductless heatpump
OWNER:
ADDRESS:
SECRETARY OF VETERANS AFFAIRS
2375 N GLENVILLE DR MS RGV-B-85
RICHARDSON TX 75082
Phone Number:
Contractor Type
CONTRACTOR INFORMATION I
Contractor Name _.....___. _____.._ <.. Lic Type
PRIORITY ONE HEATING & AIR qONDITJONING JNC . CCB
BUlLDlNG'INFORMATION I
Lic No
154686
Lic Exp
03/30/2011
Phone
541-689-1004
# of Units:
o
# of Stories:
I Height of Structure:
Type of Heat:
Water,Type:
RangeType:
Hazmat:~
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
ResidenlialSpecialty Code Edition:
Structu~~I::Specialty Co~e Edition:
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Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall: ATTENTION: Oregon law requires you to
Soils Report Re<fuU'or<lv rules adopted by the Oregon Utility
~otification 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 teleohone
number for the Oregon Utility Notiilcation ,
Center is 1-800-332-2344).' '
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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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Springfield Building Permit
'8/27/2010 8:07:09AM
Page 1 of 3
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I. Residential Permit
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PERMIT NO: 811:,.SPR2010-00128
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726.3676
pe rmitcenter@ci.springfield.or.us
IVR Nu:~ber:'811120323989
PROJECT STATUS: Issued
ISSUED: 8/27/10
APPLIED: 8/25/10
EXPIRES: 2/22/2011
VALUE: $0.00
SITE ADDRESS: 408 34TH
ASSESOR'S PARCEL NO:
Springfield
1702312409700
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 !:-ot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBdclMPRPVEMENTS' ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
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Sidewalk Type:
Downspout/Drains:
Valuation:Description ~
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Descrietion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
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Descriotion
~irst Appliance Fee ~
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
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Amount Paid Date Paid Receiot #
$79.00 08/27/2010 299341
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" ,$9.48 08/27/2010 299341
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Deoartment
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Permit Issuance
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Comole'te'("i Result
08/25/2010 Over the Counter
08/27/2010 Over the Counter
08/27/2010 Not Required
08/27/2010 Not Required
08/27/2010 Not Required
08/27/2010 Issued
Received
08/27/2010
08/27/2010
08/27/2010
08/27/2010
08/27/2010
08/27/2010
Due Date
08/25/2010
08/27/2010
08/27/2010
08/27/2010
08/27/2010
08/27/2010
Reviewer
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowtsby
Comments
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Springfield Building Permit
8/27/2010 8:07:09AM.
Page 2 of 3
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CITY Of' Sp'RI,~,~~IELD
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Buildin~'I'~esidential Permit
PERMIT NO: iH"1-SPR2010-00128
IVR Number: 811120323989
www.cf.springfieJd.or.us
PROJECT STATUS: Issued
ISSUED: 8/27/10
APPLIED: 8/25/10
EXPIRES: 2/22/2011
VALUE: $0.00
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
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. ";,",':" "?,~ ~\',,:' 'WORK INVOLVED: New
rt'c:,,;.:: '~.'."T':;':"I"
,c.,.":."'''' . ." ';TYPE OF STRUCTURE:' Residential
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Install ductless heatpum'p.'-i"
SITE ADDRESS: 40834TH
ASSESOR'S PARCEL NO:
Springfield
1702312409700
PROJECT DESCRIPTION:
INSPECTIONS REQUIRED ~
Inspections
2300 Rough Mechanical
2999 Final Mechanical
By signature, 1 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~1I1work performed shall be done in accordance with the
. '. ". ,; ,.,.' ~,..
Ordinances of the City of Springfield and the Laws of the State or Oregqh .p~rtajnlng to the work described herein, and that NO
OCCUPANCY will be made of any structure without p,e~rt~'~'i~'r qf ~he"soir",m'unity 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
~ot;l~\,~~~_ t/n/c>
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Owner or Contractor Signature -:t>~ Date.
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Page3of3
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www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00128
408 '34TH ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci,springfield.or.us
RECEIPT NO: 2010000156
RECORD NO:8I'I-SPRioIO-OllIiil'
DATE: 08/27/2010
h5ESCRIPTlbNf'~~1~~r~", ',.: .:';-:f:YT1iC:4",'+;i:~ik4%:fi5'~~:;::';>.(CCOUNt,CODe":r'1,_,..t ANiOUNT:buE ;:\.'<'" -:,'" .:~'I
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First Appliance Fee 224-00000-425604 $79.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 .....Yg.~!!..
Technology fee (5% of permit total) 100-00000-425605 $3.95
TOTAL DUE: $92.43
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