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HomeMy WebLinkAboutPermit Miscellaneous 2010-12-29 S~~.!.~..~~.FIELD~ . ~A'",,"- ,....~ h~:" :'''- . OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00994 IVR Number: 811178828819 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541~726~3676 Issued permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/29/2010 12/29/2010 12/29/2010 EXPIRES: VALUE: 06/27/2011 $0,00 SITE ADDRESS: 5107 EST, Springfield, OR 97478-6158 AssEsOR's PARCEL NO: 1702332403100 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace furnace and ductwork Phone Number: OWNER: ADDRESS: FEDERAL NATIONAL MORTGAGE ASSOCIATION PO BOX 650043 DALLAS TX 75265-0043 Contractor Type Mechanical Contractor Contractor Name STEFAN APETROAIE CONTRACTOR INFORMATION ~ lie Type CCB BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building:' Fire Alarms: Energy Path: Electrical 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: Lic No 86086 Lic Exp 12/29/2011 Phone 503-653-1980 lot Size: Sq Ft 1 st Floor: sq Ft' 2nd Floor: Sq Ft Basement: sq Ft Garage: sq Ft Carport: sq Ft Other: 0 Occupancy load: Site Information ~ Engineered Fill: Fill Volume: FIOOd~gl Area: . Land la~a/riJl)llJQN: Oregon la ' Reta' lJ/JeJ\IaW'es adopted w reqUIres you to Soil I'1Wfl~qfi~~fr9dlter, Th~y the Oregon Utility keJ'A'H 9S;!-001-001 0 th se rules are set forth . 0090. You may obtai rough OAR 952-001_ calling the cente~ (~op/es of the rules by number for the Or~ onate:, the tele~hone Center is 1-~00 3U3lf1/ty Not/flCatiol'! - 2-2344). NOTICE: ;",:<i'."i,:<k,' , THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT" COMMENCED OR IS ABANDONED FOR I': ANY 180 DAY PERIOD. " . Springfield Building Permit 12/29/201 11:35:44AM Page1of3 , SP~IH G.FIE.L~ It~,. '" ,.1U. ~ ~EGON www.ci.springfield.or.us . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00994 IVR Number: 811178828819 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/29/2010 12/29/2010 EXPIRES: VALUE: 06/27/2011 $0.00 12/29/2010 SITE ADDRESS: 5107 EST, Springfield, OR 97478-6158 ASSES OR'S PARCEL NO: 1702332403100 SCOPE: Heafing System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace furnace and ductwork DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID. I Descriotion Amount Paid :!:ech~~9gy fee (5%_of permit total) First Appliance Fee "_ _._^""____~___~" State 9! Oregon Surcharge (12% of applicable fees) Total Amount Paid $3.95 $79.00 $9.48 $92.43 Date Paid 12/29/2010 . --_.,----_.~" 12/29/2010 _"_'___"'_'_.._mm..__m..__'_ 12/29/2010 Reciot # 2010001166 2010001166 2010001166 Springfield Building Permit 12/29/201 11 :35:44AM Page 2 of 3 S~k~~.~ .'~, ,~4..' OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us 1 Building I Residential Permit PERMIT NO: 811-SPR2010-00994 IVR Number: 811178828819 permitcenter@cl,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/29/2010 ISSUED: APPLIED: 12/29/2010 12/29/2010 EXPIRES: VALUE: 06/27/2011 $0.00 SITE ADDRESS: 5107 EST, Springfield, OR 97478-6158 ASSESOR'S PARCEL NO: 1702332403100 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace furnace and ductwork Plan Review I Deoartment Permit Issuance Received Due Date ComDleted Result 12/29/2010 12/29/2010 12/29/2010 Issued Reviewer David Bowlsby Structural Review 12/2912010 12/2912010 12/2912010 Not Required David Bowlsby Comments: Over the counter permit Public Works Review Not Required David Bowlsby 12129/2010 12/29/2010 12129/2010 Comments: Over the counter permit Initial Review"c' ''',:;;' +, _, +12/29/2010' 12/29/20fo' "12/29/201 0';,' ,..over ~c'ounterr,:,,~ 'r,,'David Bowlsby,,;y:_ "',::".. _;'.. \.; "-::'7~ 1~grT)f!1ents',~~oter the coLinte(permlt' ~ :~;.~~:;.' ':'~Zi'~~:'~~~- ;.,' 'i'y ~.;~' ~':0'~'~:?~X:t\..~~.~'f,":,~ '..>t'.'$~cf:'" ,< ~-'\i~~";;'ff:i:~: .,'\2~(;,~,:;'::}~.>x.:/_] INSPECTIONS REQUIRED I Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 or 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 empl_oye~s 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. ~//L "' '- 12- ? C) -/0 Owner or Contractor Signature Date Springfield Building Permit 12/29/201 11:35:44AM Page 3 of 3 i. . , . S.P,~~N::L~ ."<~ <ii,"4. OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00994 5107 EST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECORD NO: 81 I-SPRZOI0-00994 DATE: 12/29/2010 . ..... --ii,.''; j, y,' ""'!' ,r"'; ~~~J>.c:C:QliN;T:GQi>H': -',' ;,'.:.:.:~rJtO_UN:tj:iLJ~::i- :-: .:....::J 224-00000-425604 $79.00 821-00000-215004 $9.48 100-00000-425605 $3.95 TOTAL DUE: $92.43 F :RAY:M.ENLtYPE-"~;: ;PAYQB~,icASHIER'6~6.WLS~!;:J:iMI\IIENisr,;,i1.':::'ii::_:,- .,,' .:;AIVIOUNl:;PAib ." ""-.- , RECEIPT NO: 2010001166 fDESQRIRTI.6N,-'i;:[,:~ First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Check 1403 STEFAN APETROAIE $92.43 $92.43