HomeMy WebLinkAboutPermit Miscellaneous 2010-12-29
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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
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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.
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'-
12- ? C) -/0
Owner or Contractor Signature
Date
Springfield Building Permit
12/29/201 11:35:44AM
Page 3 of 3
i. . , .
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<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