The URL can be used to link to this page

Home My WebLink AboutPermit Building 2005-9-26 " . . Ul f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-0I308 ISSUED: 09/26/2005 APPLIED: 09/26/2005 EXPIRES: 03/26/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 780 RIVER HILLS DR ASSESSOR'S PARCEL NO.: 1703341212700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: Install new gas water heater and fireplace insert. Residential Owner: HASTON JANET M Address: 780 RIVER HILLS DR SPRINGFIELD OR 97477 ~.oae U\ ~~'A I T,R.\cTOR INFORMATION I I " "'. ,,,, Contractor ~ ~ Q..# '-<.~~ License AMBASSA~'.rqSj~.~c 121469 .I..~" ~ '\~'~'{'~UlLDlNG INFORMATION I o~ ,:u~"" 9' '"'~ ....<Q ro~ v~ o~ "'" ~ ~'J fo r ,~e I':- " :,.' # of Units: 'NVQ..,~ \$ ~" 5::>~' # of Stories: d! eF>? roe' ~'-L~~ Size: Primary Occupan~~~~p: ~x.,~<s> <::s ~ Height of Structure~ ,e; 0' 'li-e C)<:>'l; ~eSq Ft 1st Floor: Secondary Occup'81i~CroOj5l~" ~ <:( Type of Heat: o~\,'1> "S''O ,~ero O~ '0 ,-.)' ",~qfF~)nd Floor: Primary constructi~j$P~~~ 5:)<:;) Water Type:,'OQ) 0'\)\<0'0 ?t &'S' ~0~,S.g:Ft Basement: Secondary construction~yp~,~ Range Typ,Q o~,e ,\'/;< ~o-.)' '~e<O ~e ,e 0'Sq Ft Garage/Carport # of Bedrooms: ~ Ener~Pli1"j'i 1-.'0" ,,,,'" c,o~ 0"'..~'<i'':hSq Ft Other: SP{tiikI~lPBl!!ldi~'? 1-.i>~ ~o'h/!~',,;).; Occupant Load: -<. ,'~ _<" _C\ .....'0, _<' .l";'''' Contractor Type Mechanical Expiration Date 03/27/2007 Phone 541-726-5723 .~ D I DEVELOPl\<u,,, 1"m~0RMATION"I' ~v O~. -F "S'~ ;:s-- ,{> . ',1:\. ,..\:'.. .~Q; ,d" .I()\.. Ovenav:Dist" (; .,,-<- ."" cP .:) 0- # Street Trees'Rqd: Paved DrivfRqd: % of Lot Coverage: REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsmrains: Notes: I Valuation Descriotion , Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 00 '; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,- Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Fixture Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Total Amount Paid . . Ll1}' VI< ~l'.Kll~ut<lI!,L1J Building/Combination Permit PERMIT NO: COM2005-01308 ISSUED: 09/26/2005 APPLIED: 09/26/2005 EXPIRES: 03/26/2006 VALUE: Total Value of Project Fpp< PiliiJ Amount Paid Date Paid Receipt Number 2200500000000001336 2200500000000001336 2200500000000001336 2200500000000001336 2200500000000001336 2200500000000001336 2200500000000001336 2200500000000001336 $10.00 $9.00 $6.30 $18.00 $14.00 $4.00 $23.00 $31.00 9/26/05 9/26/05 9/26/05 9/26/05 9/26/05 9/26/05 9/26/05 9/26/05 $115.30 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. IRp~ Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is Instalied and required testing and capped if not altached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work Is complete. Final Mechanical: When all mechanical work is complete. Paee 2 of3 It . . CITY 0.. ~nuNGFIELD Building/Combination Permit PERMIT NO: COM2005-01308 ISSUED: 09/26/2005 APPLIED: 09/26/2005 EXPIRES: 03/26/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 of 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 employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure lhat 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. ~sL/ 9-Z-h-ClS- Owner or Contractors Signature Date Paee 3 00 225 Fifth Street Springfield, Oregon 97477 ') 541-726-3759 Phone . .!>~I:.l..r~. ~!I~ ,_,~_"_. Wir' I. : ."Ii' Job/Journal Number COM2005,Ol308 COM2005-0 1308 COM2005,O 1308 COM2005,O 1308 COM2005.0 1308 COM2005-0 1308 COM2005-0 1308 COM2005-0 1308 Paymenls: Type of Payment Check .' ':\ ,'{ :h ., '.\ L :< 9/26/2005 RECEIPT #: City of Springfield Official Receipt evelopment Services Department Public Works Department 2200500000000001336 Date: 09/26/2005 Description Fixture Minimum/Adjustment Plumbing Gas Outlets 1-4 Appliance Not Listed Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By AMBASSADOR PIPING, INC. Received By jmp Page 1 of 1 Item Total: Cbeck Number Authorization Batch Number Number How Received 8832 In Per.;on Payment Total: 1:32:43PM Amount Due 14.00 31.00 4.00 18.00 23.00 10.00 6.30 9.00 $115.30 Amount Paid $115.30 $115.30