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Home My WebLink AboutPermit Building 2003-12-1 t .~'-"~~ - '~'~,'-~---- l ~." ~,~ ,.' . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01190 ISSUED: 12/0112003 APPLIED: 12/0112003 EXPIRES: 06/0112004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 420 RIVERVIEW BLVD ASSESSOR'S PARCEL NO.: 1703341405700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: gas piping for range, fireplace, and water heater. Alteration Residential Owner: SMITH KARLA RAE Address: 420 RIVERVIEW BLVD SPRINGFIELD OR 97477 'CONTRACTOR INFORMATION I Contractor Type Mechanical Plumbing Contractor AMBASSADOR PIPING INC BARNES HIGH TECH PLUMBING INC License 121469 83311 Expiration Date 03/27/2005 02117/2004 Phone 541-726-5723 541-726-9854 , BUILDING INFORMATION I ," Lot Size: .u~ .:\".... ~ight of Structure !OSq-!lt'Is!)Floor: "'. .0 '" ,"' ' ~"JfIle of Heat: ,so' (':~q F~(2~~:Floor: VN ,\,<:-<V ~ Water Type: ,0~0,0 ~8\Ft.:,\!as~!Jie~t: <- ~ .~'\ ()~nge Type: ,'/)-~ ~0 ,~Sq.Ft Garage/Carport 0..'" o..~' " ^' ~' _" ",( u. ~<J '0' o~' o<(}' <-~ nergy Path: 0" "'~ ,v v~q Ft;Other: ~ cf' ,,-' -'I.'" ~ ,",v 0 ~ n' ''U' ,r,V \... v ~J "'~'\~ 0,0 0'-' 0<0 ovoh!,per-yiou~:Surface Area: ...\... _ "" ~'\} '" ^~ -<'(" ~....<:. :....0 ",...0 _,0 ..(i. .\>'~ S~~~'vf., ~'O" I DEVELOPMENT INFORMATI0N';'').~<:, cOd~'#'~~'-'~o' SETB^V*~~~~'<-~ ,,~ -&:>~. A'</ -$-- \I ""-- ~...1Y ~ /5. rf" REQUIRED PARKING ~\) ~v M-" ~v ~~ ~'\'~' '0<:' s::>\) 0 0" Q,O r,;:' Front yard Sellja~1f:> ':<:-'\)~ ~"'~ '" ~ Overlay Dist:~, ~ b'l/ ~'/)-"" 0~ 0,0 ('$:" Total: Side 1 Setback: '\ ~"~~~ ~ ~~ # Street Tr"e~A~R~d~,<?i 0'> ~0 C; ~0 .c.'." Handicapped: Side 2 Setback: ",'\:5 .. '\~ Paved Drive'RqjlY' ,,~. Q,~ 'o'~ ,r;( . Compact: ~' , ,,'?>v ~'" <.' ,r Rearyard Setback: ~ % of Lot Coverage:c.'1J' ~'V0 C Solar Setbacks: <:,V # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: R-3 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of3 " . , , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp< p~ Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Appliance Vent Fixture Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumhing Amount Paid Date Paid $10.00 $9.00 $6.30 $12.00 $14.00 $15.00 $4.00 $14.00 $31.00 12/1103 12/1/03 12/1103 12/1103 12/1103 12/1103 12/1103 12/1103 12/1103 Total Amount Paid $115.30 I Plan Reviews , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01190 ISSUED: 12/0112003 APPLIED: 12/0112003 EXPIRES: 06/0112004 VALUE: Value Date Calculated Receipt Numher 2200200000000001817 2200200000000001817 2200200000000001817 2200200000000001817 2200200000000001817 2200200000000001817 2200200000000001817 2200200000000001817 2200200000000001817 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. L..l1eolliretUnsnections I I Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. . 3 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 4 Rough Mechanical: Prior to Cover 5 Final Gas: When all gas work is complete. 6 Final Mechanical: When all mechanical work is complete. Paee 2 of3 . . . CITY OF ~r.Kll~GFIELD Building/Combination Permit PERMIT NO: COM2003-01190 ISSUED: 12/0112003 APPLIED: 12/0112003 EXPIRES: 06/0112004 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 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. t1~ ~~~ J2~J-~3\ Owner or Contractors Signature Date Paee 3 of3 .!-.' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01190 COM2003-0 1190 COM2003-0 1190 COM2003-01190 COM2003-01190 COM2003-01190 COM2003-01190 COM2003-0 1190 COM2003-01190 Payments: Type of Payment Check 8p~. ~_'?~.,._e....,. "...j... ~...., , . j; ,eN",,'; . .."...W."_........ Receipt #: 2200200000000001817 Description Fixture MinimwnlAdjustment Plumbing ~Mechanical Issuance Fee~ Gas Fireplace Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Received By jmp Check Number Batch Number Authorization Number Paid By AMBASSADOR PIPING 7362 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/01/2003 I :24:09PM Amount Paid Item Total: 14.00 31.00 10.00 15,00 12,00 4.00 14.00 6,30 9,00 $115.30 How Received In Person Payment Total: Amount Paid $115,30 $115.30 . .