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Home My WebLink AboutPermit Building 2005-7-1 \~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00841 ISSUED: 07/01/2005 APPLIED: 07/01/2005 EXPIRES: 01/01/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ." 541-726-3769 Inspection Line SITE ADDRESS: 275 ALLEN AVE ASSESSOR'S PARCEL NO.: 1703233304000 Springfield TYPE OF Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: Install Rinna,i water heater and replace gas fireplace Residential Owner: DARRYL CABRAL ,Address: 275 ALLEN AVE SPRINGFIELD OR 97477 Phone Number: 541-746-8276 I CONTRACTOR INFORMATION. . Contractor Type . Mechanical Plumbing Contractor AMBASSADOR PIPING INC BARNES HIGH TECH PLUMBING INC License 121469 83311 Expiration Date' Phone 03/27/2007' 541-726-5723 02/17/2008' 541-726-9854 I BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction, # of Bedrooms: 'yN # of Stories: Height of Type of Heat: Water Type:" Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: , 'Sq Ft Basement: Sq Ft Garage/Carport . ~q Ft Other: n/a Occupant Load: R-3 I DEVELOPMENT INFORMATION. , N01\CE: ,EXPIRE IF 1HE WORK , Front yard Setb~~:S PERMI1 SHALL lH\S PERf\.~"er!JtWOTst: ' , Side 1 Setback: AU1HORIZED UNDER t.tt-$t~f\t Trees Side 2 Setback: " MMENCED OR IS ABANDONLPt.Jed Drive Rqd: Rearyard Setba&9 Y 180 DAY PERIOD~ ' % of Lot Coverage: Solar Setbacks: AN REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS. Street , .t -19\Ue~ , , " 1\7~-C!:~09 · ""f wn\l Stor~ Sewer A ~ailable: ~ 1\0 uo6EuO eq\ JOI J8q Specaal InstructIOn: t.JOtl'UO!mON '~..81oN) ~ettl6um80 , , ", , euolldel91e.... . -110 ~ nOA .0600 , a4' 10 S91doo U!",+... .A ' Notes:. Aq salOJ t, 6nOJln 0~Oo-~OO-G96 Wo..... .~OO-G96 \:I'VO 4 04.1. o,laluao uOlleoUllON , 'WOllas aJe selnJ eS"q p91dope salru MOllOI Allmn uo6aJO alt\ , o6aJO :NOU.N3U~ - , 0\ no,\saqnbeJMlijU -. , Sidewalk Type: Downspouts/Drains l'of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10'1.. Administrative Fee + 7% State Surcharge Appliance Vent Fixture Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Total Amount CITY OF SPRINGFIELD' Building/Co m bina tio n Permit PERMIT NO: COM2005-00841 ISSUED: 07/0112005 APPLIED: 07/0112005 EXPIRES: 0110112006 VALUE: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I Amount Paid Date Paid Receipt Number $10.00 $9.00 $6.30 $6.00 $14.00 $15.00 $4.00 $20.00 $31.00 7/1/05 7/1/05 7/1/05 7/1/05 7/1/05 7/1/05 7/1/05 7/1/05 7/1/05 1200500000000000928 1200500000000000928 1200500000000000928 1200500000000000928 1200500000000000928 1200500000000000928 1200500000000000928 1200500000000000928 1200500000000000928 $115.30 I Plan Reviews, 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..Reouired I nsnecQons . Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. 2 of 3 Status: Issued' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00841 ISSUED: 07/0112005 APPLIED: 07/0112005 , EXPIRES: 0110112006 VALUE: 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 Se rvices 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 add,'ess is readable from the street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times duri~.spC nstr,uct~~ ~ ~~ 7~-00 , . Owner or Contractors Signature Date 3 of 3 225 Fifth Street .. ' Spririgfield, Oregon 97477 541-726~3759 Phone Job/Journal Number eOM2005-00841 eOM2005-00841 eOM2005-00841 eOM2005-00841, eOM2005-00841 eOM2005-00841 eOM2005-00841 COM2005-00841 eOM2005-00841 Payments: Type of Payment Check '., .) , , 'I 7/1/2005 t;ity of Springfield Official Receipt ~velopment Services Department ' Public Works Department RECEIPT #: ' 1200500000000000928 Date: 07/01/2005 9:22:35AM Description Fixture Minimum! Adjustment Plumbing Appliance Vent Gas Outlets 1-4 Gas Fireplace Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By AMBASSADOR PIPING INe Amount Due 14.00 31.00 6.00 4.00 15.00 20.00 10.00 6.30 9.00 $115.30 , Item Total: Check Number Authorization Received By Batch Number Number How Received djb 8657 In Person Payment Total: Amount Paid $115.30 ,$115.30 1 of 1