HomeMy WebLinkAboutPermit Mechanical 2007-10-22
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2007-01573
ISSUED: 10/22/2007
APPLIED: 10/22/2007
EXPIRES: 04/22/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6326 C ST
ASSESSOR'S PARCEL NO.: 1702342402900
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Gas Piping
Owner: RUDKINS JOHN S & LINDA S
Address: 6326 C ST
SPRINGFIELD OR 97478
Phone Number: 541-354-9895
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MOUNTAIN MEADOW HOMES LLC
License
173350
Expiration Date
12/08/io08
Phone
541-729-7508
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
Storm Sewer Available: .4;t~-~Djf'LilitnlSJU90
Special Instruction: UO!IS~!mON mHO uo6sJO sqt JOI Jsqwnu
NOnCE: suoqdalal alH :aloN) 'JsJua~ sq} GumSO
Notes: THIS PERMIT SHAll EXPIRE IF THE WORK ~~~~b~6a~~ ~~hdO~~Ju6~~~t;~Z~~\~60~
AIITHnJ::?I7I:1') I I II In[:R. TII~r'[nl\ll~ I.~ I"f'-' ~n In! 1'''' ....... ..........-J -- _.. _ 0 ,
"elo. . - - I ."J'" Iv . I II .. -. -1" - - ~ '1..L ."..........J UVII~..J!JlfVN
COMMENCED OR IS ABANDONED =aRtl f D . f Al'.m u06aJO a4l I\q paldopu sSlriJ MoiJOl
ANY 180 DAY PERIOD. ua IOn escnp IOIh1lnol\ saJ!nbaJ Mel u06aJO :NOI1N3l.LV
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Description
Type of Construction
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01573
ISSUED: 10/22/2007
APPLIED: 10/2212007
EXPIRES: 04/22/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Not Listed
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$10.00
$5.00
$35.00
10/22/07
10/22/07
10/22/07
10/22/07
10/22/07
10/22/07
10/22/07
3200700000000000691
3200700000000000691
3200700000000000691
3200700000000000691
3200700000000000691
3200700000000000691
3200700000000000691
Total Amount Paid
$81.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
I Reouired Insnections I
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.
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.
Owner or Contractors Signature
Date
Pal!e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:doctorofstoves@yahoo.com
Receipt # EC519031
10/21/20079:17:04 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[X] Addition/alteration/replacement
[Xl 1 or 2 family dwelling
D Multi-family
D Accessory Building
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I Job no.: I Job address: 6326 CST
I City/State/ZIP: SPRINGFIELD, OR 97478-7052
I Suite/bldg./apt.no.:
I Project name: Redkins
Cross street/directions to job site: 64th
I Subdivision:
I Tax map/parcel no.: 1702342402900
I Lot no.:
I Water heater
I Gas fireplace/insert/stove
I Gas log/ log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
$10.00
$10.00
gas piping
I Name: John Redkins
I Phone: (541) 354-9895
!Email:
I Fax: 354-9895
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
CCB lie. no.: 173350
I Business Name: MOUNTAIN MEADOW HOMES LLC
I Contact: Kenneth Wall strom
IAddress: 24363 SUTTLE RD
I City/State/ZIP: VENETA, OR 974879407
I Phone: (541)7297508 I Fax: None
I Email: doctorofstoves@yaboo.com
I Metro lie. no.: I City lie. no.:
upto first 4 outlets(enter Qty=I)
I each additional outlet
I
I
Subtotal $10.00 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees · $27.50 I
TOTAL PERMIT FEE $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I
I
I
I
I
· City Of Springfield
$10 Issuance Fee
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
COM: drill-, -- 01 S(~
The local building department may determine that an 32 1_
Authorization To Begin Work is null and void if it does not RCPT #: . 0-0 -, - W q I
meet applicable land use laws and local ordinances.
DATE PROCESSED: I C) .- d~ - Or
PROCESSEDBy.(hmeJ\ ~. ·
This Authorization To Begin Work must be posted at the JOb slIe until rePla~DY a ...erml..
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -01573
COM2007-01573
COM2007-01573
COM2007-01573
COM2007-01573
COM2007-01573
CO M2007 -01573
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000691
Description
Appliance Not Listed
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/22/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page I of I
ONLINE MTN Online
MEADOWS
Payment Total:
7:50:37 AM
Amount Due
10.00
5.00
35.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
10/22/2007