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Home My WebLink AboutPermit Mechanical 2007-10-22 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01578 ISSUED: 10/22/2007 APPLIED: 10122/2007 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: 2763 23RD ST ASSESSOR'S PARCEL NO.: 1703244102000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Water heater and gas insert Owner: ELIZABETH DAVIS AKERS LIVING TRUST Address: 2763 23RD ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Plumbing Contractor License AMERICAN GAS APPLIANCE SERVICE IN 77621 AMERICAN GAS APPLIANCE SERVICE IN 77621 BUILDING INFORMATION. Expiration Date 10/31/2008 10/31/2008 Phone 541-954-4686 541-954-4686 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: TyptAmJfr%'T10N' Ore' Sq Ft 2nd Floor: Wat~.~YJ:IlU'es ~do t~~n law requlreSo/ltI\Wsement: R~~Imw.~n Cent~ Th by the O'eg~ fJtim,rage/Carport Ert~M62-OO1.00;Ot~se rules arE8i48ffdMher: s~dfan~btaln ~oHQ/l OAR QiitO@pt Load: uCAJUag..t",.g :':'''~''\ PI.es OfthA 'HIe: 1;:; DEVEL~ lI:Hlf -- ., . he telephone er 1-a0G-332.~~ficatJo" REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01578 ISSUED: 10/22/2007 APPLIED: 10/22/2007 EXPIRES: 04/22/2008 VALUE: I Valuation Descriution I $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Appliance Vent Fireplace (Listed) Fixture Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Total Amount Paid Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $20.00 10/22/07 1200700000000001327 $10.00 10/22/07 1200700000000001327 $5.00 10/22/07 1200700000000001327 $8.00 10/22/07 1200700000000001327 $7.00 10/22/07 1200700000000001327 $17.00 10/22/07 1200700000000001327 $16.00 10/22/07 1200700000000001327 $5.00 10/22/07 1200700000000001327 $21.00 10/22/07 1200700000000001327 $34.00 10/22/07 1200700000000001327 $143.00 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. ~eouireCUnSDections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pal!e 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: cOM2007-01578 ISSUED: 10/22/2007 APPLIED: 10122/2007 EXPIRES: 04122/2008 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 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 perm' card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during cons ,uct' n. I Owner or Contractors Signature Page 3 of 3 ItJ-ZO-07 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01578 COM2007-01578 COM2007-01578 COM2007-01578 COM2007-0 1578 COM2007-01578 COM2007-01578 COM2007-0 1578 COM2007-01578 COM2007-01578 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001327 Date: 10/22/2007 Description Fixture Minimum/Adjustment Plumbing Appliance Vent Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By AMERICAN GAS APPLIANCE SERVICE INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5948 In Person Payment Total: Page 1 of 1 11 :28:45AM Amount Due 16.00 34.00 7.00 5.00 17.00 21.00 20.00 5.00 8.00 10.00 $]43.00 Amount Paid $143.00 $]43.00 10/22/2007