HomeMy WebLinkAboutPermit Mechanical 2007-11-20
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01714
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 383 W D ST
ASSESSOR'S PARCEL NO,: 1703341411401
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Gas fireplace with gas piping,
Owner: MCNEELEY SCOTT
Address: 2720 POTTER ST
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MICKEY LAWRENCE STAFFORD
License
171110
Expiration Date
07/12/2008
Phone
(541) 736-0018
BUILDING INFORMATION.
# 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 Ist 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 SeWPT-rky,ailable: 0 '
. '~r I ,-!. ':,VI~, . regon !a'N requIres you to
Special II,f ~19,ctlto,n,r.,,~ aej I') t"J+ ..,.-I j'lY t"l" (')r lJt'I't
" .... ~.."., 1- ,(,,1_1.. I i;; egon I I Y
Notification Center. Those rules are set forth
Notes: in OAR 952-001-0010 through OAR 952-001--
0090. YOLl mall ohtRin rt"lni~~c: "f tho nil,..", h"
calling the center. (Note: the teflJRnone J In., ittilVtll ~HI-\LL EXPIRE IF THE WOI'K
number for the, Oregon Utility No ifY.alu tion Descri ti~~T !OI~IZED UNDEfi THIS PERMIT IS N01r
Center IS 1-800-332-2344), LUIVIIVIENCED OR IS ABANDONED FOR
. $ Per Sq Ft squ.arl\,F{)ot-a~AY
Type of Construction It' I' 7B''i.ldlfrA I ou PERIOlY.alue Date Calculated
or mu Ip ler or I moun '
Downspouts/Drains:
NOTICE:
Description
Pa2e 1 of 2
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01714
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
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-l
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fireplace (Listed)
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20,00
$5,00
$2,50
$4,00
$17,00
$5,00
$28,00
11120/07
11120/07
11120/07
11/20/07
11120/07
11120/07
11120/07
Receipt Number
2200700000000001731
2200700000000001731
2200700000000001731
2200700000000001731
2200700000000001731
2200700000000001731
2200700000000001731
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 Insoections I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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
ti~;;"C~ /1-,?tO -d7
Owner or C~ractors S'n~e Date I
Page 2 of 2
225 FiftJl Street
SPlingfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01714
COM2007-01714
COM2007-01714
COM2007-01714
COM2007-01714
COM2007-01714
COM2007-01714
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001731
Date: 11/20/2007
Description
Fireplace (Listed)
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
FIREPLACE SPECIALTIES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 272270 In Person
Payment Total:
Page 1 of 1
3:27:48PM
Amount Due
17.00
5.00
28.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/20/2007