HomeMy WebLinkAboutPermit Mechanical 2007-12-10 (2)
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01805
ISSUED: 12/10/2007
APPLIED: 12/10/2007
EXPIRES: 06/11/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 205 37TH ST
ASSESSOR'S PARCEL NO.: 1702314202300
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Install water heater, dual wall heater and new shut off on gas line.
Residential
Owner:
Address:
BAKER OPAL M & DONALD A
205 N 37TH ST
SPRINGFIELD OR 97477
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
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I CONTRAC;!;Q.R, IN ' o~g 952.{)01.
-"'~,l, pies of the rules by
calling the cel)ter. (Note:J~,~t!!~J?~on,EL
Contractor number for tlY~n UtWitYWdlffll:'afubifte
PACIFIC A]R COMFORT INC Centel9l&1f-a0ll-332.234'4j~5/2010
DA VID EDWARD RICHARDSON 157134 09/2212009
Phone
541-672-9510
541-606-1588
Contractor Type
Mechanical
Plumbing
BUILD]NG INFORMATION I
VB
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
HO:l a3NOaN\fa~~:~3g ~gN~~~~~ DownspoutslDrains:
ION SI IfWH3d SIHl H30NO 03ZIHOHln\i
)fHOM 3Hl:/I 3H/dX3 ll\fHS llW!:I3d SIHl
:33110N
Notes:
Page I of3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 ]nspection Line
Descriotion
Tvoe of Construction
Fee Description
-Mechanical ]ssnance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Not Listed
Gas Outlets 1-4
MinimnmlAdjustment Mechanical
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Snrcharge
Fixture
MinimumlAdjustment Plumhing
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01805
ISSUED: 12/10/2007
APPLIED: 12/10/2007
EXPIRES: 06/11/2008
VALUE:
I Valuation Descriqtion I
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp<, P~WJ
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$20.00
$5.00
$25.00
$5.00
$2.50
$4.00
$16.00
$34.00
2200700000000001811
2200700000000001811
2200700000000001811
2200700000000001811
220070000000000]811
220070000000000]81]
2200700000000001811
2200700000000001815
2200700000000001815
2200700000000001815
2200700000000001815
2200700000000001815
12/10107
12/10/07
12/10/07
12110/07
t2l10/07
12/10/07
12/]0/07
12111/07
12111107
12/11107
12/11107
12/11/07
$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.
U?p.nnirprl 'n~np('.tio~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Plnmhing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Pa2e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01805
ISSUED: 12/10/2007
APPLIED: 12/10/2007
EXPIRES: 06/11/2008
VALUE:
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] 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
~~27J~ /2-//-1/7
Owner or Contractors Signature
Date
Pa2e 3 of 3
225 Fifth Street
Springfi;ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01805
COM2007-01805
COM2007-01805
COM2007-0 1805
COM2007-0 1805
Payments:
Type of Payment
Check
cReceiOll
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001815
Date: 12/11/2007
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
, + 8% State Surcharge
+ 10% Administrative Fee
Paid By
NOAHS PLUMBING AND
DRAIN
Item Total:
t..'hcck Number Authorization
Received By Batch Number Number How ~eceived
djb
2411
In Person
Payment Total:
Page I of I
]O:42:45AM
Amount Due
16,00
34,00
2,50
4,00
5,00
$61.50
. Amount Paid
$61.50
$61.50
1211112007