HomeMy WebLinkAboutPermit Mechanical 2008-3-25
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00404
ISSUED: 03/25/2008
APPLIED: 03/25/2008
EXPIRES: 09/25/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 348 G ST
ASSESSOR'S PARCEL NO.: 1703352109100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Gas piping to two(2) gas stoves and installation of stoves
Residential
Owner:
Address:
MORRISETTE WILLIAM E & J M
348 G ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MOUNTAIN MEADOW HOMES LLC
License
173350
Expiration Date
12/0812008
Phone
541-729-7508
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
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special InAiRiBimDN: Oregon law requires you to
follow rules adopted by the 01 eg0.1 I I Ii,t '
Notes: Notification Center. Those rul(-Jr' 1.f:' <: -, rl. 1 NOTICE:
In OAR 952-001-0010 thlcugr: Ot~i 1'= THIS PERMIT ~~A' r evor r- _
Il)U,:;,U. IUU IlldY UlJldlrlL.:UfJH.Cl",' =J~UTl ' Ii ffi.../rT-!I[ Went<
calling the center. (Not,"', -' II Valuation Descrip ER/ZED UNDER THIS PERMIT IS NOT
number for the Oreg0111,' ..~. I , -~ _,q" -. NeED OR IS ABANDONED FOR
Center is 1-800-3::';;-20'; ')'$ Per Sq Ft Sq1~X t~lJt~y PERIOD
Description Type of ConstructIOn It' I' B'd A Value Date Calculated
or mu Ip ler or 1 mount
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00404
ISSUED: 03/25/2008
APPLIED: 03/25/2008
EXPIRES: 09/25/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Miscellaneous Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$5.00
$15.00
$30.00
3/25/08
3/25/08
3/25/08
3/25/08
3/25/08
3/25/08
3/25/08
Receipt Number
2200800000000000352
2200800000000000352
2200800000000000352
2200800000000000352
2200800000000000352
2200800000000000352
2200800000000000352
Total Amount Paid
$83.50
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 ReQuired 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
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of 2
City o(Springfield
Mechanical Authorization To Begin Work
E-mailedTo:doctorofstoves@yahoo.com
Receipt # EC527653
3/25/2008 11 :05:22 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permItcenter@cLspringfield.or.us
[X] I or 2 famIly dwellIng
D MultI-family
D Accessory BUlldmg
,'II,:
I DescnptlOn
I Heaiing/coolingappliances,..
, '" ~J/d
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
,> I filliI" <i : \' " Electric Furnace
r FEE SCHEDULE
j Qty.
Ea
Total
" ,',,, "i
<>< J,
TYPE:OF WORK
. . ,
o New constructIon
IKJ AddItIOn/alteratIOn/replacement
~ " 1<
. CATEGORY OF"CONSTRUCTION '..' .'.: I: I.
, I' k , < '" 'I,
'l'iI
"1 I JOB SITE INFORMATION'AND LOCATICftli
1 '"
I Job no I Job address: 348 G ST
I City/State/ZIP: SPRINGFIELD, OR 97477-3973
I Surte/bldg.lapt.no.:
I Project name: MOrrIsette
Cross street/directIOns to Job site: Between 3rd and 4th st
'" I
Ilj 1"" ,
'iSITE.CONTACT "'<':'::1,::" .
\ ),/
Duct alteratIOns and addItions
I Gas heater UnIts/ m-wall, m-
duct, suspended. etc/
I Vent, flue, Imer for above
I Air ConditIOner
I Heat Pump
I Air Handler
I. Other fuel burnmg applianc~s
I Water heater
I Gas fireplacelInsert/stove
I Gas log/log lIghter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/msert
I Wood fireplace
I Chlmney/lmerlflue/vent w/o
applIance
I Environ'mentalexhaust AND.ventilatIorr
, <<J~' ,j I", ,'h 'I I ,
I Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOilet compartments, utilIty
rooms)
Attic/crawlspace fans
, Eue}, vlping
I upto first 4 outlets(enter Qty=l) II
I each additional outlet I
I I\IIECH,ANICAL PERMIT FEES
I
I
I
I
I
· CIty Of Sprmgfield
$10 Issuance Fee
2
$1500
$30 00
SubdiVISIOn" I Lot no.:
[Tax map/parcel no.: 1703352109100
1"": I ':,I:':bE~~~II;~;Q9N OF WORKlil~':;'i,
Gas plpmg to two gas stoves and mstallatlOns of stoves
"
.-
I Name. Bill MOrrIsette
I Phone: (541) 746-1378
Emall.
IFax:
.'CONTRACTOR, (II
'f '1 I
"\
I CCB hc no 173350
I BUSIness Name: MOUNTAIN MEADOW HOMES LLC
I Contact: Kenneth Wall strom
Address: 24363 SUTTLE RD
City/State/ZIP' VENETA, OR 974879407
I Phone: (541 )7297508
I Emall: doctorofstoves@yahoo com
I Metro hc no:
$500
$500
I Fax. None
I City hc no
Subtotal $35 00
Mmlmum fee used mstead of Subtotal $50 00
State Surcharge (12% of permit fee) $600
City Of Spnngfield fees · $27 50
TOTAL PERMIT FEE $83 50
10% Local Admm Fee, 5% Local Technology Fee,
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspection
NOTE. ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained
The local bUilding department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
This AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00404
COM2008-00404
COM2008-00404
COM2008-00404
COM2008-00404
COM2008-00404
COM2008-00404
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000352
DescrIptIOn
Miscellaneous MechanIcal
Mmlmum/ Adjustment MechanIcal
Gas Outlets 1-4
~MechanIcal Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/25/2008
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
PaId By
ONLINE PERMIT CHGS
ddk
Page I of 1
ONLINE MOUNT AI Onlme
N
MEADOW
HOMES
Payment Total:
3:25:26PM
Amount Due
3000
1500
500
2000
250
600
500
$83.50
Amount Paid
$83 50
$83.50
3/25/2008