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Home My WebLink AboutPermit Mechanical 2004-1-16 't; . Status Issued . , . CITY OF SPRINul'u..L1J Building/Combination Permit PERMIT NO: COM2004-00059 ISSUED: 01/16/2004 APPLIED: 01/16/2004 EXPIRES: 07/16/2004 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 629 GRANITE PL ASSESSOR'S PARCEL NO.: 1703341214100 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install gas insert and gas piping TYPE OF USE: Owner: DOUG MEYERS Address: 629 GRANITE PL SPRINGFIELD OR 97477 # of Units: # of Stories: Primary Occupancy Group: R.3 Heigbt of Structure Secoudary Occupaucy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary Coustruction Type: Range Type: # of Bedrooms: ATTENTION:Oreg&l'MlIYr~tblres you, ~o fnllnw rules adopted by the Oregon .~!I~I~~ -lotlflcation Ct1:iEyirE€Mf.Nf;.iN~~~ON , I OAR 952-00.. .. I I Y \ may obtain copies of the rulQs I GOgo. . ou center ~m3YDiStlelephone calling the '~!:tfe$tIJi""l!SIRiiacation number for the Ore ~ .'T . ....~~.M;" 1. 1I~~~1~4~, ". Contractor Type Mechanical '. SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: '. Description I CONTRACTOR INFORMATION , Contractor MIDGLEY'S License 019364 BUILDING INFORMATION I % of Lot Coverage: NOTICE:. I PUBLIC II\'1r"u~ "-lylENTS I THIS PERMIT SHALL tXI"IKt It IHt VWUKI\ AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. New Residential Pbone Number: 541-689-5512 Expiration Date 11113/2004 Phone 343-1131 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutsIDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Paee 1 of2 Value Date Calculated . . Ll1:r' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00059 ISSUED: 01/16/2004 APPLIED: 01/16/2004 EXPIRES: 07/16/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.~ Paid I Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $15.00 $4.00 $26.00 1/16/04 1/16/04 1/16/04 1/16/04 1/16/04 1/16/04 1200400000000000067 1200400000000000067 1200400000000000067 1200400000000000067 1200400000000000067 1200400000000000067 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. l.Rp.ouirp.d Insnedinns I 1 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. 2 Rough Mechanical: Prior to Cover 3 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 tbe State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be malle ofany 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 sile at all times during construction. :', l~J'o /1 1//{o(C\d '-' Owner or Contractors Signature Date Pace 2 of2 225 Fifth Street ,i. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00059 COM2004-00059 C0M2004-00059 COM2004-00059 COM2004-00059 C0M2004-00059 Payments: Type of Payment . Paid By Check MIDGLEYS ....,~.!!I9I1'!J.':~ I WI......'.............! ~."._ . I " ',_ I . .... _ ,..'._ ~: >>","" l- -, ..) Receipt #: 1200400000000000067 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Received By djb <":heck Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department.. " Date: 01116/2004 lO:39:36AM Amount Paid Item Total: 3.15 4.50 4.00 15.00 26.00 10.00 $62.65 How Received Amount Paid . In Person Payment Total: $62.65 $62.65 .