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Home My WebLink AboutPermit Building 2006-2-7 . '. CITY OF SPRINGFIELD " Building/Combination Permit PERMIT NO: COM2006-00I55 ISSUED: 02/07/2006 APPLIED: 02/07/2006 EXPIRES: 08/07/2006 VALUE: Status: Issued < 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ SITE ADDRESS: 2066 HARBOR DR :: ASSESSOR'S PARCEL NO.: 1803112203400 Springfield TYPE OF Manufactured Home on Private Lot TYPE OF USE: Alteration Residential !! PROJECT DESCRIPTION: Gas Stove Owner: MOLATORELEODTE Address: 2066 HARBOR DR SPRINGFIELD OR 97477 :~ Contractor TvDe : Mechanical I CONTRACTOR INFORMATION I Contractor License EMERALD SWIMMING POOLS OF ORE INC11294 I BUILDING INFORMATIONI Expiration Date 1012212009 Phone 54 I -688-1 090 , # of Units: ,;' Primary Occupancy Group: , Secondary Occupancy " Primary Construction Type "} Secondary Construction .,. # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft ht Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: .; Rearyard Setback: -, " Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: !pUBLIC IMPROVEMENTS I .. Street I , _ Storm Sewer Available: ; Special Instruction: Sidewalk Type: DownspoutslDrains ,. , t Notes: I Valuation Descriotion I Description Tvpe of Construction SPerSq Ft or multipDer Square Footage or Bid Amount Value Date Calculated I of 2 . . CITY OF SPRThl.NJ!,LJ) Building/Combination Permit PERMIT NO: COM2006-00155 ISSUED: 02/07/2006 APPLIED: 02/07/2006 EXPIRES: 08/07/2006 VALUE: Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone .. 541-726-3676 Fax , 541-726-3769 Inspection Line Total Value of Project Fp.p.s Paid' Fee Description -Mechanicai Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Appliance Not Listed LP Gas Tank & Piping Minimum/Adjustment Mechanical Amount Paid $10.00 $4.50 $3.60 $9.00 $12.00 $24.00 Date Paid 2/7/06 2/7/06 2/7/06 2/7/06 2/7/06 2/7/06 Receipt Number 1200600000000000125 1200600000000000125 1200600000000000125 1200600000000000125 1200600000000000125 1200600000000000125 ~ Total Amount $63.10 " I Plan Reviews I ,1 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, UnderOoor Gas: After line is installed and required testing and capped If not attached to an appliance. Rough Gas: After line is Installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When aU 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 wiD 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 tbls 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 wID remain on the site at all tim.!' during constructiolL ;A B.-O In ~=.;f;"n-I -2 . (_ GJ ~ Owner or Contractors Signature Date 2 of 2 :~' ~25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00155 CpM2006-00 155 COM2006-00155 COM2006-00155 COM2006-00 155 \,' COM2006-00155 !' Payments: T)'Pe of Payment Check :\ , '( " 1., ,:r " " ,., '; 3} :1 :\ '~ ,',,r. ,\1 " II :1' ,~ :~ 21712006 . RECEIPT #: ~~ IfIij,ity of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000125 Date: 02/07/2006 Description Appliance Not Listed LP Gas Tank & Piping Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By LEO MOLATORE Retelved By dIm I of I Item Total: LbeCk Number Aumortzatton Batch Number Number How Received 1128 In Person Payment Total: 3:08:0SPM Amou nt Due 9.00 12.00 24.00 10,00 3,60 ' 4.50 $63.10 Amount PDld $63,10 $63.10 ~ City Job Number o LOCATION OF FROPOSED WORK: ~r\ ASSI~~ORS MAP: ~ ~l OWNER: r-(.-.l, _.. j ADDRESS: rrB';) CITY: ~.I?/"'A"l-//,,/I l\ ~l ~ESCRII'TION or WORK: 'r-~1 ,_ I NEW: ~l , 0) CONTRACFOR'S NAME f) GENERAL: "- ' , u .,... . ~ ~ ~ " 'J~j rl C1 tlj1 ~l o ~l SPRINGFIELD ~ f ( ! _.I \ ,-' '. -"- , / , . 22B FIfTH STREn . SI'RINGFlELD, OR 97477. PH:(B4 1) 72G<HB:, . FAX: (B4 1)72(;<'(;89 .'-, .,' < ~', --_"\.. '~ 'C to -()O/c;-c:;- .;;J 0(, b ik" fJ CJr /,]~ ;) Art:'... J! //.t!'/ fL TAX LOT: L.,I^ H/> /0 'I-~d d,O t/' /-I,,~ L.r tlr- PHONE: 7tt/7- 5201 STATE: /)1- ZIP: ~71{77 REMODEL: ADDITON: DEMOLISH: OTHER: VALUE: -, ADDRESS CONST. CONTRAcrOR # EXI'IRI~~ PHONE PLUMRlNG: MECHANICAL: ,;;"4~J~/ f/AjL() ELECFRICAL: 1/2'74 ~f3e,-/I7/lJ . MECHANICAL PERMIT PLUMBING PERMIT ITEM FEE ITEM FEE furnace Fixtures Residential Bath(s) No, Sanitary Sewer IT. Water IT. Storm Sewer IT. Exhaust Hood Vent Fan No. Wood Stove/lnset1/Fireplace Unit Mechanical Permit Subtotal nMinimum of $45.00 State Surcharge 8% Administrative Fee 10% 'Plumbins Permit Sublotal "Minimum of $45.00 State Surcharge 8% Administrative Fee 10% -Issuance Fee TOTAL MI:CHANICAL TOTAL PLUMBING 1\\Jfr \~. '. ]1 lt~/Jle,~).U!2}l.IDJh€.:~1 PblmmlbJiim~ M~S'(C'eill~~mema!l!S __ , ......_ .~ !j' .... ___.... ..._._~ !I' _..... ... ~ .~~ . . Shared Drivc(T:)/Building FonnslPemlit Worksheet ).06.doc