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Home My WebLink AboutPermit Mechanical 2005-02-28Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-00239 ISSUED: APPLIED: EXPIRES: VALUE: 02t28t2005 02t28t200s 08128t200s SITE ADDRESS: 1756 IOTH ST ASSESSORTS PARCEL NO.: 1703264205200 PROJECT DESCRIPTION: Install gas service Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential Owner: Address: Contractor Tvpe Mechanical LOIS KINGSFORD 5967 FIRESTONE DR EUGENE OR 97402 Phone Number: 541-984-5410 Contractor LARRY ALLEN CHRISTENSEN License 1s8691 Expiration Date 02n3t2006 Phone 541-912-1746 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: TICE: Size: lst Floor: 2nd Floor: Basement: Garage/Carport Ft Other: Load: REQUIRED PARJ(NG Total: Handicapped: Compact: R-3 YN Sidewalk Type: AilY 180 tiAY i-rl-iiuli. Downspouts/Drains: COMMENCED OR IS $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type of Construction Pase I of2 Value Date Calculated f ffi It U rl-l-rll\ tr 11\ r Uri(lYr4 r rUNJ Valuation Description ] Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00239ISSUED: 0212812005APPLIEDz 0212812005EXPIRES: 08/2812005 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o State Surcharge Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.r5 $4.00 $41.00 $62.6s Total Value of Project Date Paid 2t28t05 2t28t05 2t28t0s 2t28t05 2t28t0s Receipt Number 1200500000000000260 1200s00000000000260 1200s00000000000260 1200s00000000000260 1200s00000000000260 tr'ees Paid Plan Reviews 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. 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. 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 ofthe property, and the approved set of plans will remain on the site at all Owner or Signature Pase2 ofZ Date -o-f Keourreo lnsDectrons times during 225 !'ifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt r,elopment Services Department Public Works Department RECEIPT #: 1200500000000000260 Date: 0212812005 8:58:08AM Job/Journal Number coM2005-00239 coM2005-00239 coM200s-00239 coM200s-00239 coM2005-00239 Description + 7Yo State Surcharge + l0% Administrative Fee Gas Outlets 1-4 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 4.00 41.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check LARRY CHRISTENSON djb 374 In Person Payment Total: $62.6s -$ffir 2128/2005 Page I of I