The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2005-06-02Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00657ISSUED: 0610212005APPLIED: 0610212005 EXPIRESz 1210212005 VALUE: SITE ADDRESS: 1485 VERA DR ASSESSOR'S PARCEL NO.: 1703243200311 PROJECT DESCRIPTION: TYPE OF Install gas line with 4 outlets and water heater flue. Springfield TYPE OF WORK: Mechanical Only USE: Expiration Date 10t22t2005 Residential 746-8389 Phone 541-726-7654 Owner: Address: Contractor Type Mechanical CARLILE MARK A & CHRISTINA V 1485 VERA DR SPRINGFIELD OR 97477 Contractor AUTOMATIC ITEAT \NY 18IJ I]AY PERIOD License 149452 CONTRACTOR INFORMATION BUILDIN( # 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: ca ing Overlay USEber for the Oregon UtilitY Noti # Street Trees RQ&n ter is 1 -800'332-2344\. Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: ies of the rules bY ote: the telePhffiQUIRED PARKING fication Total: Handicapped Compact: # of Stories: Height of Structure Type of Heat: Paved Drive Rqd: Yo ofLot Coverage: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value lII IS NO tl Alteration RK PER Water Range Oregon law rules adopted bY the ThAse Valuation Description Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00657ISSUED: 0610212005APPLIEDz 0610212005 EXPIREST 1210212005 VALUE: Fee Description -Mechanical Issuance Fee- + llYo Administrative Fee + 7o/o State Surcharge Appliance Vent Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number 2200500000000000704 2200500000000000704 2200500000000000704 2200500000000000704 2200500000000000704 2200500000000000704 $10.00 $4.s0 $3.1s $6.00 $4.00 $3s.00 6t2t05 6t2t0s 6t2t0s 6tzt0s 6t2t0s 6t2t05 $62.6s Fees Paid Plan Reviews To Request an inspection call the24 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. 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. 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. -=r-zL->u -5*..1-71 Owner or Contractors Signature Paee? ofZ Date Kequtreo lnspeeuols l 6,/'2,/oi- 225 Filth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000000704 Date: 0610212005 9:13:50AM Job/Journal Number coM2005-00657 coM2005-00657 coM2005-00657 coM2005-00657 coM2005-00657 coM2005-00657 Description Appliance Vent Gas Outlets l-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0% Administrative Fee Amount Due 6.00 4.00 35.00 10.00 3.l5 4.50 Item Total:$62.6s Payments: TypeofPayment PaidBy CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash AUTOMATIC HEAT ddk In Person Payment Total: $62.6s -562"6-t : 6/2/200s Page I of I TPEU'AFIILD I