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Home My WebLink AboutPermit Mechanical 2006-05-17Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00584ISSUED: 0511712006 APPLIEDz 0511712006 EXPIRES: llll712006 VALUE: SITE ADDRESS: 1833 12TH ST ASSESSOR'S PARCEL NO.: 1703264115000 PROJECT DESCRIPTION: Install gas line Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential Owner: Address: Phone Number: 541-ANTHONY CARTWRIGHT 1833 I2TH ST SPRINGFIELD OR 97477 DateContractor Type Mechanical Contractor J COO INC License 169209 EXP \I\\1 SH 1H UNDIB Phone 541-746-7065v gon Utility Notificatton # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Lot nla Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ALL Sidewalk Type: Downspouts/Drains REQUIRED PARKING Total: VPER\OD hNY 1BU u $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT I Description Type of Construction Page I of 2 Value Date Calculated t a )gon utrlrty are set forth Paved Drive oh of H\S Valuation Description I \t t0R F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00584ISSUED: 0511712006 APPLIEDz 0511712006 EXPIRES: llll712006 VALUE: Fee Description -Mechanical Issuance Fee- + lOoh Administrative Fee + 87o State Surcharge Gas Outlets l-4 Minimum/Adjustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.60 $4.00 $41.00 $63.10 Total Value of Project Date Paid sn7t06 sn7t06 5n7/06 5n7t06 5n7106 Receipt Number 1200600000000000671 r200600000000000671 r200600000000000671 1200600000000000671 1200600000000000671 Plan Reviews IruilEDfl 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. 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 Safefy 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 card is located at the front of the property, and the approved set of plans will remain on the site at all times during 5 t1 -0e Owner or re Paee 2 of 2 Date J Keourreo lnsDecuo 225 Fifth Street Springfield, regon97477 541-726-3759 Phone Cir-, of Springfield Official Receipt L _ elopment Services DePartment Public Works DePartment RECEIPT #: 1200600000000000671 Date: 0511712006 2:28222PM Job/Journal Number coM2006-00584 coM2006-00584 coM2006-00584 coM2006-00584 coM2006-00584 Description + 8% State Surcharge + l0o Administrative Fee Gas Outlets l-4 -Mechanical Issuance Fee- Minimum/Adjustment Mechanical Item Total:$63.10 Amount Due 3.60 4.50 4.00 10.00 41.00 Payments: Type of Payment Paid By Received By Check Number A Batch Number Number How Received Amount Paid CreditCard CRAIG TILLER djb 558140 In Person $63.10 Payment Total: -56fiT- cReceiot I Page I of I slt712006