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HomeMy WebLinkAboutPermit Mechanical 2008-7-7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-0099I ISSUED 07/07/2008 APPLIED: 07/07/2008 EXPIRES. 01/07/2009 VALUE: ~~ Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 356 WOODLANE DR ASSESSOR'S PARCEL NO 1703262103503 SprIngfield TYPE OF WORK MechaDlcalOnly PROJECT DESCRIPTION New pIpe for gas hue TYPE OF USE RepaIr ResIdentIal Owuer PEDRO FUENTES Address 356 WOODLANE DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type MechaDlcal Contractor OWNER LIcense BUILDING INFORMATION I # of UDltS # of StorIes PrImary Occupaucy Group R-3 HeIght of Structure Secondary Occupancy Group Type 01 Heat PrImary ConstructIOn Type VB Water Type Secondary CoustructlOn Type ATTENrlON' 0 Ran~e Type. # 01 Bedrooms folloW rules ad re!ilm"~/re~ NotIficatIon C oPI~Il.Nd Rtuld ou to nla {npAD ~~~ .. enter. --r:~no" ....:"''''9 VI/It/.'{ 0090. YO~~P~ION , calling the c& !!IJ.'d~rrne, nUmber for then~r. (Nole theJele;~ es by C re@llJIt!~Md~j~ one enter Ia I-fWS~@I2_!!jffJ/fiiqa.tlon Paved DrIve It'qd, % of Lot Coverage Froutyard Setback SIde I Setback SIde 2 Setback Rearyard Setback Solar Setbacks I PUBLIC IMPROVEMENTS' Street Improvements Storm Sewer AvaIlable SpecIal InstructIon Phone Number 541-726-6304 ExpIratIOn Date Phone Lot SIZe Sq Ft 1st Floor Sq Ft 2ud Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load REQUIRED PARKING Total HandIcapped Compact SIdewalk Type DowuspoutslDrams NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ~~~~'~Yo~'~~~I~n~r: rrF. Notes DeSCrIptIOn $ Per Sq Ft or multIpher Square Footage or BId Amount Tvpe of ConstructIOn Paee I of2 Value Date Calculated CITY OF ~t'Kll~l.-J'lJ<.L1J Status Issued Building/Combination Permit PERMIT NO: COM2008-00991 ISSUED 07/0712008 APPLIED. 07/07/2008 EXPIRES: 0110712009 VALUE: 225 Fifth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectlOu Lme Total Value 01 Project Fees PaId ,I Fee DescrIptlOu -Mechamcal Issuance Fee- + 10% Admm.stratIve Fee + 12% State Surcharge + 5% Technology Fee Gas Outlets 1-4 MIDlmum/AdJuslment Mechamcdl Amount PaId Date PaId Receipt Number $20 00 $500 $600 $250 $500 $45 00 717108 717108 717108 717108 717108 717108 2200800000000001024 2200800000000001024 2200800000000001024 2200800000000001024 2200800000000001024 2200800000000001024 Total Amouut PaId $83 50 I Plan RevIews ~ To Request an inspectIOn call the 24 hour recordIng at 726-3769 All inspectIOns 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 I Reomred T nsnections 1 Rough Gas After hue IS mstalled aud reqUIred testmg and capped If not attached to an apphauce Fmal Gas When all gas work IS complete By sIgnature, I state and agree, that I have carefully eummed the completed apphcatlOn and do hereby certIfy that all mtormatIOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance With the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregou pertammg to the work desCrIbed herem, and that NO OCCUPANCY wIll be made of any structure Without permIssIOn of the CommuDlty ServIces DIVIsIOn, Bulldmg Safety I lurther certIfy thdt only contrdctors dnd employees who dre 10 comphance WIth ORS 701005 wIll be used on thiS project I further agree to ensure that all reqUIred mspectlOns 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, aud the approved set of plans wIll remam ou the site at all times dUI 109 constructIOn Of' JJ\ (J I.LO (2 ~iW1k //7/c? P Owner or Contractors Signature Date Paee 2 of2 22!i FIfth Street SprIngfield, Oregon 97477 541-726-3759 Phone ~~ a"~5" ~ I CIty of SprIngfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-0099! COM2008-00991 COM2008-0099I COM2008-0099I COM2008-0099I COM2008-00991 Payments Type of Payment Check LReLemtl RECEIPT #: 2200800000000001024 Date. 07/07/2008 DeSCrIptIOn Gas Outlets 1-4 Minimum/AdJustment Mechanical ~Mechanlcallssuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By PEDRO FUENTES Item Total Check Number Authorization Received By Batch Number Number How Received dJb 2884 In Person Payment Total Page I of] 8 27 56AM Amount Due 500 4500 2000 250 600 500 $83 50 Amount Paid $83 50 $83 50 71712008