HomeMy WebLinkAboutPermit Mechanical 2008-7-14 (2)
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0J 044
ISSUED 07/14/2008
APPLIED. 07/1412008
EXPIRES: 01/2512009
VALUE' $ 50000
225 FIlth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Springfield TYPE OF WORK MechaOlcalOnly
SITE ADDRESS 810 S 69TH ST
ASSESSOR'S PARCEL NO 1802022310800
TYPE OF USE New
ReSIdentIal
PROJECT DESCRIPTION Install gas firepldce
Phone Number 541-521-1582
Owner FREEMAN MARK E & MARCIE ANNE
Address PO BOX 33
SPRINGFIELD OR 97477
# of VOltS # of Stories
Prlmdrv Occupancy Group R-3 HeIgbt of Structure
Secondary Occupancy Group Type 01 Heat
Primary ConstructIOn Type VB W~ter T ~'O
Secondary ConstructIOn Type l~~ 1t\'<I\1\'I
# of Bedrooms Otegon \a\\I~ ~lR\O{\h
_,,~,\,\O~ -'oo\eo '0'1 ~~Ib~~\l ll.,na.'ll'g
~\ ,to ..100; au "'f,,\ose ,,~~ ""~h"
\0\10"'- ce\l,v~",..r ::r~o/At
o\\\ICa\\on -OO'\.Oh\,~j,'I(~,(i)J)\"-~;'i'-a,~llrRMA TlON 1
~n Op.? ~5~ llIa'1 0'0 ~NO\e" \~ ~O\I\I~~'
0090\ln~ \\le ce(l\~;e90~~~
cal bet \01 \\le Ii ,-80 treet Trees Rqd
IIUlll cell\el Paved Drive Rqd
% of Lot Coverage
Contractor Type
General
MechaOlcal
Front yard Setback
SIde I Setback
SIde 2 Setbdck
Redl')'dl d Setback
Solar Setbacks
Street Improvements
Storm Sewer Available
Special Instruction
Notes
r CONTRACTOR INFORMATlON.1
Contractor
SRS CONSTRVCTlON INC
MARSHALLS INC
License
154459
25790
Phone
541-684-4040
541-747-7445
ExpiratIOn Date
06/1112009
12/2312009
BUILDING INFORMATION I
n/a
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Otber
Occupant Load
REQUIRED PARKING
Total
Handicapped
Compact
I PUBLIC IMPROVEMENTS 1
Sidewalk Type
'tlO?-<<' Downsponts/Drams
"01\C~~ "'~\.\. (iJ"?~ i~: \5 ~O't
1\\\5 PER~\1 ~~nER 1\\'5 " O~Etl fO?
p.,\.I1\\OR\lEtl OR ,5 p.,~p.,~tl
CO\l!l\l!lE~C\~ PER\Otl,
A~'{ 1ao 0
Page I 00
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LIDe
Descrlptwn
Estimate
TVlJe of ConstructIOn
Estimate
Fee DescriptIOn
-Mechamcal Issuance Fee-
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
FIreplace (LIsted)
Gas Outlets 1-4
Mlmmum/AdJnstment Mechamcal
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUlldmg PermIt
Total Amount PaId
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01044
ISSUED. 07/14/2008
APPLIED 07/14/2008
EXPIRES. 01/25/2009
VALUE: $ 500.00
I Valuation DescnntIon I
$ Per Sq Ft
or multIplier
$100
Square Footage
or BId Amouut
500 00
Value
Date Calculated
Total Value of ProJect
$500 00
$500 00
07/25/2008
"r"" P~1lU
Amouut PaId
Date PaId
ReceIpt Number
$20 00
$500
$600
$250
$1700
$500
$28 00
$500
$600
$250
$50 00
7/14/08
7114/08
7/14/08
7/14/08
7/14/08
7/14/08
7/14/08
7/25/08
7/25/08
7/25/08
7/25/08
3200800000000000490
3200800000000000490
3200800000000000490
3200800000000000490
3200800000000000490
3200800000000000490
3200800000000000490
1200800000000000810
1200800000000000810
1200800000000000810
1200800000000000810
$14700
I Plan RevIews I
To Request an mspectIon call the 24 hour recordmg at 726-3769 All mspectlons requested before 7.00
a m wIll be made the same working day, mspectlOns requested after 7 00 a.m. will be made the following
work day .
I I1'''''v'r"r1 In~n"rtlOn', I
Rough Gas After hne IS mstalled aud reqUired testmg and capped It not dttached to an apphance
Rough Mechamcal Pnor to Cover
Fmal Mechamcal' When all mechamcal WOI k IS complete
Frammg InspectIOn Pnor to cover and after all rough in lDspectIons have been approved
Wall IusulatlOn PrIOr to cover
Fmdl BuIldmg After all reqUIred mspectIous have been requested and approved aud the buIldmg IS complete
Pa!!e 2 of 3
By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further cerlIfy that any and dll work pertormed shall be done m accordance with
the Ordmances ofthe CIty of SprIngfield and the Laws of the State of Oregon pertdmmg to the work descrIbed hel em, dnd
that NO OCCUPANCY wIll be made of any structure wIthout permissIOn of the Commulllty ServIces DIVIsIOn, BUlldmg Safety
I further certify that only contrdctors and employees who are m comphance with ORS 701 005 Will be used on thIs project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper lime, that each dddress IS readdble from the
street, thdt the permIt card IS locdted at the front of the property, and the approved set of plans will remam on the sIte dt all
times durmg constructIOn
s;&
Status
Iss u ed
225 F,fth Street, Sprmgfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
r'
Owner or Cont~ac;;;r; ~
Pa2e 3 of3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01044
ISSUED. 07/14/2008
APPLIED 07/14/2008
EXPIRES: 01125/2009
VALUE $ 50000
~\Ar
Date
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008,O 1 044
COM2008-0 I 044
COM2008-0 I 044
COM2008,O I 044
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #
DescriptIOn
BUlldmg Perrmt
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
SRS CONSTRUCTION
ii(~~
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
1200800000000000810
Date. 07/25/2008
Item 10tal
Check Number Authorization
Received By Batch Number Number How Received
dJb
017896 In Person
Payment Total
Page I of 1
8 17 15AM
Amount Due
5000
250
600
500
$63 50
Amount PaId
$63 50
$63 50
7/25/2008