HomeMy WebLinkAboutPermit Mechanical 2008-9-5
Status
Issued
225 Fifth Street, Springficld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-01342
ISSUED: 09/0512008
APPLIED: 09/05/2008
EXPIRES: 03/05/2009
VALUE:
SITE ADDRESS: 6827 D ST
ASSESSOR'S PARCEL NO.: 1702352310400
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas fireplace
Owner: MARTINA CYKLER
Address: 6827 D,ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
Contractor
OWNER
# of U uits:
Primary Occupancy Group:
Sccondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Sctback:
Side 2 Setback:
Rearyard Setback:
Solar Sctbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Constrnction
Phone Number: 541-726-8150
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
BUILDING INFORMATION I
R-3
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Arr~lt: Sq Ft 2nd Floor:
fOI1~l\Wll'll3 J~gon law r&cJufres Sq Ft Basement:
NOllflcBliImC i?iP.tI?ted by the Ore )'Ou to Sq Ft Garage/Carport
InOAR~f.wr. Thoserulesa~~n UUlItySq Ft Other:
0090.. ~~'b'>>faR_ugh OAR!//tfortltoccupant Load:
Call,"", 'L _ aTn pn~. 5:?.o(lf_
r1If~h~~'~'1~~~/esby
[,\1.U~r 18 dOd.i:I~ fJo;::'
Overlay Dist: 2344).
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
VB
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEME~TS I
Sidewalk Typc:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHAll EXPIRE If THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
?f.:.1MFI\lf.fA At'S ABANB8flEB rsr.
I Valuati_~gi911~i 100.
, , ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
Date Calculated
Pa!!e lof2
Sta tus
Issued
CITY OF SPRIN(.l'IE~D
Building/Combination Permit
PERMIT NO: cOM2008-01342
ISSUED: 09/05/2008
APPLIED: 09/05/2008
EXPIRES: 03/0512009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
l
Total Value of Project
Fees Paid ,I
Fee Description
-Mechanical Issuance Fee-
+ fO% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fireplace (Listed)
LP Gas Tank & Piping
Minimum/Adjustment Mechanical
Amonnt Paid
Date Paid
$2 \.00
$5.20
$6.24
$2.60 '
$18.00
$15.00
$19.00
9/5/08
9/5/08
9/5108
9/5/08
9/5/08
9/5/08
9/5/08
Receipt Number
2200800000000001344
2200800000000001344
2200800000000001344
2200800000000001344
2200800000000001344
2200800000000001344
2200800000000001344
Total Amount Paid
$87.04
r 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.
,~~f}~,~,i!~d, I ~sJl~Cfil!~,s 1
Rough Mechanical: Prior to Cover
Final Mechanical: Whcn all mechanical work is complete.
, ,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi(y that all
information hereon is tj'ue 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 ~ommunity Services Division, Building Safety.
I further certify that only contraciors and employees who are in compliance with,ORS 70\.005 will be used on this project.
I further agree to ensure that all required inspections arc reqnested at the proper time, that each address is readable from the
street, that the permit card f'S located. t the front of the property, and the approv~d set of plans ,will remain on the site at all
times during construction.. ' . . .
'~
"--rh;;-t1,,/;/.' /. ,~;0d/
O~nh o-r Co'~;r~cto;'..s'fgnaturt" , Date
Pa!!e 2 of 2
225 Fifth S~reet
Springfi'eld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Departmeut
Job/Journal Number
COM2008-0 1342
COM2008-0 1342
COM2008-Q 1342
COM2008-0 1342
COM2008-0 1342
COM2008-01342
COM2008-0 1342
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200800000000001:144
Date: 09/05/2008
Oestription
LP Gas Tank & Piping
Fireplace (Listed)
Minimum/Adjustment Mechanical
~Mechanicallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
MARTINA CYKLER
'Item Total:
Check Number :^uthorization
Received By Batch Number Number How Received
djb
2602
.In Person
Payment Total:
Page 1 of 1
10:06:19AM
Amount Due
15,00
18,00
19,00
21.00
2,60
6,24
5,20
$87.04
Amount Paid
$87,04
$87.04
'J
9/512008