HomeMy WebLinkAboutPermit Mechanical 2008-10-1
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01488
ISSUED': 10/0112008
APPLIED: 10/0112008
EXPIRES:, 04/0112009
VALUE: $ 6,500,00
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6898 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702352204800:;
'..
Springlield TYPE OF WORK: Single Family Residence
, .
,<,.,. ....~.:.:...~ TYPE OF USE:
PROJECT DESCRIPTION: Ga,~,~f.ii'1':replace and tankless water heater
;,,',,","""'1:"11
KLAPPERICH KIM L'& J~~{~;~~!~~~.~rm:lfl:~~
6898 THURSTON RD ,..",',. "I "'. :" ',!~~8[;i}Jvi!T11&:NOJr
SPRINGFIELD OR 97478. ';s, , :\:~ ',' ~.,;:,:.i\rl{~E;:N~!~~::H)R \
Owner:
Address:
I CONTRACTOR INFORMA T~ON I
Contractor Type
Mechanical
Plumbing
License
121469
83311
Contractor
AMBASSADOR PIPING INC
BARNES HIGH TECH PLUMBING INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
ATTENT4QNsidfooon law requIres you.t.o
$if ~' hv the Oregon Utility
foll?W r, Ilil 1fCtu"t~ les are set forth
NotlficatlQIY Cf ose ru
i OAR 9!W, Q~ through OAR 952-001-
~090, YCltt:lR 't 1l ~in copies of the rules by
II'; . (Note: the telephone
ca ~~l ~. e 'CI ~gPJl Utility Notification
nurn R e?fe ,1$'O'-~2-2344). nla
I DEVELOPMENT INFORMATION I
R-3
VB
Front yard 'Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist;' , "
# Street Trees Rqd:
Paved Drive Rqd:
% of LotCoverage:
I PUB~IC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
New
Residential
Expiration Date
03/2712009
02/17/2010
Phone
541- 726-5723
541-726-9854
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
,
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page I of 3
CITY OF :"lrKlJ"IGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-0I488
ISSUED: 1 oJo I/2008
APPLIED: 10/0I/2008
EXPIRES: 04/0I/2009
VALUE: $ 6,500,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V al~ation Description'l
D.escriotion
Tvpe of Construction
$ Per Sq Ft
, or multiplier
Square Footage
, or Bid Amount
Value
Date Calculated
Total Value of Project
F",,<, PiWIJ
Fee Description
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Vent
Fireplace (Listed)
Gas Outlets 1-4
Not Covered Mechanical
Amonnt Paid
Date Paid
Receipt Number
$42.00
$8.40
$10.08
. $4,20
. $8,00
'$18.00
$6.00
$52,00
10/1/08
10/1/08
10/1/08
10/1/08
10/1108.
10/1/08
10/l/08
10/1/08
1200800000000001018
1200800000000001018
1200800000000001018
1200800000000001018
1200800000000001018
1200800000000001018
1200800000000001018
1200800000000001018 '
Total Amount Paid
$148.68
I Plan. Reviews I
To Request an inspection call the 2,. 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, R"ol'li,..rr~Tn~"ections I
Rough Gas: After line is installed and required testing and capped if not attacbed to an appliance.
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 Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete,
Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01488
ISSUED: 10/0112008
APPLIED: 1010112008
EXPIRES: 0410112009
VALUE: $ 6,500,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax,
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined tbe completed application and do hereby certify that all
information hereon is true and correct, and I furtber certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont 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 fnrther '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 tbefront of tbe property, and the approved set of plans will remain on the site at aU
;QJr(~:i2t-. nr J \ D~
L) ),
Owner or Contractors Signature " Date
,
Pal!e 3 of3
Fees Associated With \ 0/\/2008
Case #: COM2008-01488 9: II :55AM
6898 THURSTON RD
541-726-3753 Phone KLAPPERICH KIM L & JAY B SR
541-726-3676 Fax
Trans. Revenue Date Calculated Original Amount
Description Code Account Number Calculated By Amount Due
Appliance Vent \006 224-00000-425604 \ 0/\ /2008 CJC 8,00 8,00
Gas Outlets 1-4 1006 224-00000-425604 10/\/2008 CJC 6,00 6,00
Fireplace'(Listed) 1006 224-00000-425604 10/1/2008 CJC 18,00 18,00
Not Covered Mechanical 1006 224-00000-425604 10/\ 12008 CJC 52,00 52,00
-Mech Iss 2+ AppIiances- 1087 224-00000-425604 10/1/2008 CJC 42,00 42,00
+ 5% Technology Fee 2099 100-00000-425605 10/1/2008 CJC 4,20 4.20
+ 12% State Surcharge 1099 821-00000-215004 10/1/2008 CJC 10,08 10,08
+ 10% Administrative Fee 1098 224-00000-426605 10/\/2008 CJC 8.40 8.40
Total Due: $148,68
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