HomeMy WebLinkAboutPermit Mechanical 2008-11-6
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01633
ISSUED: 11106/2008
APPLIED: 11/06/2008
EXPIRES: 05/06/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line'
SITE ADDRESS: 4396 MAIN ST
ASSESSOR'S PARCEL NO.' 1702323100100
Springtield TYPE;OF WORK: Manufactured Home on
Private Lot
TYPE'OF USE: Move Residential
PROJECT DESCRIPTION: Sewer cap for MH Removal.
..to:- "" ";
Owner: TTT RANCH LLC
Address: PO BOX 2121
JASPER OR 97438
Owner: TTT RANCH LLc
Address: PO BOX 2121
JASPER OR 97438
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR'IS ABANDONED FOR
,ANY 180 DAY PERIOD.
I CONTRACTOR ~NFORMATlON I
Contractor Type
General
Plumbing
Contractor
RICHARD A TRICKEY INC
KEVIN COHEN,PLUMBlNG INC
License
52320
176311'/::'
Expiration Date
01107/2010
05/30/2009
Phone
541-726-3058
(541) 607-9208
BUlL~ING IN~OR:v'A TlON. :.
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy.Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
._ % of_Lot C'~ver;;ge:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROV~MENTS I
ATTENTION: Oregon law reqUires YOl~llfewalk Type:
follow rules adopted by the Oregon Ut]fity
Notification Center. Those rules are setD.tl"itllspouts/Dr'ains:
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rul,~s by
calling the center: (Note:ttle telephone
number for the Oregon Utility Notification
Center'is 1-800-332-2344).
Notes:
Page I of2
';':~,~~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01633
ISSUED: 11/06/2008
APPLIED: 11/0612008
EXPIRES: 05/06/2009
.vALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
I V aI~ation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier I,
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge.
+ 5% Technology Fee
Sanitary or Storm Sewer Cap
Amonnt Paid
Date Paid
Receipt Number
$5.20
$6.24
$2.60
$52.00
11/6/08
11/6/08
11/6/08
II /6/08
2200800000000001621
2200800000000001621
2200800000000001621
2200800000000001621
Total Amount Paid
$66.04
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All insjJectionsrequested 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 Retluiredlnsnections I
Sanitary Sewer Cap: Capped within five (5) feet of ihe property line and capped with an approved material as
required by the code.
By signature, I state and agree, that I have carefully examined the completed app'lication and do hereby certify t'hat 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 pel-taining to the work described herein, and
that NO OCCUPANCY will be made of any structure without 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 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
"'''', .... .., ,,,.., ~,' ., '~:"J 'roo; .,.., ,ro,,,.> .., .., ."ro", ., ., "". .m n.," .. .., ,... .. ,"
times during construction.
~ . ~- //-/?/- [J;{
Owner or Contractors Signap/
Dat'e
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-:'26-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department'
"j'
RECEIPT #:
2200800000000001621
Date: 11/06/2008
2:32:44PM
Job/Journal Number
COM2008-0 1633
COM2008-0 1633
COM2008-01633
cOM2008-0 1633
,
Description
Sanitary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admipistrative Fee
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc 06294c In Person
Payment Total:
Amount Due
52.00
2.60
6.24
5.20
$66.04
Payments:
Type of Payment
CreditCard
Paid By
JOE TOKATLY
Amount Paid
$66.04
$66.04
L.
cReceint I
Page 1 of 1
11/6/2008
- . - - .
225 FIITH STREET . SPRlNGHELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689
SPRINGFIELD 10l
~ A" _ ~D
n -Dn~->,",; 0'....'
1L.', '-<-"'_C'. ',.I<.:. "'~. "'), "~'"
~'~..,.,
~i'..;:::;;~:'~.:;;~ .<, ~j
"=a- ~~ ....... . . '<J
~
o LOCATION OF PROPOSED WORK:
ASSESORS MAF:
0,
. ~ OWNER:
~ ADDRESS:
. ~ CITY
~J DESCRIITION OF WORK: _/lP/AV ~
~j~EW: REMODEL: ADDITON:
~
^ CONTRACTOR'S NAME
~ GENERAL:
City Job Number' 6- It 3'3
439t H~Jd;;;d
TAX LOT:
'.
.,- r T ~1..f..
17, /J . I? A-1( 2.- I '2.. I
~4-
LLt:..
PHONE:
5/~- fl'l.Ii"i/
STATE:
~'" .
ZIP:
q7~?R
iI......V.."L.IJ :~.IA...'I
OTHER:
DEMOLISH:
VALUE:
ADDRESS
CON~'T.
CONTRACTOR #
EXPIRES
PHONE
PLUMBING:
L,t. a.A _I. -r;:;,' ./0 J/, J
K'M.~. J<~._ p.R..
. ;,
h..: -
J
MECHANICAL: .
ELECTRICAL:
JU)
~ Furnace
t) ~l Exhaust Hood
or- j Vent Fan No.
! Wood Stove/Insert/Fireplace Unit
rl
!
~l
o
~j TOTAL MECHANICAL
Nrd:marlitd.
MECHANICAL PERMIT
ITEM
FEE
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath (s)
. Sani~ry Sewer
Water
No.
IT.
IT.
Mechanical Permit Subtotal
**Minimum of $52.00
State Surcharge 12%
~Stonnse- er ",. IT. _
___~yLJ4LCH!.
"
Plumbing Permit Subtotal
**Minimum of $52.00
State Surcharge, I 2%
.5'''-.00
Administrative Fee 10%
Mechanical Issuance Fee
$21.00 One appliance
$42.00 Two or more appliances
Technology Fee %5
(p.,.."
Administrative fee 1 0%
Technology Fee '%5
5.,-0
]...&0
:1(,,6.01{
TOTAL PLUMBING
Plbumbiitrug. MiisttlhmtltOOJQSJ
Shared Drive(T:)/Buitding ForrilS/Pel1llit Workshee1 7-QS.doc