HomeMy WebLinkAboutPermit Mechanical 2009-1-12
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00019
ISSUED: 01112/2009
APPLIED: 01107/2009
EXPIRES: 07/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 322 D ST
ASSESSOR'S PARCEL NO.: 1703352406500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas stove
Owner:
Address:
DANIEL LAMARCHE
976 KELLY BLVD
SPRINGFIELD OR 97477
Phone Numher: 206-962-1148
I ,CONTRACTOR INFORMATION I '
Contractor Type
Mechanical
Contractor License
EMERALD SWIMMING POOLS OF ORE IN 11294
BUILDING INFORMA!ION I
Expiration.Date
10/22/2009
Phone
541-688-1090
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VA
# 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:
R-3
nJa
REQUIRED PARKING
Frontyard Setback: ' Overlay Dist: A.TrI:N"'/ Total:
S'd IS b k #S T R d fO/lo "ON'O H' d' d'
I e et ac : treet rees q: N W rill 're an .cappe ,
Side 2 Setback: Paved Drive Rqd: in Ot/ficationes adOPt~o'tbmPt!,ct: .
Rearyard Setback: ,% of Lot Coverage: 009~4~952_0~~noter. r~isY the g,.~gresYOIl to
Solar Setbacks: .~, ';!J>-. . TOil - OfO erUI onu!..
~/IfP:1f Cal{j~_. malt',.,/-. thr",.. eS~I'''' fltt}'
):&r'1fltf#~/;r ,I PUBLIC IMPROVEMENTSfIlJ6e; ;~:I~enr~;ql'!NCOPi:;'o~4R 9S2~;~rth
'. r.'!rffiIL "If'/I~",,- . 0 e (k Ote.th the rut 1.
Street Improve~jl";"! "'i/tiffJ ,~"'71-.tt.l{L IfOO.. Slt/M;;a'k .tfp"e'ln Vt;./, e te/eph es 6y
A^,,/'~~(~'N()E e,~ -;::rrr/lffftf: 1300_3 /ty No!. one .
Ston~ Sewer A ~~IJ0I)190 D c ~D rf!/iti 1li1tt~ ~ 1!iItIf~. _ DownspoutsIDra.t??'-2344) If/cation
SpecIal InstructIOn: , ~y PErf .1tS,!/"''/j):".lHIi(M/i{ 'k,':.~ .
Q1o/) ., "~'I:J."",;:' hJJ/{l~
. .' .I"~c;;oiFi(j)., 'WJ./I
""III
I DEVELOPMENT INFORMATION, I
Notes:
I Valuation Descri~tion I
pescription
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
01/12/2009 13:36 FAX
JAN-12-2008(I{)N) J2;40 Emer"ald Pool (', Patio
Rx DatelTime JAN-12-200s(MON) 12: \6
Dl/l~/a9 ,KON 12:38 PAX 5417263689
(FAX)5416884572
5417263688
CITY OF SPRlJIlGFIELll
1lJ002
P. 002/003
P.OO3
l;!JaoJ
r-
CITY OF .s~ 'Au \GFIELD .
Building/Combination P.~). ".. J;t
. PERMIT NO: C0M100!J-.OOO19
ISSUED: 0l/1212OO9
APl".LIEl): 01/071%009
~ .......ES: 07/1:U20og
, VALUE:
Status Issued
ZZ5 plftb ~ SptlaJ:fitld, OR
54l-716-3153 PIIOll"
S4l-1:Z6-<l676 F....
541-n6-37691l1!pctZiGa LlII~
Tobl V~luc of Proj..t
Fellll Paid I
Fa:l>c::i5.7:...:.:....rl
"1Z%SIaIe~
+ 5'>'. T......ology Fee
I.. ApplblleV
Wood Sto'l>i:llascrt
"""'WIt hid
S14.04
S5.8S
$1'.00
$311.00
Dale Paid
1(12109
1/12109
l112109
11ll/Il!I
lW:cipl Namber
zzQ09000bOOOOOOOG37
:O~OOOOODDOODII37
Z20ll!l1lOOOOODOOO0037
Z2Oll!lOOOOOOOOUDOll37
Tobl AmollDr Nd
513U9
, PlllIl R.. :_..~ ,
To Req1ll!St llIl inspadilln ~U tbe 14 holll' recording at 7Z6-3769. All illspectiollS requested bd'ore 7;00
a.m.. will bo made the SllUle " ,,' ~'-.IIg day, w.p...:tions reque$tl:d.lI!kr 1:00 a.lft. will be mme the fonowlag
....ork <by. ' ,
Reoui'red lnm1"tinK'~'
Rough M"'",,;a1: Pn.r to cO>1!i-
Jl'i....J M...""ical: WlI"" a1lll1*"l>allio:al "."..Ie iIIC1l1PJl1cta.
:By sipatun, 1m... """- "ll""'- tMt I u"'" .....,rail, """",iG04 th. _loa.! "PPlicatiml ""'" do bereby <O!1if, lII..t ""
haI'a.......rio.. b_.. is b'uo ""d cum:ct. Dd Illtttb..- eenlf.l' tbat au,. a.lclllllw~<'l< peri'onacd:ohalllle do..o ill ~ wldI.
III. Onlillu= af th. City or SprilI~ ..ad III. ~ ..r lbe Stare of O~O.. pcrt:a.iai.ag.to lb. worit dosaii>ed hc:tdll. :lIId
that NO OCCUPANCY wiU be aaad. ohay __ _.___ wilII.lIt pennls/liOl1 oeflle C.._lllIity Servites Di'risiaa. ~ SafelY.
I fardl.r ccnilY tlIat 0* COlltnrctors """ employoa wbo ~,. ill compJiJUln willi OM '1ll1-OlIS wlIl b. ""ell OD tbl5 project.
I fllr1h... agr.. to eas..... tIlat..u ""Rino iDspocti..... 0.... reqQooted oe tho praper ....... tblIt ""ell adar- is rimcb>blc ff"'" tll.
"=<' Ilia. 'b. "'""itc:arcl is l.....ted orttb. fumt of tho p....._.,' ADd ljI. 31'1''''''" sdofplald wiI1 ......alD OQ:dI. site at:o1l
c.~::~~ . nlll~/D3
0.....:. or Co.....etOl'S Sigllanu-e ))llt. 7
IVrf\
\'\
Pa~: "fl
\\\
225 Fifth Street
Springfield, Oregon 97477
541.:f26-3759 Phone
Job/Journal Number
COM2009-000 19
COM2009-000 19
COM2009-00019
COM2009-000 19
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
Description
1 st Appliance
Wood Stove/Insert
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
PATSY/ EMERALD
SWIMMING POOLS OF OR.
INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000037
Date: 01112/2009
1l:22:S6AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
38,00
5.85
14.04
$136.89-
Amount Paid
KR
$136.89
08406C Phone
Payment Total:
$136.89
>
.-~-'~-'~-. .'~ - -' ..' -.-.....,......,....,-., ~,~- ,"," ,'.,
tj
~
CITY OF SPRINGFIELD
DEVElOPMENTALSVC. DEPT.
2255THSTREET
SPRINGFIELD, OR 97477
(541)726-3791
Phone Order
': 10139
rchant: 71313461;8
'.112/09
IS Code:
ilA
iX~iXXXXXXX915~M
W2tode:'
IPpr tode: 0i~06t
lolal:
.}
12:13"[:
~
Invoice":
$136,'
CU5tomerCoPY
THANKVOU
J
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Page I of I
II! 2/2009 .
. \\
'I
SPRINGFIELD
eit,y ot Spri~gtield
Development Services Department'
I. .
I
Facsimile Cover F age'
Fax: (5+1) 726-3689
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Number ot-pages including this one: .3-
. It all pages indicated are not ~eceived, or it ~ou have an~
. trouble receiving this' transmission, please call (5+ 1) 726-3753.
225 Fifth 5treet, 5pringtield, OR. 97+77
01/12/09 MON 12: 40 FAX 5417263689
CITY OF SPRINGFIELD
141001
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******~**************
.** TX REPORT ...
*********************
TRANSMISSION OK
TX/RX NO
CONNECTION TEL
CONNECTION ID
ST. TIME
USAGE T
PGS, SENT,
RESULT
1088
96884572
01/12 12:37
03'30
4
OK
Cit~ of Springfield
Development Services Department
SPRINGFIELD
I
facsimile Cover F age
fax: (5+1) 726-3689
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