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Home My WebLink AboutPermit Mechanical 2005-9-26 \1 . Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01307 ISSUED: 09/26/2005 APPLIED: 09/26/2005 EXPIRES: 03/26/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 70S MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233412300 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Gas stove installation and water heater. Owner: SHARON THOMAS TRUST Address: 70S MANSFIELD ST SPRINGFIELD OR 97477 I. CONTMCTOR INFORMATION I ~~' Contractor ~Y.- -.$. ~~'\ ROLFS :,(~\\ '}i' ",' y'-~,{ "\.BlilllDiNG INFORMATION I i?-\..\.. '\~ ~'V!J # of Units: ~. ~ S~ 'i::>X-.'Y;- >r<Q"?' # of Stories: ~ \SLot Size: Primary Occupan~y,'Gr~~{'~~ ~ \0~ R- ,S 'i::>' Height of Structure e<O ,\0 .vx1>q ~pst Floor: Secondary OCCURa"c): Grou';~ <.0 I;:) <.~I;:) Type of Heat: "..::,\~ 00 Sq;Ft,2nd Floor: . \''''''(~ :(..V ",," e'" ~ e' .'\' Primary Construction"i'~pe ~,c.; ~, Water Type: ,!l ~ O~e'" ~e <;; Sq.Ft Basement: . ,.,., .<;''\~ <o,~ \'0' e '0' c'" . '" Secondary Construc\ion ~.yil€:~ v Range Type: 0'" >is' J-e<O 'r'0S,~Ft'q.!.'rage/Carport # of Bedrooms: ~~~~ ,'ti Energy Path: ()~eC$ 0-0'\ <oe ~ ~ 0 ~Sq ~~:OW,r: ~~ Sprinkled ~i1ding:>,e ,\,<:,-0 ~(rili <00' ,Oc~uJlant Load: ,-<.\: ,^U ...(. .....\'<0 ^,e .~C'. '. I DEVELOPl\-I-":;n'~I~F()RMATioN"'i"'?"'" ;.><-,. ,0"'-:-~\c,1>"'~,:>'/:v 1>'\ V' ,~~' '. :' - _.J~'" REQUIRED PARKING ,,"0 <,,'" ~ ",,<<- 'J'~ .J Overlay p,lst:--to~. ~ G . :; \,,,0 # Street''Trees Rqdf ". \ ," ("')- ,',., r \'-- oJ Paved Drive~Rqd,:>.' C/"" % of Lot Cov,eiage: Contractor Type Mechanical License Expiration Date Phone 741-0002 , ~ Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsmrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft .or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 \! . . CITY OF SPRIl'\jhl'1J!.LlJ Building/Combination Permit PERMIT NO: COM2005-01307 ISSUED: 09/26/2005 APPLIED: 09/26/2005 EXPIRES: 03/26/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~~~ Pairl I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.1S $9.00 $4.00 $32.00 9/26/0S 9/26/05 9/26/05 9/26/05 9/26/05 9/26/05 Receipt Number 2200S0000000000133S 2200500000000001335 2200S00000000001335 2200500000000001335 2200500000000001335 2200500000000001335 Total Amount Paid $62,65 I Plan Reviews , To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. U~(lUir~rl In~n~"tion\J Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete, By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon is true and correct, and 1 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 descrihed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 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 street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 1<4-~." ~~, 7~ Owner ffontra~.s Si~Jre ,.c;,eVJ./. 2(., ?J)CJ S- . f Date PaEe 2 of2 225 Fifth Street Springfield, Oregon 97477 , \~ 541-726-3759 Phone . .~ ~I Job/Journal Number COM2005-01307 COM2005-01307 COM2005-01307 COM2005-01307 COM2005.0 1307 COM2005-0 1307 Payments: Type of Payment Check ':t ;, ;, :L ;, :\ L " " 9/26/2005 RECEIPT #: 2200500000000001335 Description Gas Outlets 1-4 Appliance Not Listed Minimum/Adjustment Mechanical -Mechanical Issuance Fe..... + 7% State Surcharge + 10% Administrative Fee Paid By Received By ROLF'S HEATING COMPANY jmp Page I of I City of Springfield Official Receipt .elopment Services Department Public Works Department Date: 09/26/2005 Item Total: Check Number Authorization Batch Number Number How Received 7359 In Person Payment Total: 1:13:40PM Amount Due 4.00 9.00 32.00 10,00 3.15 4.50 $62.65 Amounl Paid $62,65 $62.6S