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Home My WebLink AboutPermit Mechanical 2009-5-8 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00635 ISSUED: 05/08/2009 APPLIED: 05/08/2009 EXPIRES: 1110812009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1643 S 60TH ST ASSESSOR'S PARCEL NO.: 1802033101600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Total: Handicapped: . Comnact: , '-l'lQ~'f- ~ ~\\'t. ~Q~ _ . t:lf"?''t. ~ ~P)"\' ,S I PUBLIC IM~HQ'I'1!J)f.ENr.\lI,\\!>-\..'-.., \\\\s \'t.~t.~ t\)'" .' ~'\:.I'" ,\~\)t:<' _ .~~\) ,\\\'2> r O\:/..'t.\) \J SHl~i'lltk"rype: ,\\OP \)0\\ I;:) r>,'0 \J\\J\t.~c.t: \'tl?~sPouts/Drains:' c.O '\ 8\) Dr>,'l r>,~'l PROJECT DESCRIPTION: Install gas fireplace Owner: STEVEN ERICKSON Address: 1643 S 60TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License EMERALD SWIMMING POOLS OF O,~~\II'l ,11294 ."\u- . . 'Hl\~' I BUll,PlNG-INE()RM;\;;r'I?N' . 01e9v' 'o'l \\\~ ,;eS '0.\" "r:,?--OIJ' ~\\O\'\' OOQ\e~~b'Storie'0p..t\ 9 \l\8S '0'1 ,f>."\'i~\es ;81'\81. eill/11\lft\Sttu'.TI~~eI\01\8 \0\\0\$,'0.\\01' J:,O\-OO tJ:~e;o~i'!\~r:" \e\~~\c'O.\\OI\ ~06~f1)r:,?- 11''0.'1 O'o~.a~r#'~~;\'l ~Ot$. , \1' ,,'IOU r81\\~ana"\TYIPel_?-?>t\ 009v,. \\\8 v e ,Iv" "C\<.::l~- c'O.\\\1\9 \01 \\\ n,rgy'1'ath: ' \luII''o81 c,e\l\81 ~rinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Sh:eet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriution I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page I of 2 Residential Phone Number: 541-953-5398 Expiration Date 10/22/2009 Phone 541-688-1090 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ,REQUIRED PARKING Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00635 ISSUED: 05/08/2009 APPLIED: 05/0812009 EXPIRES: 1110812009 VALUE: . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Pairll $10.32 $4.30 $79.00 $7.00 5/8/09 5/8/09 5/8/09 5/8/09 Receipt Number 1200900000000000363 1200900000000000363 1200900000000000363 1200900000000000363 I Fee Description + 12% State Surcharge + 5% Technology Fee I st Appliance Gas OnUets 1-4 Amount Paid Date Paid Total Amount Paid $100.62 I Plan Reviews I 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. I Relluirerllnsnections I Rough Gas: After line is installed and required testing and capped if not allached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that 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 pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who arc in compliance with ORS 701.005 wil(be used on this project. I further agree to ellsu-r;e that all required inspections are requested at the proper time, that each address is readable from the s~reet, tha.' the Jlen;;~-~ is~ted at the front of the property, and the approved set'ofplans will remain on the site at all limes dUrin 'Constr-u'f-( Ow."., ~~:~,L"."." . D",~h/ d1 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Jou...nal Number COM2009-00635 COM2009-00635 COM2009-00635 COM2009-00635 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description I st Appliance Gas Outlets 1-4 + 5% Technology Fee + 12% State Surcharge Paid By STEVEN ERICKSON City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000363 Date: 05/0812009 Item Total: t:heck Number Authorization Received By Batch Number Number How Received djb 03077c In Person Payment Total: Page I of I 9:21:27AM Amount Due 79,00 7,00 4,30 10,32 $IOU,62 Amount Paid $100,62 $100,62 5/8/2009