The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2009-9-14 CITY OF SPRINGFIELD I Building/Combination Permit Status Issued PERMIT NO: COM2009-01354 ISSUED: 09/14/2009 APPLIED: 09/14/2009 EXPIRES: 03/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726_3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: '3210 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221318300 Springfield TVPE OF WORK: Mechanical Only TVPE OF USE: New Public PROJECT DESCRIPTION: Gas line for stove Owner: BURNETT GARY R & NANCV A Address: PO BOX 7547 EUGENE' OR 97401 Contractor Type General I CONTRACTOR INFORMATION . Contractor License BOOHER BUILDERS 9226 BUILDING INFORMATION' Expiration Date 09/1812010 Phone 541-942-3300 # of Units: ' " Primary Occupancy Group: Secondary Occupanc)\ Group: Primary ConstructioJi Type " Secondary ConstrIlction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % or Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type: AJTENTIONDliwnspoutslDra'jn~:es YOUUttlOt . - ~ b th Oregon II Y 1011 ow rules adopted Y e et forth Notification Center. Those ru~e~t~e ;52-001- in OAR 952-001-0010 t11roug I by n090. You may obtaincOple~~f,t~,:~~::o NU !Iv\:. IIIIF. If' I Ht vvuni~ "u::'.,g me cellI"', \"V'U'.j:j- Notiiication 1HIS PERM\1 SHALL EXP Y.aluation.Descriotionn,er for' theOregon t~~~344). AU1HORIZED UNDER THIS, -,... " 'Center IS 1-800-33 AN"""""" C-"'R Cc.'F ...., "'['C- rn t"'D t'.c: AB '" ",eltSq 'l"t Square Footage 'ypelOI 'ODS .rue Ion . . . ANY 180 DAY PERIOD. or multIplier or BId Amount ~ Storm Sewer Available: Special Instruction: Notes: Description Value Date Calculated Pa~e I of 2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit. PERMIT NO: COM2009-01354 ISSUED: 09/1412009 APPLIED: 09/14/2009 EXPIRES: 03/1412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone I 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Paid I Fee Description + 12% State Surcbarge + 5% Technology Fee 1st Appliance Gas Outlets 1-4 Amount Paid Date Paid Receipt Number Total Amount Paid $10.32 $4.30 $79.00 $7.00 $100.62 9/14/09 9/14/09 9/14/09 9/14/09 1200900000000001057 1200900000000001057 1200900000000001057 1200900000000001057 I Plan Reviews .1 To Request an ins~ection 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 Renl i",'d Tnsnections . 11111. U.!lll 11 , ,.iII , Rough Gas: After line is installed and required testing and capped if not attached 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 Mechaui~al: When all mechanical work is complete. Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance. , ' By signature, I state abd agree, that I have c"refully 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 :'c;ty of Springfield and the Laws of the State of Oregon pertaining to tbe 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 tbat 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 tbe proper time, tbat each address is readable from the , street, that tbe permit'eard is located at the front of the property, and the approved set of plans will remain on tbe site at all times during construction. C7~.~~ ?////h9 Owner or co'1!tactors Signature Date r, Pa2e 2 of 2 225 Fifth Street Springfield, OregOli.?7~n 541-726-3759 Phone Job/Journal Number .;: COM2009-01354 COM2009-01354 COM2009-0 1354 COM2009"0 1354 Payments: Type or Payment Check cReceintl " RECEIPT #: Description .. fst Appliance Gas Outlets 1-4 + 5% Technology Fee + 12% State Surcharge Paid I!y BOOHER BUILDERS, INC. City of Springfield Official Receipt Development Services Department . Public Works Department 1200900000000001057 Date: 09/14/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 6513 In Person Payment Total: Page I of I 12:16:04PM Amount Due 79.00 7.00 4,30 10.32 $100.62 Amount Paid $100.62 $100.62 9/15/2009 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number:' COM2009-01354 COM2009-01354 COM2009-0 13 54 COM2009-01354 Payments: Type of Payment Check cReceint 1 if RECEIPT #: Description I'st Appliance " Gas Outlets 1-4' + 5% Technology Fee -f' 12% State Surcharge Paid By BO,?!jER BUILDERS, INC. <. City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001057 Date: 09/14/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 6513 In Person Payment Total: Page I of I 1:50:09PM Amount Due 79.00 7.00 4.30 10.32 $100.62 Amount Paid $100.62 . $100.62 9114/2009