HomeMy WebLinkAboutPermit Mechanical 2009-9-14 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
LIl}' OF ~rK11~t.FIELD
Building/Combination Permit
PERMIT NO: COM2009-01354
ISSUED: 09/1412009
APPLIED:' 09/14/2009
EXPIRES: 03/18/2010
VALUE:
SITE ADDRESS: 3210 RALEIGHWOOD AVE
ASSESSOR'S PARCEL NO.: 1703221318300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: LPG Gas line for New Propane Stove Appliance; Moving (1) Sink.
Residential
Owner:
Address:
BURNETT GARY R & NANCY A
PO BOX 7547
EUGENE OR 97401
Contractor Type
General
I CONTRACTOR INFORMATION I
Contractor
BOOHER BUILDERS
License
9226
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
I, BUILDING INFORMATION I
TIO~: '1!,~tg!:j~s,'J.w requires youto
R3\TTEN '!\'igh!19! !!t['i'cture'egon Utility
follow rUleST):pe':'ofHeat:l rules are set forth
"CltlflcatlOn Co I '~"'" hOAR 952-001-
VB OAR 952_G'Y~t~D'l:ype:oug b
tn RangetType:Wies of the rules y
0090" You IT,_, ., "'~te: the telephone
ceJlmg thtEpJ.r!:?"Path:.. ";nt" Notiticat'nn
number_fo~~~m_K~e~~~_~~'~_'!i344), No
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Expiration Date
09/18/2010
Phone
541-942-3300
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
N OTI CE I PUBLIC IMPROVEMENTl> I.
THIS PtnlVlIl ulll-,...L "'1" "'''''' l"i~ORK,
AUTHORIZED UNDER THIS PERMIT IS Nol'ldewalk Type:
,COMMENCED OR IS ABANDONED FOR Downspouts/Drains:
ANY 180 DAY PERIOD.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Page I 01'3
Value
Date Calculated
Status
Issued
CITY VI' I'lrtuNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01354
ISSUED: 09/1412009
APPLIED: 09/1412009
EXPIRES: 03/1812010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F",,'" p~;..l .
I.., \Mal
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Cas Outlets 1-4
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumhing
Amount Paid
Date Paid
$10.32
$4.30
$79.00
$7.00
$6.96
$2.90
$19.00
$39.00
9/14/09
9/14/09
9/14/09
9/14/09
9/18/09
9/18/09
9/18/09
9/18/09
Receipt Number
1200900000000001057
1200900000000001057
1200900000000001057
1200900000000001057
3200900000000000654
3200900000000000654
3200900000000000654
3200900000000000654
Total Amount Paid
$168.48
, 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 R"?,,jr~rlln"I'f.~tions I
Rough Cas: After line is installed and required testing and capped if not attached to' an appliance.
Cas 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 Cas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Underfloor Cas: After line is installed and required testing and capped if not attached to an appliance.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Pet:mJt
Status
Issued
PERMIT NO: COM2009-01354
ISSUED: 09/14/2009
APPLIED: 09/1412009
EXPIRES: 03/1812010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do herehy,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 descrihed herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 con'struction. '
Owner or Contractors Signature
Date
P~cA/V1 Bt:(i!G- I(:ppE;P
() V-r;; {L f' fh;,vl3 ;
FlfKW CofJ 1
VIA S"t 0 /l1 &72-
-Co
~?-
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Plioiii-
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
cOM2009-01354
cOM2009-01354
cOM2009-01354
cOM2009-0 1354
Payments:
Type of Payment
creditcard
cReceintl
RECEIPT #:
3200900000000000654
Date: 09/18/2009
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
. + 12% State Surcharge
Paid By
DOUGLAS BOOHER
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
566438 In Person
Payment Total:
Page I of I
1:45:28PM
Amount Due
19,00
39,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
9/18/2009