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Home My WebLink AboutPermit Mechanical 2009-9-15 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectiou Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01363 ISSUED: 09/15/2009 APPLIED: 09/15/2009 EXPIRES: 03/15/2010 VALUE: Springfield TYPE OF WORK: Mechauical Ouly SITE ADDRESS: 825 DIAMOND ST ASSESSOR'S PARCEL NO.: 1703342401410 Resideutial PROJECT DESCRIPTION: Gas Iiue aud gas iusert TYPE OF USE: New Phoue Number: 541-484-2016 Owuer: FRY JOHN P Address: 825 DIAMOND ST SPRINGFIELD OR 97477 Contractor License AMERICAN GAS APPLIANCE SERVICE IN 77621 I BUlUlING INFORM~ TION, ATTENTION: uregon '"'' I ~LjU" ~o J --. '.- d . ' 'J.." 'he Oregon Utility follow rules a ,# .0~'~~O~I"S:~, 0100 or set forth NB:c3.callon CenHelghl1ol'Structuree 952 001 in OAR 952-001 Type'JJN:i1h\'i!:11 OAK - - OL\m. You may wJ1ruf1ffPJ~s of the rules by . th e"o,' (""'P.: the telephone calling e C Rauge Typ.e:'I't Notification number for thr.'E()r~nop' '. (li'l! I Y .~e.r.llYcJo~t ;2,2344). centerSpriu!tleil'lluildiug: u/a Contractor Type Mechanical # of U uils: Primary Occupancy Group: Secoudary Occupancy Group: Primary Coustruction Type Secondary Coustruction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvemeuts: Storm Sewer A vaHable: Speciallustructiou: Notes: Description Tvpe of Coustructiou 1 CONTR;\CTOR INFORMATI()N I , Expiration Date 10/31/2010 Phone 541-954-4686 Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I, DEVELOPMENT INFOR~ATlON I REQUIRED PARKING Total: Handicapped: Compact: overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lol Coverage:. 1 ffff1\CdMPROVEMENTS I If THE WOt\\( THIS PERM\T SHJI.~~ ~~~~ER~ff,\,&INQ'Ype: Jl.UTHORIZED UNRD\S Jl.BJl.NDONWw/i'JiloutslDraius: COMMENCED 0 ' ANY 180 DAY PERIOD. . I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Dale Calculated Pa2e 1 of2 r~~~~9~~$'~~}'lr"ii~>~'~"'< :n:, ~ ;r~,: <,.. " ~.~'-' '.1; l~ . I .~ 0' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I363 ISSUED: 09/15/2009 APPLIED: 09/15/2009 EXPIRES: 03/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Iuspectiou Line Total Value of Projecl Fees Paid I 11,111 Fee Descriptiou + 12% Slate Surcharge + 5% Techuology Fee 1st Appliauce Gas Ou !lets 1-4 Amouut Paid Date Paid Receipt Number $10.32 $4.30 $79.00 $7.00 9/15/09 9/15/09 9/15/09 9/15/09 1200900000000001064 1200900000000001064 1200900000000001064 1200900000000001064 Tolal 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, ,R~,ou~r~1Ins'Pecti~~:s I Rough Gas: After liue is iustalled aud required testiug and capped if nol a!lached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state aud agree, that I have carefully examined tbe completed applicatiou aud do hereby certify tbat all informatiou hereou is true aud correcl, aud I further certify that auy aud all work performed shall be doue iu accordauce wilh the Ordiuauces of Ihe City of Springfield and the Laws of the Slate of Oregou pertaining to the work described herein, aud that NO OCCUPANCY will be made of auy structure withoul permissiou of the Commuuity Services Divisiou, Buildiug Safety. I furtber certify tbat ouly coutractors aud employees who are iu compliance with ORS 701.005 will be used ou this project I furtber agree to ensure that all required iuspeclious are requesled at tbe proper lime, that each address is readable from the slreet, that the permit card is located at the front of the property, and Ihe approved sel of plaus will remain on Ihe site at all ,m":;;l;ju P-rS op Owner or Coutractors Signalure Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number . COM2009-0 1363 C0M2009-01363 COM2009-01363 COM2009-0 1363 Paymeuts: . Type of Payment Check '- cReceintl RECEIPT #: Description . 1st Appliance Gas Outlets 1-4 + 5% Technology Fee + 12% State Surcharge Paid By AMERICAN GAS AND APPLIANCE ...'p~N..,...~."~..',:!fi.:'..:..".!... -j! i aIL...;......" ", -- : ,:1 ~- - . City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001064 Date: 09/15/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 6357 In Person Payment Total: Page I of I 2:41:12PM Amount Due 79.00 7.00 4.30 10.32 $100.62 Amount Paid $100.62 $100.62 9/15/2009