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HomeMy WebLinkAboutPermit Mechanical 2009-10-19 Status Issued CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2009-01531 ISSUED: 10/19/2009 APPLIED: 10/1912009 EXPIRES: 04/19/2010 VALUE: 225 Fifth Street, ~pringfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 920 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272100500 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Move Residential PROJECT DESCRIPTION: Gas Insert Owner: Addr~ss: BECKER NEVA PATRICIA 920 DARLENE AVE SPRINGFIELD OR 97477 Phone Number: 541-342-2560 ! CONTRACTOR INFORMATION' Contractor Type. Mechanical Contractor License EMERALD SWIMMING POOLS OF ORE IN 11294 BUILDING INFORMATION I Expiration Date 10/22/2009 Phone 541-688-1090 ' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMP~OVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: ^TTERl'm~~iiiw requires you.~G Special Instruction: follow rules adopted by the Oregon Utility N nTH~ E' Notification Center. Those rules are set forth Notes': . IF THE WORK In OAR 952-001-0010 through OAR 952-001. THIS PERMIT SHALL EXP~R~ ;,., ""T . nORo, Vou mayoblalncoples of the rules by AU I HUKILtU UI~ucn I rll" , EJ.I.1\, Y.: ..~. cahlng tne center. \'~U'''..,,,,, '''''':'''''~':~ COMMENCED OR IS ABANDONED FOR I Valuation Descri~tion I number for the. Oregon Utility Notification ANY 180 DAY PERIOD. . . , Center IS 1-800-332,2344). $ Per Sq Ft Square Footage or multiplier or Bid Amount Description Tvpe of Construction Value Date Calculated Paee I of 2 -~~~~~~~~,~;;.,;~,:!~I.I!'i~~;L, ' i!\[' '". , ~i; CITYOF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-01531 ISSUED: 10/19/2009 APPLIED: \0/19/2009 EXPIRES: 04/19/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees, ~aid ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Gas Outlets 1-4 Amount Paid Date Paid Receipt Number $10,32 $4,30 $79.00 $7,00 10/19109 10/19/09 10/19/09 10/19/09 I. 2200900000000001197 2200900000000001197 2200900000000001197 2200900000000001197 Total Amount Paid $100.62 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. .AlI 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 ,~e()~,~ired l~,sne~ti?ns I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover 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'imd 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 Servi~es Division, Building Safety. I 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<\i)t1\ f~t6~LlJ IO/I?//{Yl . , . Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Nurn~er COM2009-01531 COM2009,O 1531 COM2009,O 1531 COM2009-01531 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Desc~iption Gas Outlets 1-4 1 st Appliance + 12% State Surcharge + 5% Technology Fee Paid By NEVA p, BECKER "'J;.Q..~~..,aLD. 'iiI-'...."ioiiI."~~:~,I' '.... ,t- .. l1li:...', . " ,\ ' ',. ,---- ..;,' ',- ,,, ",....... ........ - .- City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001197 Date: 10/19i2009 1:49:53PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 7,00 79,00 1032 4,30 $100.62 Amount Paid nJm 0099370 In Person Payment Total: $100,62, $100.62 Page 1 of 1 10119/2009