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HomeMy WebLinkAboutPermit Mechanical 2004-10-14 . . CITY tJ1< ;srKll~GFIELD 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ Building/Combination Permit PERMIT NO: COM2004-01274 ISSUED: 10/14/2004 APPLIED: 10/14/2004 EXPIRES: 04/14/2005 VALUE: Status Issued SITE ADDRESS: . 1448 MAIN ST APT I ASSESSOR'S PARCEL NO.: 1703363202900 Springfieid TYPE OF WORK: Mechanical Only TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: gas line replacement 0\0 'le<; 'l~ \\~\\'l ...\\\ .,..\.J ..'1.'(\ >II \V . e~v \ ,- OLSON WESLEY J ~ \'a= e 01 Ie <;e JJ'v'- 501 N 1ST ST CREs~~~.~12d~~~ l0~<;;I>-\\ :~~\e<; ~'l G~ ~~ ~'Ov~" \" Y\V' ~"" ~~ ~ot. \.V\t _e 0 \0.0\' .,.,...(\ t' ~o'fl \~ ~ (j0~1 r€pNTAAl::TOR INEORMA'noN , \O~ _o..~o <\f;j'~",. O'V. ",- .~\V" 6'1:" 0'0 ~ \~\", ~)' COJlt~. ~~ u ~I>'l ~,f'.\e\' ~f~ \J n,'l;'l-'?J~ License REA !W~<r~I}}~~~:... NING & R SE92524 ~\\,.., \0';' .~, e:l> -<1.'00\ L.R~ILu",,, ",.ORMATION I !o)''" Iw ~ . # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 02118/2005 Phone 541-744-7991 Owner: Address: Contractor Type Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION , ~~~:"~ <- \~ '\ . gmRED PARKING 'X\~" ~ n Overlay Dist: ~\.. '\:.~ S "?'\:.'?\ . till" # Street Trees Rqd:C:. ;\ S~I>' x.~ '\~~ ~\)~'fi andicapped: Paved DriV~~"'.t~'\:.~*\ \) \)v.\) S ",'01>' Compact: % of Lot Cov#age:~~\lt: \) ~~ ~ 'i)\)' ",\)~~~'\:.V.C,:t>.i "?'\:.~~ I PUBLIC IMPROVE~'fs'i' 1 - Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsmrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF Srn.ll~GFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01274 ISSUED: 10/14/2004 APPLIED: 10/1412004 EXPIRES: 04/14/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F~~s Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $4.00 $41.00 10/14/04 10/14/04 10/14/04 10/14/04 10/14/04 Receipt Number 2200400000000001291 2200400000000001291 2200400000000001291 2200400000000001291 2200400000000001291 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Reouir~d Insn~ction\l Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas 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 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 ofany structure without permission of the Community Services 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 tbat all required inspections are requested at the proper time, that each address Is readable from the street, that the permit car Is located at the front of the property, and the approved set of plans will remain on the site at all times onstru 0 ~ n /()//ylr? i Owner or Contractors Signature Date Page 2 of2 225 Fin.... Street .,' Springfield, Oregon 97477 541-726-3759 Phone . ~ aity of Springfield Official Receipt Wbevelopment Services Department Public Works Department Job/Journal Number COM2004-01274 COM2004-0 1274 COM2004-01274 COM2004-01274 COM2004-0 1274 Payments: Type of Payment CreditCard 10/14/2004 RECEIPT #: 2200400000000001291 Date: 10/14/2004 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Minimuml Adjustment Mechanical -Mechanical Issuance Fee- Paid By DAVID NICHOLS Item Total: Check Number Authorization Received By Batcb Nnmber Nnmber How Received djb 021394 In Person Payment Total: Page 1 of I 2:26:53PM Amount Due 3.IS 4.S0 4.00 41.00 10.00 $62.65 Amount Paid $62.65 $62.65