HomeMy WebLinkAboutPermit Mechanical 2009-11-16
,jb~;;:;\.\i-lj .~:~;,:.:x:~:;,
.~:,::'.;';.',
:: = :".. . ~~ ~: .-,:,;;{,....
Status ' Issued',:".>,:",
....-' ,. '-,j-'":.'-' ",
: 225; Fifth Stree{iSptin'gfleld,OR
.' 5,41m6-3753 PlJolle:;,y;o; ,
"541-726-3676 F~X"'t',:'~i<:;.., ,
I . ... '. ',-"., ~ ; ..",' .,:"
541-726-3769 Inspection Line~ . /(!.'.~/
"
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01655
ISSUED: 11/16/2009
APPLIED: 11/16/2009
EXPIRES: 05/1612010
VALUE:
- ~ ,
SITE ADDRESS: :.2454 37TH,ST,:: /;'
, ASSESSOR'S PARCEI;lNO)Yi",A702194206900
. .:';};"':.~;,~'_Jff\:~-::': " ~, ;::~.
"I'ROJECT DES'i::lUPTION: Install gas fireplace insert
,;; : ~-
.. ... . '.~.'
'. ~:; ''.!: ";:~~:r ;1'
Owner:
Address:
~~ . .::,",.. . ,', :(,
ROBERTA 'WATSON
2454 37TH ST ,',
SPRINGFIELD OR 97477
, "
,I,,,,,,
h .~,j-~. ~.... .':'. ....
"
",:' ~:/
, , ,
Frontyard Setback:' ','~ ",' .""'i:'on;'~'" ..,
Side 1 Setback:-;C;j; Ii i" ~;~/: ~:;;. ~;!;'~" ~~'
, . ,_ .,f '... ..
Side 2 Setba1ck: ~;[ . c';r i;.' " "
Rearyard Setback: ,,'
" Solar Setbacksdt:.r~'~,--
'.'. .
" .
I '
Street Improvements:
! "'-o!~~~ ~ ..
Storm Sewer Available:. t+.,...~,i$..,"-",-.-
j', I " _.'.',~. "~l~':-~ I
SpeCial Instruction:~; :- ~;:';':'~.:'" .~
, I ,'I" , ,
,. . i.;.. f ; . . .
Notes: ,.'"
i~;' , .1;:.j. .:,:.n:~~'.:\~~. ~ ,~:
!i I.
,
D . t' I T fC .
escnp IOn : ype 0 onstructlOn
, ..z ,f~ .
_~;,t!l- ~~ ...;,,:..>_ .,1"::~...~ ;~._; .
~... ~ _~''''I-:-'' 't.;~ ~":"'~~~
_! . f
I '
I' '" ,
:}": ~ 'h
Springfield TYPE 01' WORK: Heating System
TYPE OF USE: New Residential
I C?:,T~CTOR lNFORMATIO~ .
License
121469
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
"/~ of Lot Coverage:
Phone Number:
541.747.3911
~_1f~\\ii~'~h:lt~,t. ,!0.:.:;~-.~~_:~.:~,
.~I . ...j!, :t.!- ....: .. ~
Contractor T~~e':!,: Contractor
" ,: ".:". ".. "
Mechanical ','*ib",!: r ,AMBASSADOR PIPING INC '
I BUlLDI~G INFORMATION,'
)fouto
# of Units: " # of StoG~' '\a'll requlr~n Utility
Primary Occupancy Group: : R-3 ENT\OtlI.!il!' ~~ltpSlQleg set lortb
Secondary Occupancy (~roup: '~,~' "fOVl rUleSlo/P~' f\~e rules a~ 95Z-00t.
Primary Constructi~,n Type'" " vdO\i\ication (\ll/l~I~rau,gh O~ne rules '0'1
Secondary Construction Type: ~ O/l.f\ 952;A9~ CO?\es a tele?\lone
: ~ of Bedro~ms:'i[':: " ,-.: 0090, '{aU tMY.. , >,al(tlote: .t~\latiflgation
,,' , ., :,~':., 1 't" ':, .~, lling t\'lJ!JPIl ~oilJi\l\litt~A.t,). n/a
. .. /-- ..., ca ......11 fnl' \fl ...('\n~~"~
_(- 'l1l~_'''') J
I DEVDOOflYIENTiNFORMATION I
Expiration Date
03/27/2011
Phone
541-726-5723
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:
I PUBLIC IMPROV!'.MENCrs, Rt. \f'tl\~~U~!{
" ":NtJ;~'~ER~~S~t>.~\~~~\i\NA11~:
, ~lr\ORIIEO \.1~~ IS ~~~Brains:
CO\lJ\\IJ\E~COt.~ PERIOO.
f\W( '\80
I V ~lllMiol,1 ~es~ription I
, $ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Paee 1 of 2
Value
Date Calculated
"
<,
"S'tatus, .-~ '.' I~st€d\~:~~~:.{;'~","~$.~:~,~.~'~;~,:~:~.
225 'Fifth Street;Sprin~fi~ld, :(lR;':t-:~
541t726-3753 Phone
541'726-3676 Fax , ' ,,:,',', c,
541-726-3769 Iuspection.Line.,:),;o,':n".;. ;
" :;;~:; :''-~'i;':;~'~~:~:; . ':,~'.:';;;~'.~:;:"T"'~\;' "
;d
CITY OF SPRINGFIELD'
Building/Combination Permit
'PERMIT NO: COM2009-01655
ISSUED: 11/16/2009
APPLIED: 11116/2009
EXPrRES: 05/16/2010
VALUE:
. ...
~ ,..~ .
'~:rr'::~'""7:';;..-::-'''''
:1 ''':."i
';",;;.,
Total Value of Project
:"'.'_ ,-i-
"'''~;.
".'
,~e~~ P?i,~ I
\
Fee~escription; ..} i';!':;;1\i.,\i~',~i~;i~1~~~unt Paid
+ 12 Yo State Surcharge",.,..,....".. ......,..., ." $10.32
-+ 5% TechuologyFetgO\.''-'''' ',"",;;,'.. $4.30
1st Appliance ; " , ' $79.00
"Gas Outlets 1-4~;:i"ii,"':';:" $7.00
...~, , m:rj~~.~, 'i"'~~f,' '",-, .~.1;.'
',." I ."~ ". '.:,
Total Amount Paid " ; $100.62
Date Paid
Receipt Number'
11/16/09
11/16/09
11/16/09
11/16/09
2200900000000001292
2200900000000001292
2200900000000001292
2200900000000001292
_,...Ja,.r,..::".
i~;~(:;P?ik. <;' ,,;;f;~ ';'
(I
I, ,Plan R~:i,ews ".1
To. Request au tn,~p,:c.tio.n c~ll ~he 24 ho.ur reco.rding at 726-3769. All inspectio.ns re'quested befo.re 7:00
a.~.' will be made tlie saine working day, inspections requested after 7:00 a.m. will be made the fo.llo.wing
wo.rk day. ..," .
10;,
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 co....ect, 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 OCCU.P~,~Y.iwill,~.e mad~ of any structnre without permission of the Community Services Division, Building Safety.
I further certify;!ha~only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to .en~ure that all required inspectionsia:l'e req\.lCsted at the proper time, that each ad~ress is readable from the
, street, that the p~rm,it card is loc~te<;l at the front of thepro'perty, and the approved set of plans will remain on the site,at all
times during constru'etion.. "" '.' ,
" .
U\~
~
1/- JG-OC;
"i\'
Owner or Cout~~f!~r~ ~~~~~~~R{e #';i5i-\ ~. .
i: '~('~:fF ';.~ .. A ~;
'r- . I"
Date
." i,
'l' . l
'~r;,~. t ' t.
..'
.."
Page 2 of 2
.......,""-,'.. i
:::::; ~;i !r"
, ~
225 Fifth Street,; '" 11 ~,;::,
~, . .! +. .
Springfield, Or~gQ.n.n~77
541-726-3759 Phone ::'
.,-;.' . ~~~"'!,I}:~~;!l. ~:'";p,:"'::~ '
.' , . :<~.: :~..~.~o '
, RECEIPT#:i2200900000000001292
Job/Journal Number . n.e~~riPtio~ _:\::~~;. ....'; .;)
COM2009-01655" ,,:lWApp!'~ce/~i>/.' :,:,,'.
COM2009-01655. ::)\i~G(Q~~9uti~t~;i;4~/:; ,
COM2009-01655 ':'i'~:Ut'-+;50/0Technology Fee
". . ;
COM2009-01655.. .';';::" d: 12% State Surcharge
~. :o}: , - ,.~:'. ~\~:~~l:~:j:rS\,,:J~:~:. ,~.,..' ....~;r~. .~~:
Payments:
Type of Payment
~: '
Paid By
CreditCard
ROBERTA WATS9~
, ': ;~'~~.~M:'it::';1~Lfz~.\t~~;:~.,: :..
ill,':';"'L .'
. ."~
..
~j. '!
, "
J
r~'F+' \~~",',i1~u~~
~'J.' o:~.. ~ ,~.;
.~r s. 1'; I ~t~.\ .., i p 'j'
). '..1'."0' l~ .
r :.;
.I;..{
d'~
:'
......
'0 ..'
.....,....
.t~:.i~~~~;~~ ~f4i'=~ry.4r.:.
'Io:~~ '~";. _. ' .
'~,; ~ ;,. '.~
,I 0 ~,'.'
~r..;1 I:
"
;,
~: I ~ ~":";"7:
i, '~~11~_~"':. ,
);~-: ~; t.,'
jl_ " '~.";
..[,..Ij,' ...,.
.....p 1>
J~ ~'~1~'
'J \
;.
.,: t . ,~~
.:." ..
"'~ .~: ..:t.
J: ;: ~~':'"
I "f!'
l~~~:
. ,
"
'!. ,
~i .~
,i[' I jl
.
t....
;'" .,
..
t~ '~
cReceintl
l. .... ,~'
~. <.;,
~ !.
-'. ::
..... .;~ oh"t
,
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/16/2009
8:43:28AM
Item Total:
Amount Due
79,00
7.00
4.30
10.32
$100.62
Check Number AuthorizlItion
Received By Batch Number Number How Reech'ed
djb
"
,.
~ ~,
Page I of I
Amount Paid
04522c In Person
~a'yment Total:
$100,62
$100.62
11/16/2009