Loading...
HomeMy WebLinkAboutPermit Mechanical 2009-11-24 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01698 ISSUED: 11/24/2009 APPLIED: 11124/2009 EXPIRES: OS/24/2010 VALUE: SITE ADDRESS: 6199 Thurston Rd ASSESSOR'S PARCEL NO.: 1702342403700 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Replace gas fireplace TYPE OF USE: Remodel Residential Owner: Address: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility X "r r -. .'. "T"...____...___~,..........~f........+h in -oA~~!iFi~-.;o::L-if''::~'\'J r\~".~~- 0090. ,,~Tl (~.r~:niR/~ct:\)~''i'-qoUY calling the center. (Note:. ~e tel!lphone Contractor number for the Oregon Utility ~tlOn AMERICAN GAS AP~n ,~r.a~1{i21 BUILDING INFORMATION I Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type c, Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: NOTICE: Energy Path: THIS PERMrr 9JPAMsIE/l:BffilitAfgTHE WO~a 2~~~~'~f(M~~~'~~' ANY 180 DAY PERIOD. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: !~;.,.- I PUBLIC IMPROVEMENTS I Expiration Date 10/31/2010 Phone 541-954-4686 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: Sidewalk Type: Downspouts/Drains: " " oi' I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type of Construction Paee I 01'2 Value Date Calcnlatcd , " it CITY OF M'KINGJ.<lELD )', Building/Combination Permit PERMIT NO: cOM2009-01698 ISSUED: 11/24/2009 APPLIED: 11124/2009 EXPIRES: OS/24/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F...., Paid I Fee Dcscription + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 11124/09 11124/09 11124/09 1200900000000001284 1200900000000001284 1200900000000001284 Total Amount Paid $92.43 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. R..fJui "..d Insfl.,l,tinns I I . 11 ;' I.. ~ JiIiiiiiii.I 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 and correct, and I further certify that any and all work performed shall be done in accord~lnce with the Ordi~lances 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 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 cnsure 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~;a 1l24-O/ Owner or Contractors Signature Date ,,~ , , Paee 2 01'2 225 Fifth Street Spriftlgfiel~, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1698 COM2009-0 1698 COM2009-0 1698 Payments: Type of Payment Check cRcceintl RECEIPT #: Description I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By AMERICAN GAS APPL i;.:~~;M; .....~ - . ~ City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001284 . Date: 11/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 6396 In Person Payment Total: Page I of I 3:08:29PM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 11/24/2009