HomeMy WebLinkAboutPermit Mechanical 2010-6-22
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00802
ISSUED: 06/22/2010
APPLIED: 06/22/2010
EXPIRES: 12/22/2010
VALUE:
Springfield TYPE OF WORK: Mechanical Only
SITE ADDRESS: 1884 8TH ST
ASSESSOR'S PARCEL NO.: 1703261300710
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install pool heater
Owner:
Address:
CHISHOLM JERRY J
1884 8TH ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
'R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Phone Number: 541-344-6641
I CONTRACTOR INFORMATION .
License
Expiration Date Phone
BUILDING INFORMATioN.
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# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat~ laW re(\ulree YOS,:" Sq Ft 2nd Floor:
:nEN1'G~i'd bY the Olegon iorlft Sq Ft Basement:
:\lO'II'~ 'ThOse lules ale :tz.co1s Sq Ft Garage/Carport
otIficat~ Q \\'110Ug\'1 oAR ~ W Sq Ft Other:
NlnoAR- fe ~jj{I!ltlPies ottM!~!~ Occupant Load:
~_2~~'
CWm center 18 ,-8
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Sidewalk Type:
Downspouts/Drains:
, .<-";,t.;'f~i;!{;~;~rg,~:':"", . .
NOTICE: HA\.\. FAPIRE \f1Ht. \N~~~ :":
V I "';t;, ,10" ,.. Town ZED UNO S ^B^NOONEO fOR <"
a ua 'IOn. escFI lillII' CEO OR \ ,.. ,.. , _'
",W ~".," vUIV\I"~ HUOO. "
$ Per SqlFt.,,' h" MiI/l~bI~eP
or multiplier' or Bid Amount
Value
Date Calculated
Page I of2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00802
ISSUED: 06/22/2010
APPLIED: 06/22/2010
EXPIRES: 12/22/2010
VALUE:
Status
Issued
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Total Value of Project
1',;,Fees'Paid.., .;,
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Appliance Vent
Gas Outlets 1-4
'd\'~"r, di,
Amount Pai~i:; ,
.:,/
Date Paid
$11.40
$4.75
$79.00
$9.00
$7.00
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
Receipt Number
2201000000000000718
2201000000000000718
2201000000000000718
2201000000000000718
2201000000000000718
Total Amount Paid
$111.15
Plan Reviews~-
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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 after7:00 a.m. will be made the following
work day.
I Reauired Insnections .
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7~.~4it;':~tll'1}:tj' .:."
Rough Gas: After line is installed and requir.e~iiesti~g,and capped if not attached to an appliance.
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Rough Mechanical: Prior to Cover 'ih ,
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 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 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.
1 further agree to ensure that all required inspectionSare reque~ted'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. d, .1.;.,"",'- .
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Date
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225 Fifth Street
Sprirrgfield; Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Serrices Department
Public Works Department
RECEIPT #:
2201000000000000718
9:13:45AM
Date: 06/22/2010
Job/Journal Number
COM20 I 0-00802
COM20 1 0-00802
COM20 1 0-00802
COM20 I 0-00802
COM20 10-00802
Payments:
Type of Payment
Check
cReceiotl
Description
1st Appliance
Appliance Vent
Gas Outlets 1-4
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
JERRY CHISHOLM
,I
Amount Due
79.00
9.00
7.00
11AO
4.75
$111.15
Received By
djb
Item Total:
Check Number Authorization
Batch Number Number How Received
1414 In Person
Payment Total:
$111.15
$11 1.15
Amount Paid
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6/22/20 I 0