HomeMy WebLinkAboutPermit Mechanical 2006-12-14
Status
Issued
o '€C-507 50 3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01607
ISSUED: 12/14/2006
APPLIED: 12/14/2006
EXPIRES: 06/14/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2099 OTTO ST
ASSESSOR'S PARCEL NO.: 1703244302310
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install insert and gas piping.
Contractor Type
Mechanical
Contractor
THERMAL RESOURCES INC
. -r--f '1 ., 'I' ~.,r ..{......~.....1I.. i...j.~,j 1'L:llji "rt;J..;: \J,"\II tn
r\.11I-.......".._r-;o- . ...
. follow rules ad~~beare~4BltJtilitq6o
Notification Center. Those rules are set fortt
in OAR 952-001-0010 through OAR 952-001
0090. YOU may omam CUJJIt1~ vi Ii Il:l I ulg,:, ~
I CONTRACTOR INFORM~e center. (Note: the telephone
number orthe Oregon Utility Notification
Licens~enteJFtsJ1FOt1MlJPat\8<<r.h on e
161946 10/2912008 541-343-1131
Owner:
Address:
FREITAG LEONARD S & V M
2099 OTTO ST
SPRINGFIELD OR 97477
BUILDING INFORMATION I
# 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Overlay Dist: C E . Total:
# Street Trees Rqd:NOTl . X~~~f~~dJv'ORK
Paved Drive Rqd: THIS PERMIT SHALL E 1\'so~M1T IS NOT
% of Lot Coverage: AUTHORIZED UNDER TH\ R
COMMENCED OR IS ABANDONED FO
11'utlLIC IMPROVEMEN1\\f 180 DAY l-'tKIUU.
Sidewalk Type:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
Status
Issued
, CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01607
ISSUED: 12/14/2006
APPLIED: 12/14/2006
EXPIRES: 06/14/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$2.25
$3.60
$15.00
$4.00
$26.00
12/14/06
12/14/06
12/14/06
12/14/06
12/14/06
12/14/06
12/14/06
2200600000000001703
2200600000000001703
2200600000000001703
2200600000000001703
2200600000000001703
2200600000000001703
2200600000000001703
Total Amount Paid
$65.35
I Plan Reviews,
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 Reouired Insoections I
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 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 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.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1607
eOM2006-0 1607
COM2006-0 1607
COM2006-0 1607
COM2006-0 1607
eOM2006-0 1607
eOM2006-01607
Payments:
Type of Payment
ONLINE eHGS
cReceintl
RECEIPT #:
2200600000000001703
Description
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Cihr of Springfield Official Receipt
1 ~lopment Services Department
Public Works Department
Date: 12/14/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT eHGS
ddk
Page I of I
ONLINE Thermal Online
Resources
Payment Total:
12:02:20PM
Amount Due
15.00
4.00
26.00
10.00
2.25
3.60
4.50
$65.35
Amount Paid
$65.35
$65.35
12/14/2006