HomeMy WebLinkAboutPermit Mechanical 2010-7-28
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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: COM2010-01003
ISSUED: 07/28/2010
APPLIED: 07/28/2010
EXPIRES: 01/28/2011
VALUE:
Status
Iss u ed
SITE ADDRESS: 3370 OSAGE ST
ASSESSOR'S PARCEL NO.: 1802062105900
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
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PROJECT DESCRIPTION: Wood stove in existin~;lp.aW~H:y,~replace and flue liner system
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Residential
Owner:
Address:
DALEY JOAN C
3370 OSAGE ST
SPRINGFIELD OR 97478
ATTENT'O~ '.
fol/ow ru'e~ jqr~~;OR:/l;;~;\,ION ~
.Nolitieation Center Th ,,~ VI on tility
Contra'Cf&l\R 952-001-0010 those rules are set bfmnse
WEBEW>flQ~ You may obta/l~o~~h OAR 952-!llJ:lB
eal""8 IIle ~1lW ~ i i2~
number for L ~
Center is 1 :80(1-.",,,'0 0 Ileation
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Height of Structure
Type oJ Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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Contractor Type
Mechanical
Expiration Date
04/27/2012
Phone
541-687-0860
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICE: I DEVELOPMENT INFORMATION ~
THIS PERMIT SHAllWURE-jf<fuE WORK
AUTHORIZED 1J~[J'EIii'~~,IH')~'5:LQjit,;rr nSNDT
COM~iIIBlJCm OiR! 11'S)~.;~!r.e.$tmrm,,\q~:
#i,,~~~'f 1100 IDJ:i'\Y P'EHiOoPaved Drive Rq(\:
% of Lot Coverage:
REQUIRED PARKJNG
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:
Downspouts/Drains:
Notes:
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I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount,
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01003
ISSUED: 07/28/2010
APPLIED: 07/28/2010
EXPIRES: 01/28/2011
VALUE:
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
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~ I,: Fees paUU
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Gas Outlets 1-4
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$10.32
$4.30
$79.00
$7.00
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$100.62'/:' "';;
7/28/10
7/28/10
7/28/10
7/28/10
3201000000000000477
3201000000000000477
3201000000000000477
3201000000000000477
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I :J~Il!~ ReViews ~
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.
[ Reauired Insoections ~
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Rough Gas: After line is installed and required'testing' ~~d capped if not attached to an appliance.
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Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work-is,complete.
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By signature, I state and agree, that I have carefully,exa.miitedJhe completed application and do hereby certify that all
information hereon is true and correct, and I further;#'~'ftirf.:fliaf..any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Liwsof 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.
/
or Contractors Signature
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Paee 2 012
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000477
Date: 07/28/2010
1l:49:0IAM
Job/Journal Number
COM2010-01003
COM2010-01003
COM20 I 0-0 I 003
COM2010-0I003
Payments:
Type of Payment
Check
cReceintl
Description
1st Appliance
Gas Outlets 1-4
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
JOAN DALEY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
7,00
10,32
4.30
$100,62
Amount Paid
cjc
2092
In Person
Payment Total:
$100,62
$100.62
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