HomeMy WebLinkAboutPermit Mechanical 2010-10-11
www.cLspringfield.or.U5
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00487
IVR Number: 811189490043
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/11/2010
ISSUED:
APPLIED: 10/11/10
EXPIRES: 4/9/2011
VALUE: $0.00
SITE ADDRESS: 6574 JULES PL, Springfield, OR 97478-7639
ASSESOR'S PARCEL NO: 1702341203800
SCOPE: Mechanical Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Add gas line for cooktop and ove:n
OWNER:
ADDRESS:
SCHMUNK MICHAEL S
6574 JULES PL
SPRINGFIELD OR 97478
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
Lic No
Lic Exp
Phone
BUILDING INFORMATION I
# of Units:
I
o
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Lot Size:
Sq Ft 1st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
StructuraJ Specialty Code Edition:
Energy Path:
Site Information
I
E,ngineered Fill:
Fill Volume:
Flood Hazard Area:
Land Haz1'l1tmION: Oregon law requires yout~
Retaininqo'\l~1ll rules adopted by the Oregon Utili (h
Soils Re.R~~~8.\'1ifl\<tenter. Those rules are set _foO~ 1-
1'10 01-0010 through OAR 952
In OAR 952-0 Y obtain copies of the rules by
0090.. You ma (Note: the telephone
calling the center. Utility Notification
number for the, Oregon 332-2344)
Center IS 1-800- ,
""\'.', ';',;. ,;.,~~:'~;;''''-'>~' '. .
NOTICE: RE \F1HE \NORK~,
THIS PERMlI SH"L~ f~~ PERMIT IS NOT ~_'
AUTHORIZED UNDE ABANDONED FOR;l~ :,.
COMMENCED OR IS .' :' ':
ANY 180 DAY PERIOD. . ' .
Springfield Building Permit
10/11/201 1 :42:46PM
Page 1 of 3
~sr=INGFIELD
.'''r';;;. .~
I '" OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00487
IVR Number: 811189490043
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
perm itcenter@ci.springfield.or,us
PROJECT STATUS: Issued
STATUS DATE: 10/11/2010
ISSUED:
APPLIED: 10/11/10
EXPIRES: 4/9/2011
VALUE: $0,00
SITE ADDRESS: 6574 JULES PL, Springfield, OR 97478-7639
ASSESOR'S PARCEL NO: 1702341203800
SCOPE: Mechanicai'Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Add gas line for cooktop and oven
DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
. Valuation Description
I
Descriotion
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
~.:.- ,~~'~'. -~- ~~-~>i1~('ft:~,-~;~:~}f~fi:YT~~;~:'::;~;r~~~j~~;:~-~~~~ >-~;";D-1:~€g~iR~19~'~~~ ;tt~~~"~A~_:~~~~~:L~~L~~.z:.:~~:;-~:~~~:.-~~~=~~~---. \j
DescriDtion Amount Paid Date Paid Receiot #
First Appliance Fee $79.00 10/11/2010 374560
Permit Fee Adjustment - State Surcharge $9.48 10/11/2010 374560
Permit Fee Adjustment - Tech Fee $3.95 10/11/2010 374560
Total Amount Paid $92.43
Springfield Building Permit
10/11/201 1:42:46PM
Page 2 of 3
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cj.springfield.or.us
Building I Residential Permit
PERMIT NO: 811-SPR2010-00487
IVR Number: 811189490043
permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/11/2010
ISSUED:
APPLIED: 10/11/10
EXPIRES: 4/9/2011
VALUE: $0.00
SITE ADDRESS: 6574 JULES PL, Springfield, OR 97478-7639
ASSESOR'S PARCEL NO: 1702341203800
SCOPE: Mechanicai:Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Add gas line for cooktop and oven
[;r~"'''' ,:- it:: 2 {'l'f':~ ';,~;";';'7~7":~~~~';:~~.:.~:'~~}J:;Lz~1Rfari<'Re\;ili~:,j_h~~~r:~::~r-""~~~.;;;}:~'.~Et;,::0c0'": /; "~.,, ~t~ . ::::~:.:~~"
., ..~ > ,~
...."O.~.., :J' 1; +<,
:7,1
Deoartment Received Due Date Completed Result Reviewer
Application Acceptance 10/11/2010 10/11/2010 10/11/2010 Over the Caunter David Bowlsby
Comments:
Initial Review 10/11/2010 10/11/2010 10/11/2010 Over the Counter David Bowlsby
Comments: Over the counter permit
Structural Review 10/11/2010 10/11/2010 10/11/2010 Not Required David Bowlsby
Comments: Over the counter permit
Public Works Review 10/11/2010 10/11/2010 10/11/2010 Not Required David Bowlsby
Comments: Over the counter permit
Planning Review 10/11/2010 10/11/2010 10/11/2010 Not Required David Bowlsby
Comments: Over the counter permit
INSPECTIONS REQUIRED I
Inspections
2310 Rough Gas
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.
2995 Final Gas
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 or 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 fr nt of the property, and the approved set of plans will remain on the site at all times during
cz I~}J!O
.
Owner or Contractor Signature "'5TfE.V~tJ Date
':;'CflMU~K
Springfield Building Permit
10/11f201 1 :42:46PM
Page 3 of 3
SP~~N.~:~L~
.i~
~",;,;' OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00487
6574 JULES PL
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permilcenter@ci.sprjngfield.or.us
RECEIPT NO: 2010000536
RECORD NO: 81 I-SPR2010-00487
DATE: 10/11/2010
'j :~;~~"U';~'q-";"~",,~;Z:7+IJi:!"f,:"-~~~~~;T!.0^,~_;t.\~CP~U~JJt.9.R~L';:~dit1;4 ,;,;~AMOJJ,Nf~Dli~t. "0-
224-00000-425604 . $79.00
821.00000-215004 $9.48
100-00000-425605 $3.95
TOTAL DUE: $92.43
lJ:e..A.VM(fIILTYEE.'.: '.pAYORMCASHiER.,bBg~sB'i,".i:-~C9MM'EflltS1!t;iil';::t! V<"cc ,:;"i-"'AI'IjQLJ.!\l.I.f.AID :
I DESCRIP'\;!9N',,:.J";',0.
First Appliance Fee
Permi!.i~e Adjustment - State Surcharge
Permit Fee Adjustment - Tech Fee
-. .1
-,
...::;
Cash
Michael schmunk
$92.43
$92.43