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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