HomeMy WebLinkAboutPermit Mechanical 2008-2-20 (2)
.
. &=ITY 01< ~rKH~l.1<IJ'..L1J
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541,726,3676 Fax
541-726,376910spection Line
SCANNED
Building/Combination Permit
PERMIT NO: COM2008-00252
ISSUED: 02/20/2008
APPLIED: 02/20/2008
EXPIRES: 08/20/2008
VALUE:
Status
Issued
SITE ADDRESS: 792 RIVER HILLS DR
ASSESSOR'S PARCEL NO.: 1703341212600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas insert and piping
Owner: SHEILA OLDHAM
Address: 792 RIVER HILLS DR
SPRINGFIELD OR 97477
Phone Number: 541,746,9937
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
EMERALD SWIMMING POOLS OF ORE IN 11294
I BUILDING INFORMATION I
Expiration Date
10/22/2009
Phone
541,688,1090
VB
# of Stories: Oil \bot Size:
Height of Structure 'lI teC\lliteS 'l \}\i'$Jf Ft 1st Floor:
Type ~f J.I~~Dle90l\ Ie. \\'Ie Ole9~se\ tSl/JFt 2nd Floor:
~I!!~r. ~~f~oo?\eo 'o~se tll\eS e.~ 9&Z~\1t Basement:
~~~!lge~~~.~l\\9l' "'i\'l \'It01l9\'1 OJl.i \tie tll\Sq 1Ft Garage/Carport
~ EII,~.!_~cp~_ 6.' _~O,~~ CO?i?S 0\ \e\e?\'ISli<Ft Other:
. geJi'!'~I>.Illlfl~' I~O\e. ~"\o\\~ant Load:
\('\ ~ vnll. "\0. ~,ul~,f_} . ,.,.\""'.{'~ .
I DEVilOli~f'\\lii0RM.<<f~.,i~D"
~{j!~ LY '~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Notes:
I PUBLIC IMPROVEMENTS I
Sidewalk Type: Q'tl.\t
~O"{\C~~ S~~'t'C'l9lll\?lir~nrJ ~ NOl
~~Ji~~~ U~~~: ~:~~~~tO fOR
COMM~~~~~ QFRIOO.
Ai'" .~W-.
I Valuation DescriDtion I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
L
.
a:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00252
ISSUED: 02/20/2008
APPLIED: 02/20/2008
EXPIRES: 08/20/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541,726,3753 Phone
541-726,3676 Fax
541,726,3769 Inspection Line
Total Value of Project
L.F..es P"irl I
Fee Description
-Mechanical Issuance Fee-
+ 1 0% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fireplace (Listed)
Gas Outlets 1-4
MinimumlAdjustment Mechanical
Amounl Paid Date Paid Receipt Number
$20.00 2/20/08 3200800000000000116
$5.00 2/20/08 3200800000000000116
$6.00 2/20/08 3200800000000000116
$2.50 2/20/08 3200800000000000116
$17.00 2/20/08 3200800000000000116
$5.00 2/20/08 3200800000000000116
$28.00 2/20/08 3200800000000000116
Total Amount Paid
$83.50
I Plan Reviews I
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.
~ Rf'llIJir..r11 nsnection\.l
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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. .
~. -- 1r~,,;---"1i...JI - ---
C~~.r ~ (1Iih-..->y-y--..,
Owner or Contractors Signature
("")~
Date
Paee 2 of2
2].5 Firth Street
SprIngfield, Oregon 97477
541-726-3759 Phone
.-r~
WE
Ci_ Springfield Official Receipt
D.opment Services Department
Public Works Department
Job/Journal Number
COM2008.00252
COM2008-00252
COM2008-00252
COM2008-00252
COM2008,00252
COM2008-00252
COM2008,00252
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
3200800000000000116
Date: 02/20/2008
Description
Fireplace (Listed)
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
SHEILA OLDHAM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 055378 In Person
Payment Total:
Page I of I
to:53:20AM
Amount Due
17.00
5.00
28.00
20.00
2.50
6.00
5.00
$83.50
Amount Paid
$83.50
$83.50
2/20/2008