HomeMy WebLinkAboutPermit Mechanical 2005-10-14
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
.- CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-0I449
ISSUED: 10/14/2005
APPLIED: 10/14/2005
EXPIRES: 04/1412006
VALUE:
SITE ADDRESS: 2555 ROSE BLOSSOM DR
ASSESSOR'S PARCEL NO.: 1703234402700
Springfield TYPE OF
Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas insert and chimney liner
Owner: JUDITH PINSON
Address: 2555 ROSE BLOSSOM DR
SPRINGFIELD OR 97477
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
, Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Phone Number: 541-726-1843
I CONTRACTOR INFORMATION I
Contractor
THERMAL RESOURCES INC.
License
161946
Expiration Date
10/29/2006
Phone
541-343-1131
.-
I BUILDING INFORMAT,IONI
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v~ Cil\\~\:I:DEVEWPMENTINFORMATION I
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPn.vv J!-J>1ENTSI ,1oIl'\'i'~
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Valuation DescriotlO'h ,
$ Per Sq Ft
or multiplier
Square Footage
,or Bid Amount
Tvpe of Construction
Value
Date Calculated
1 of 2
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2005-01449
ISSUED: 10/14/2005
APPLIED: 10/14/2005
EXPIRES: 04/14/2006
VALUE:
Total Valne of Project
~
Fee Description
-Mecbanlcal Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcbarge
Appliance Vent
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mecbanlcal
Amount Paid Date Paid Receipt Number
510.00 10/14/05 1200500000000001532
$4.50 10/14/05 1200500000000001532
$3.15 10/14/05 1200500000000001532
$6.00 10/14/05 1200500000000001532
515.00 10/14/05 1200500000000001532
54.00 10/14/05 1200500000000001532
$20.00 10/14/05 1200500000000001532
Total Amount
$62.65
I Plan Reviews I
To Request an inspection caD 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. wiD be made the following
work day.
Rougb Mecbanical: Prior to Cover
Final Mecbanlcal: Wben all mecbanlcal work is complete.
By signature, I state and agree, that I bave carefully examined the completed application and do bereby certify tbat all
information bereon Is true and correct, and I furtber certify that any and all work performed sball be done in accordance
with tbe Ordinances of the City of Springfield 8I1d tbe Laws of the State of Oregon pertaining to the work described berein,;
and that NO OCCUPANCY wiD be made of any structure without permission oftbe Community Services Division,
Building Safety. I furtber certify that only contractors and employees wbo 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 eacb address is readable from
the street, that the permit card is located at the front ofthe property, and the approved set of plans wiD remain on the site
at all times during construction.
~(]W_ 1d,(Luv{, 10-14-05
Owner or Contr~ct~nature J Date
2 of 2
225 Fifth Street
SpringOeld, Oregon 97477
541-726-3759 Phone
.
.
~
~ty of Springfield Official Receipt
.vetopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1 449
COM2005-01449
COM2005-0 1449
COM2005-01449
COM2005-0 1449
COM2005-0 1449
COM2005-0 1449
Payments:
T)Jle of Pa)1l1ent
Check
)
10/14/2005
RECEIPT #:
1200500000000001532
Date: 10/14/2005
Description
+ 7% State Surcharge
Appliance Vent
Gas Outlets 1-4
Gas Fireplace
Minimum/AdjuSbnent Mechanical
-Mechanical Issuance Fee-
+ 10% Administrative Fee
Paid By
MIDGLEYS
Received By
djb
I of 1
Item Total:
Lheck Number AuUlOlizaUon
Batcb Number Number How Received
2067 In Person
Payment Total:
2:18:34PM
Amount Due
3.15
6.00
4.00
15.00
20.00
10.00
4.50
$62.65
Amount Paid
$62.65
$62.65