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Home My WebLink AboutPermit Building 2006-5-18 Status Issued .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00592 ISSUED: 05/18/2006 APPLIED: 05/18/2006 EXPIRES: 11/18/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 832 CENTENNIAL BLVD 1 ASSESSOR'S PARCEL NO.: 1703264300900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: install gas line and gas fireplace Owner: Address: CA THERlNE CRAIG 832 CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Number: 541-337-9408 Contractor Type Mechanical s yOU to _,~n \8.\fI1 feC\U\f~~n \ \\\\\\.'J "rT\ON'. V\V~ --\ h" t\le VI 'J",-_ ("'0.\ iD(,n p..-nEt, ~\QN.l?M.'eTQRJ~JrORMAJTON'-I)\- 'o\\~\I . n centt;\. . h oU9\\ \.),"" , _' ,; 'c I)\j ,-"'lcatIOp O"\Ot\\f 't\;,\~\L,VV .. Contractor ~o I ~ 95'2.-00,,\-0 . copies o~~~:~H~,~!I"'.3 ExpiratIOn Date AMBASSADOR ~erIDf.Q, ~~~ obta\nf~\nte', t\\El~,1469,~",;.\O\\ 03/27/2007 Phone 541- 726-5723 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: uu.J...... .....~l \I~--",'.'" . \),.'\"'\/..,....... . c;:I\\ iB'l!TICDIN G (IN,RORMA:TIONII. bef IVI" . ~ _5IJtYvv- num ~,,'Of\S \ #.iof'St'ories: R-3 Height of Structure Type of Heat: VN Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: ~t~J'i1\'t-. # Street ~rees Rqd: \\\'t. \~ \t\~~nAuir.pped: Paved Dnve Rq~:~. \..\.. 't.'f.-? ?'t.\\\-J\\ ,<:owract: % of Lot~~~Jy.eVa~~WS\ S\\~t.t\ \\\\S \)O~t.'v r\) \~\~'~r:~\~;~~~Q \S ~~~~ I PUBLIC IMPRO~.Ji:J~Ts:rf:>.."I ?'t.\\\C)\J ~~"I '\ 't)\J .... Sidewalk Type: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00592 ISSUED: 05/18/2006 APPLIED: 05/18/2006 EXPIRES: 11/18/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ~Mechanical Issuance Fee~ + 10% Administrative Fee + 8% State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.60 $15.00 $4.00 $26.00 5/18/06 5/18/06 5/18/06 5/18/06 5/18/06 5/18/06 Receipt Number 3200600000000000258 3200600000000000258 3200600000000000258 3200600000000000258 3200600000000000258 3200600000000000258 Total Amount Paid $63.10 I Plan Reviews, To Request an inspection call 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. will be made the following work day. I Reouired Insoections I 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 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 ..~;;;;:_ ~~ Ic;J/f~k& 01ner or Contractors Signature f Date I . I .. Page 2 of 2 Cjtu of Springfield Official Receipt n wpment Services Department Public Works Department 225 Fifth Street Spriilgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00592 COM2006-00592 COM2006-00592 COM2006-00592 COM2006-00592 COM2006-00592 Payments: Type of Payment Check cReceint 1 RECEIPT #: 3200600000000000258 Date: 05/18/2006 2: 19: 16PM Description + 8% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.60 4.50 4.00 15.00 26.00 10.00 $63.10 Paid By CATHERINE CRAIG Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb In Person Payment Total: $63.10 $63.10 624 . . Page I of I 5/18/2006