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Home My WebLink AboutPermit Building 2006-12-5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01556 ISSUED: 12/05/2006 APPLIED: 12/05/2006 EXPIRES: 06/05/2007 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: CA THERINE CRAIG Address: 832 CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Number: 541-337-9408 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 Expiration Date 03/27/2007 Phone 541- 726-5723 VN I BUILDING INFORMATION I # OfStltTJElVnO/v:ure Lot Size: Hei~. b YWtfdtl&s adopt go" law re~' Ft 1st Floor: TYPh10 Sfltlon Cent ad by the 1~l.Froor: WatJO: ~B52"OO1.. Sr. Those rOle gqIbUM~t: Range p'loo may ,,~01.o thrOlJgh ~ If@tIWHFarport Ener~!ing the 0 tam cop; 9~b8D Spri'a~mblP:Mfl C:9nter. (Ne~.es Of. &Jrut.,nU:}ad: _ lie Or"'J' _ . the t~J7 _. 'g/:i Q.l I DEVELOPMENT INf'6RNtA~iSrll/ty Not;;;~~u,!e - 2-2344). t1WEQUlRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: f,J 0 rft~ve.d Drive Rqd: THIS p,difLot Coverage: A ERMIT S ~Tl-lnr.?,: ",HAII!JO _ A1tt'ffl~~GrI~6)M@}lml~/F THE WORk y 180 DAYPEH IS ABANDONRMISid~Wl1TType: R/OD ED ~f'I . . lJ6~nspouts!Drallls: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01556 ISSUED: 12/05/2006 APPLIED: 12/05/2006 EXPIRES: 06/0512007 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' Fee Description ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $2.25 $3.60 $15.00 $4.00 $26.00 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 12/5/06 2200600000000001655 2200600000000001655 2200600000000001655 2200600000000001655 2200600000000001655 2200600000000001655 2200600000000001655 Total Amount Paid $65.35 I Plan Reviews I 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. Reouired Insoections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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. 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 t4;J~:nt ~ ~ or Contractors SignatureL(" / /A.,!Z)htJ Date - ! I Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C;~T of Springfield Official Receipt i ~lopment Services Department Public Works Department Job/Journal Number COM2006-0 1556 COM2006-01556 COM2006-01556 COM2006-01556 COM2006-01556 COM2006-01556 COM2006-01556 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200600000000001655 Date: 12/05/2006 Description Gas Outlets 1-4 Gas Fireplace Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CATHERINE CRAIG Item Total: Check Number Authorization Received By Batch Number Number How Received djb 132054 In Person Payment Total: Page 1 of 1 2:26:03PM Amount Due 4,00 15.00 26.00 10.00 2.25 3.60 4.50 $65.35 Amount Paid $65.35 $65.35 12/5/2006