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HomeMy WebLinkAboutPermit Mechanical 2007-11-6 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01647 ISSUED: 11/06/2007 APPLIED: 11/06/2007 EXPIRES: 05/06/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54] -726-3769 Inspection Line SITE ADDRESS: 607 D ST ASSESSOR 'S PARCEL NO.: 1703352408800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas fireplace Owner: MARY BROADHURST Address: 607 D ST SPRINGFIELD OR 97477 Phone Number: 541-746-4502 I CONTRACTOR INFORMATION. Contractor Type Mcchanical Contractor . AMBASSADOR PIP]NG INC License ]21469 Expiration Date 03/27/2009 Phone 541- 726-5723 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Sc(.'ondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bcdrooms: VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: R-3 nla 1~~T INFORMATION I b\~O~~~~~:: bY th9 feare set iortV\\ Front yard Setba~'O\\\1Ii'l\ll~@IDcenter. Those ru'e~A.~~~QjBt: Side 1 Setback: ~oiji\cat\O~..oC1-Oo1othrOugh ~t.\ewtedFies Rqd: Side 2 Setback: UIlU O~ e5 'ffl~ obte.\n COP\~~h~ t~~ve Rqd: Rearyard Setb~c~. ~~h@ cemsli'. lNO\uimt'1 ~U<<c:m\~verage: Solar Setbacks: @Sll\mQ1 ~i ~s Oregon at,lg_~). ~~. -l'" ",.ROO..."." \b1i~"ev- I PUBLIC IMPROVEMENTS. REQUIRED PARKING Total: Handicapped: Compact: Street I mprovemerits: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: I Valuation Description I W Ol~C\E~ ~\RE \f THE WOR\{ iH\S PERM'" ~~~~~ TH\S PERM'T IS NOT AIITHOR\ZEO _... t ~'\tlDn\\n:n FOR CQMMENGk:U un 1\01 r1 ANY 180 DAY PERIOD. Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value " Date Calculated Pa2e 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Appliance Vent Fireplace (Listed) Gas Outlets ]-4 Minimum/Adjustment Mechanical Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01647 ISSUED: 11/06/2007 APPLIED: 11/06/2007 EXPIRES: 05/06/2008 VALUE: Total Value of Project Fees Paid J Amount Paid Date Paid Receipt Number $20,00 $5,00 $2.50 $4.00 $7.00 $17,00 $5,00 $21.00 11/6/07 11/6/07 11/6/07 11/6/07 11/6/07 11/6/07 11/6/07 11/6/07 1200700000000001374 1200700000000001374 1200700000000001374 1200700000000001374 1200700000000001374 1200700000000001374 1200700000000001374 1200700000000001374 $81.50 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 r~quested after 7:00 a.m. will be made the following work day. L Reouired InsDections I 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 signatu re, 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. ~llJ ~~ Owner or don-tracbrs Signature /1/ '" //1 '7 F /- Date Pa2e 2 of2 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01647 COM2007-01647 COM2007-0J647 COM2007-0 1647 COM2007-01647 COM2007-0 1647 COM2007-0 1647 COM2007-01647 Payments: Type of Payment Check cRcceintl RECEIPT #: 1200700000000001374 1:]0:52PM Date: 11/06/2007 Description Appliance Vent Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 7.00 5.00 17.00 21.00 20.00 2.50 4.00 5.00 $81.50 Paid By MARY BROADHURST Item Total: Check Number Authorization Received'By Batch Number Number How Received Amount Paid djb In Person Payment Total: $81.50 $81.50 2137 Page I of I 11/6/2007