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HomeMy WebLinkAboutPermit Mechanical 2008-2-22 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00260 ISSUED: 02/22/2008 APPLIED: 02/22/2008 EXPIRES: 08/22/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 713 CREST LN ASSESSOR'S PARCEL NO.: 1703341407200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Gas insert and piping Owner: SALLIE MCKEAN Address: 713 CREST LN SPRINGFIELD OR 97477 Phone Number: 541-844-4274 I CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 Expiration Date 03/27/2009 Phone 541-726-5723 BUILDING INFORMATION I VB # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: walifff~~N' Ore, Sq Ft Basement: RcaIR-g~/F~Pa~ ~dopt~~~ a~reqUires ySq fij Garage/Carport !itit!ftgyl1fut~enter. Tho~e e Oregon SltilftyOther: Igg.Q fuli tea~lI'~S10 throun'<<9~ are Sabfatrthant Load: 0090 v,,~.... L 911 OAR gt:;?_Mof --- 1i(~~IW \J \ Io. - - I DEVELa=PMEmeI~~~Wf the rules by .........,c:;1 lor me "'egoo urn Nte'~~hooe REQUIRED PARKING Ceoter is 1 ' 'y otlflCation Overlay Dlst: -800-332-2344). # Street Trees Rqd: Paved Dnve Rqd: % of Lot Coverage: Total: Handicapped: Compact: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Description Type of Construction NOTICE: T~/S P~RM'T SHAll EXPIRF= II: Tur wnrv' , ~'(fM DER THIS PERM'T~.'S Nor' ValuatlO ME AY P~R:~~BANDONED FOR $ Per Sq Ft Square F'oot'lig't' Value or multiplier or Bid Amount Notes: Date Calculated " Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00260 ISSUED: 02/22/2008 APPLIED: 02/22/2008 EXPIRES: 08122/2008 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 + 12% State Surcharge + 5% Technology Fee Fireplace (Listed) Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $20.00 $5.00 $6.00 $2.50 $17.00 $5.00 $28.00 2/22/08 2/22/08 2/22/08 2/22/08 2/22/08 2/22/08 2/22/08 Receipt Number 1200800000000000163 1200800000000000163 1200800000000000163 1200800000000000163 1200800000000000163 1200800000000000163 1200800000000000163 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. Reouired Insoections I Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance, 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 construc on, ~;;;:; -,c, Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street SpringfiJld, Oregon 97477 541'!:.726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00260 COM2008-00260 COM2008-00260 COM2008-00260 COM2008-00260 COM2008-00260 COM2008-00260 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000163 Date: 02/22/2008 Description Gas Outlets 1-4 FIreplace (LIsted) MInImum/AdJustment MechanIcal -MechanIcal Issuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% AdmInistratIve Fee Paid By MA TTHEW CLEMENT Item Total: Check Number Authorization Received By Batch Number Number How Received dJb 02508B In Person Payment Total: Page 1 of 1 9:21:11AM Amount Due 500 1700 2800 2000 250 600 500 $83.50 Amount Paid $83 50 $83.50 2/22/2008