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