HomeMy WebLinkAboutPermit Mechanical 2006-2-22
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00207
ISSUED: 02/22/2006
APPLIED: 02/22/2006
EXPIRES: 08/22/2006
VALUE:
*
I SITE ADDRESS: 1937 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271002800
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Gas fireplace and piping
TYPE OF USE: New
Residential
:: Owner:
Address:
GEE FAMILY TRUST
1937 LAURA
SPRINGFlELD OR 97477
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Contractor Type
Mechanical
# of Units:
t Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
,'-
, Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
\ Storm Sewer Available:
Special Instruction:
Notes:
, ,
.': Description
I CONTRACTOR INFORMATION I
\\eo; 'jv\)\\XI\'l
Contractor -:l \ea.u e9,o(\ \ ~icense
AMBASSADOR PIPING"I,l\I€''O. \ne 01 _ "Ie o;~ ,121469
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A€ "eo;,.. e' ,,",'u-- 0'" ~U'
~" 'u,. e(\~ . ,,\1" 'eO:; 'e"" '0(\
'o-:l ' C, "'f S A' \e' \' '3-\1
\0\\ . _ \\0(\ ()\ #)0 _,l\'~ies: . \'(Ie o\M:-
~1(JR~3''O n,'b~.'J :-\fHellilit of,O\e',S'I\" ~ "
,~ "'?-'" '0 - < ,. '1,1'" II""
\~ Or 'Iou ~ _,rpe o~~.eat: 1.''/.':>
M"b\)' \'(Ie ~at"rTYJle:"''''
\)~' ,',(\Q ,Iv, v'
c'3-\\\ ,\01 ange Type:
:oe\ ~\'d\
(\U~ c,€Energy Patb:
Sprinkled
n/a
I DEVELOPMENT INFORMATION I
Overlay Dlst:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Expiration Date
03/27/2007
Phone
541-726-5723
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total: .'
Handicapped:
Compact:
~~i-
..~<t. ~_ ~~'\
!pUBLIC IMPROVEMENTS I ~~<t. ~~~' ~~~
Sid~~~~&)~~<t.~
\~~. ~'P~~~;;ips
~~~S <<<t.~1-<t.~ ~ ~~ ~~~.
'\~ ~~\S ~~'V~ '-' '?~
'?-\:) ~~~ ~~'f.
,.-(\~' .-. Q\
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I Valuation Descriotion I'?I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
I of 2
Value
Date Calculated
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
\ 541-726-3753 Phone
.- 541-726-3676 Fax
; 541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2006-00207
ISSUED: 02/22/2006
APPLIED: 02/22/2006
EXPIRES: 08/22/2006
VALUE:
,,'
Total Value of Project
Fees Paitl 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
2/22/06
2/22/06
2/22/06
2/22/06
2/22/06
2/22/06
Receipt Number
1200600000000000182
1200600000000000182
1200600000000000182
1200600000000000182
1200600000000000182
1200600000000000182
Total Amount
$63.10
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.
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Rough Mechanical: Prior to Cover
Final Mechanical: When aU mechanical work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
c
. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
.., information hereon is true and correct, and 1 further certify that any and all work performed shall be done ht accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertahting to the work described herein,
and that NO OCCUPANCY wiD be made of any structure without permission ofthe 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 ofthe property, and the approved set of plans wiD remain on the site
atalltimesM~if ~'
.
Owner or Contractors Signature
Date
2 of 2
225 Fifth Street '
Spr,i.ngtleld, Oregon 97477
541-726-3759 Phone
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.ty of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
Job/Journal Number
COM2006-00207
COM2006-00207
COM2006-00207
COM2006-00207
COM2006-00207
COM2006-00207
Payments:
TWe of Payment
Check
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2/22/2006
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RECEIPT #:
1200600000000000182
Date: 02/22/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Gas Outlets 1-4
Gas Fireplace
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
AMBASSADOR PIPING
Received By
djb
I of 1
Item Total:
Lheck Number AuthlH1zatlon
Batch Number Number How Received
9197 In Person
Payment Total:
8:21:03AM
Amou nt Due: .
3.60 I
4.50
4,00
15.00
26,00
10,00
$63.10
Amount Paid
$63,10
$63.10
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