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Home My WebLink AboutPermit Mechanical 2008-4-23 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00570 ISSUED: 04/23/2008 APPLIED: 04/23/2008 EXPIRES: 10/23/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 7976 S A ST ASSESSOR'S PARCEL NO.: 1702363000601 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Gas piping TYPE OF USE: New Residential Owner: GRINSTEAD F AMIL Y TRUST Address: 7976 S A ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMA TION I Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 BUILDING INFORMATION' # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB Water T'Nr u to Secondary Construction TypA'ITENT10N: Oregon lftll~~~tility # of Bedrooms: follow rules adopted ~J P'" :~~t forth Notification Center. Th~rn s ~g2!OO1- n/a \..",^.D o,,?_nn1-Q010 tlir u~ 'L.- 0090.. You ma~r~ATION , calling the c~ . f r number for the Oregon Utility Notllca Ion Center is 1-80~fW~: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 03/27/2009 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: Sidewalk Type: Downspouts/Drains: NOTICE: THIS PERMIT SHAll EXPIRE If THE WORK ,\~TunOI7l:n IIl\tnER THIS PERMIT IS NOT I ~Q~ENCED OR IS ABANDONtU I"Ut'I Valuation Descriptl~180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Type of Construction Pal!e 1 of 2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00570 ISSUED: 04/23/2008 APPLIED: 04/23/2008 EXPIRES: 10/23/2008 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 LP Gas Tank & Piping Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $6.00 $2.50 $14.00 $36.00 4/23/08 4/23/08 4/23/08 4/23/08 4/23/08 4/23/08 2200800000000000508 2200800000000000508 2200800000000000508 2200800000000000508 2200800000000000508 2200800000000000508 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. I Reouired Insoections I 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. 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 I street, that the permit card i~localed at the front of the property, and the approved set of plans will remain on the site at all )il>>es_during construction. ---~~ ~t~~" ~ Q;0' .-Q ~~Fj\ Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00570 COM2008-00570 COM2008-00570 COM2008-00570 COM2008-00570 COM2008-00570 Payments: Type of Payment CredltCard cRecemtJ RECEIPT #: 2200800000000000508 Date: 04/23/2008 DescrIptIOn LP Gas Tank & PIpIng MInImum/AdJustment MechanIcal -MechanIcal Issuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By DEBORAH CLEMENT Item Total: Check Number AuthorIzatIOn Received By Batch Number Number How Received dJb 04589B In Person Payment Total: Page 1 of I 1 :47:33PM Amount Due 1400 3600 2000 250 600 500 $83.50 Amount Paid $83 50 $83.50 4/23/2008