HomeMy WebLinkAboutPermit Mechanical 2005-1-20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF :srKlfliv1<lJi,LD
Building/Combination Permit
PERMIT NO: COM200S-00081
ISSUED: Olf20f200S
APPLIED: Olf20f200S
EXPIRES: 07f20f200S
VALUE:
SITE ADDRESS: 321 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353112600
Springfield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Gas piping
TYPE OF USE: Addition
Commercial
Owner: BARRERA VERONICA
Address: 220 22ND ST
SPRINGFIELD OR 97477
Contractor Type.
Mechanical
I CONTRACTOR INFORMATION I
Contractor
AMBASSADOR PIPING INC
License
121469
# of Units:
Primary Oecupancy Group:
Secondary Occupaney Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
I BUILDING INFORMATION I
ATTENTIOro~ law
follow ruf~iB!Ib~~tf8y~~..vou!ll
NotificatiOlf~Y5/.1lfl\bse rui;"'d"" Utifil1
In OAR 9S2\bt1fgu...... -h CARare set forth
0090 You II e!.....uY 952.(l()1-
ca,jing a FOPles of the rules bv
number~~ !flSl~~~~~
I DEVn~~~lJ1DNI-'
Overlay D1st:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
54\. ~qB~1\
~
Expiration Date
03/27/2005
Phone
541-726-5723
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant"Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
rw J ptJBLIC IMPROVEMENTS I
THlv . -' ".", ,,, .rlLL l:"'-tnc Ir tHE ~i9~lk T e'
AUTHORIZED UNOER THIS PERMIT IS NOT yp .
COMMENCED OR IS ABANDONED Fo'RownspoutslDralns:
ANY 180 DAY PERIOD.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee 1 of2
Value
Date Calculated
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CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM200S-00081
ISSUED: 01l20f200S
APPLIED: 01l20f200S
EXPIRES: 07f20f200S
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fl'l's Paid I
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$4.00
$41.00
1120/05
1/20/05
1/20/05
1120/05
1/20/05
. Receipt N~~b.e~.
1200500000000000085
1200500000000000085
1200500000000000085
1200500000000000085
1200500000000000085
Total Amount Paid
$62.65
I Plan Reviews ,
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.
I R.l'tlUiu11"<.~
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.
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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 he done in aecordance 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 certiI t only contracto~.a mployees who are In compliance with ORS 701.005 will be used on this project.
I further agree to e sure that all required spections are requested at the proper time, that each address Is readable from the
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street, that the per It card is located at t front of the property, and the approved set of plans will remain on the site at all
~C)l tractors~t~re Date / /
Pa!!e 2 of2
225 Fifth Street
Spring"lleld, Oregon 97477
541-726-3759 Phone
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G~....
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...ity of Springfield Official Receipt
..,evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00081
COM2005-00081
COM2005-00081
COM2005-00081
COM2005-00081
Payments:
Type of Payment
Check
1/20/2005
RECEIPT #:
1200500000000000085
Date: 0l/20f2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Gas Outlets 1-4
. Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
AGUSTIN GAL V AN
Item Total:
Check Number Authorization
Received By Batch Number. Number How Received
djb 125 In Person
Payment Total:
Page 1 of I
1:08:09PM
Amount Due
3.15
4.50
4.00
41.00
10.00
$62.65
Amount Paid
$62.65
$62.65