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Home My WebLink AboutPermit Mechanical 2007-2-9 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . .CITY OF ~rtUl"1t.l'1J'.,L1J " Building/Combination Permit PERMIT NO: COM2007-00186 ISSUED: 02/09/2007 APPLIED: 02/09/2007 EXPIRES: 08/09/2007 VALUE: Springfield TYPE OF WORK: Heating System SITE ADDRESS: 3850 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702190000202 Residential PROJECT DESCRIPTION: Install gas fireplace and piping TYPE OF USE: New Owner: LARRY WILLIAMS Address: 3850 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-988-3762 I CONTRACTOR INFORMATION I License 121469 Phone 541-726-5723 Contractor Type Mechanical Contractor AMBASSADOR PIPING INC Expiration Date 03/27/2007 # of Uuits: Primary Occupancy Group: Secondary Occupancy 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 Tvpe of Construction R-3 DUILJJ",G INFORMATION I # of Stories:! '\~~~ Height of Structure: ~'(. \Y. ~~\1 Floor: Type of Heat: ~'j..,?'\ '?~~ ~ Floor: Water:!;w~. S\\\>.\.\. ,\\\S ~ FY'Basemeut: Ra'l1l\Y~: ~~\\ '0,~\j~~ ~~~'V Sq Ft Garage/Carport EneriH~ffi~ J..~\j ~ \S t>I Sq Ft Other: Sprinkle ~2;x.\j \S a.\f!la" Occupant Load: ~\\ >'~'\J IOY'i' J'" I JJ"'~"'LOPMElll''!l~E'&RM\\TION I ,~&'l~~~~\ \>.~, R~~ E"':~~f ~~ 0' '" e9 ~ Overlay Dist: ~o{;\ ~tal:~eS~ ~~"t 16'0\ # Street Trees Rqd: ~p\a ~eO ~~d~~ 0 1~~ 04 Paved Drive Rqd: ~\\O 0-00'9 ~ ,,\'(eo~~o\~ ~~O~'O{;\ % of Lot Coverage: ~~,~\0Sc.e"\~\O~c;.~\~~~e\e\~~~~ \O~~"0.\\O~n~\, ,.lQ~~{;\I~O\'.'f~~ ~t.br'" I PUBLIC IMPROVEMENTS f~Ool'~~~~ >t<<o.'ce~~~'b'?l'2:'~- \" n." ~. ~e ~\J" o~iIe~;OR.Ii;<<"e:' . \'<> \- C~ ~,\ lI.6' D~JliJU~~ains: VB I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00186 ISSUED: 02/09/2007 APPLIED: 02/09/2007 EXPIRES: 08/09/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fireplace (Listed) Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt'Number $10,00 2/9107 1200700000000000139 $4,50 2/9/07 1200700000000000139 $2.25 2/9/07 1200700000000000139 $3.60 2/9/07 1200700000000000139 $15.00 2/9/07 1200700000000000139 $4.00 2/9/07 1200700000000000139 $26.00 2/9/07 1200700000000000139 Total Amount Paid $65,35 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. Ueouired ~\I~Op.c~ Rough Gas: After line is iustalled aud required testiug and capped if not aUached to an appliance. Rough Mechanical: Prior to Cover 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 auy aud all work performed shall be done in accordance with the Ordinauces of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work described herein, aud that NO OCCUPANCY will be made ofauy structure without permissiou 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 duriJ)::;Ih ~ ;}-o,-O) Owner or Contractors Signature Date Paee 2 of2 225 fifth Street Springfield, Oregon 97477 541-726-3759 Phone Cwf Springfield Official Receipt IWlopment Services Department Public Works Department Job/Journal Number COM2007-00 186 COM2007-00 186 COM2007-00 186 COM2007-00186 COM2007-00 186 COM2007-00 186 COM2007-00 186 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 02/09/2007 1200700000000000139 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By MATTHEW CLEMENT Item Total: <"':heck Number Authorization Received By Batch Number Number How Received djb 00555B In Person Payment Total: Page I of I 10:09:54AM Amount Due 2,25 3,60 4,50 4,00 15,00 26,00 10,00 $65,35 Amount .Paid $65,35 $65,35 2/912007