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Home My WebLink AboutPermit Mechanical 2008-5-29 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00754 ISSUED: OS/29/2008 APPLIED: OS/29/2008 EXPIRES: 11/29/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 557 B St ASSESSOR'S PARCEL NO.: 1703353190000 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Gas piping TYPE OF USE: Addition Commercial Owner: SPRINGFIELD DENTAL ARTS INV Address: 444 B ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor License GARYS ROOTER & PLUMBING SERVICE L 174640 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: B Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Ty le: Secondary Construction~ON: Oregon law I'Mi\lPli~l~fi~ # of Bedrooms: fo"OW rules adopted by th~Qr~ fgljtl NotifteatlOn Center. Those r~~.f\f~ ~n't!}g. n/a 111 uN\ ;31.881 .1 0 ~rnl ~gfi OAttl F . 0090. You may ObttllDJ!i'~I\eE:?~".f5RMA TION I calling : =;~~~~'Utility Notification "umber Center 18 1-800-33a~IlJgDist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ......,.. ......'<< .;\". ~ I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 02/28/2011 Phone 541-935-6350 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: NOTICE: Downspouts/Drains: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR .^.tIV HQ D,,~~~~V'n I Valuation Description I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pae:e 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00754 ISSUED: OS/2912008 APPLIED: OS/2912008 EXPIRES: 11/29/2008 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 Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $20.00 $5.00 $6.00 $2.50 $5.00 $45.00 5/29/08 5/29/08 5/29/08 5/29/08 5/29/08 5/29/08 Receipt Number 2200800000000000775 2200800000000000775 2200800000000000775 2200800000000000775 2200800000000000775 2200800000000000775 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. wilJ be made the same working day, inspections requested after 7:00 a.m. wilJ be made the following work day. L.T~eouired Insnections 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 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 construction. -/71 J/Vv1 .rYll1ZJ j ~~_ Owner or contreorS"Signa~Ure (. - :5/c29/ IJr Date I I ..'" Pa!!e 2 of 2 225 Wifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00754 COM2008-00754 COM2008-00754 COM2008-00754 COM2008-00754 COM2008-00754 Payments: Type of Payment Check cRecemtl RECEIPT #: 2200800000000000775 Date: OS/29/2008 DescrIption Gas Outlets 1-4 Mmunum/ Adjustment MechanIcal ~MechanIcal Issuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By GARYS ROOTER AND PLUMBING Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIved djb 1836 In Person Payment Total: Page I of I 11:00:59AM Amount Due 500 4500 2000 250 600 500 $83.50 Amount Paid $83 50 $83.50 5/29/2008