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Home My WebLink AboutPermit Mechanical 2005-1-20 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF :srKll'lld'lJi,LD Building/Combination Permit PERMIT NO: COM2005-00081 ISSUED: 01120/2005 APPLIED: 01120/2005 EXPIRES: 07/20/2005 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 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 I BUILDING INFORMATION I ATTENTIOro~ law follow ruf~iB!Ib~~tf8y~~..vou!ll NotificatiOlf~Y5/.1lfl\bse rui;"'d"" Utifil1 In OAR 9S2\bt1fgit-. -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 Dist: # 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 C"'-'MC 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 I of2 Value Date Calculated . . CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2005-00081 ISSUED: 01120/2005 APPLIED: 01120/2005 EXPIRES: 07/20/2005 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"<,~ Rongh 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 certif 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 , , 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 . G~,'"" ~) ~.! .fity 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: 01/20/2005 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 1 1:08:09PM Amount Due 3.15 4.50 4.00 41.00 10.00 $62.65 Amount Paid $62.65 $62.65