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Home My WebLink AboutPermit Mechanical 2004-12-28LD Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01551ISSUED: 1212812004 APPLIEDz 1211712004EXPIRES: 06t28t2005 VALUE: SITE ADDRESS: 233 WOODLANE DR ASSESSOR'S PARCEL NO.: 1703262205900 Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Gas line, gas fireplace, water heater, furnace Owner: Address: EDWARD CANTY 233 WOODLANE DR SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 Expiration Date 03t27t200s Phone 541-726-5723 CONTRACTOR INFORMATION DEVELOPMENT DING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft lst Ploor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Total: Handicapped: Compact: R-3 \T.{ ATTENflOII q€gon UNDER THI CUi',iiiEIiCED OIl IS ABA OverlayDist: AN\' 'lB0 DAY PERi0D. # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: tawruqukeeYurb :#fffmfiM{*.. Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Description Type of Construction Total Value of Project Value Date Calculated -I -) Notiltcaton Valuation Description I Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01551ISSUED: 1212812004APPLIEDz 1211712004 EXPIRESz 0612812005 VALUE: B'ees Paid Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + l0%o Administrative Fee + 7%o State Surcharge + 7oh State Surcharge Appliance Vent Fixture Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Total Amount Paid Amount Paid $10.00 $4.s0 $4.50 $3.15 $3.15 $6.00 $14.00 $12.00 $15.00 $4.00 $8.00 $31.00 $115.30 Date Paid 12t28t04 12t28t04 12t28t04 12t28t04 12128t04 12t28t04 12t28t04 12t28t04 12128t04 12t28t04 12128104 12128t04 Receipt Number 1200400000000001797 1200400000000001797 1200400000000001797 120040000000000u97 1200400000000001797 1200400000000001797 r200400000000001797 1200400000000001797 1200400000000001797 1200400000000001797 1200400000000001797 1200400000000001797 Plan Reviews To Request an inspection call the24 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reorrired fnsnections Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01551ISSUED: 1212812004 APPLIED:. 1211712004EXPIRESt 0612812005 VALUE: 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. Owner or Contractors Date Pase 3 of3 tL 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT#: 1200400000000001797 Date: 1212812004 t:27:t7PNt Job/Journal Number coM2004-01551 coM2004-01551 coM2004-01551 coM2004-01551 coM2004-0155r coM2004-01551 coM2004-0lssl coM2004-0155 r coM2004-0lssl coM2004-01551 coM2004-0r551 coM2004-01551 Description + loh State Surcharge + l0% Administrative Fee Fixture Minimum/Adjustment Plumbing Furnace - up to 100,000 btu Appliance Vent Gas Outlets l-4 Gas Fireplace Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0Yo Administrative Fee Amount Due 3.l5 4.50 14.00 31.00 12.00 6.00 4.00 15.00 8.00 10.00 3. l5 4.50 Item Total:$11s.30 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check AMBASSADOR PIPING INC djb 8273 In Person Payment Total: $l1s.30 -STis:o-'' 12128/2004 Page I of I