HomeMy WebLinkAboutPermit Mechanical 2004-10-13Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01263ISSUED: 1011312004APPLIED: 10/1312004
EXPIRESz 0411312005
VALUE:
SITE ADDRESS: 160 S 22ND ST
ASSESSOR'S PARCEL NO.: 1703364205600
PROJECT DESCRIPTION: Replacing heater with new gas fireplace.
Owner: ROSBORO LUMBER CO LLC
Address: PO BOX 20 SPRINGFIELD OR 97477
Springfield TYPE OF WORI(: Mechanical Only
TYPE OF USE: Alteration Residential
Contractor Type
Mechanical
Contractor
AMBASSADOR PIPING INC
License
12t469
Expiration Date
03t27t2005
Phone
s4t-726-5723
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setb
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
Structure
Heat:
Type:
Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street
Paved
"h
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Load:
s Total:
{s.q
Handicapped:
Compact:
PARIilNG
Description Type of Construction
Total Value of Project
Value Date Calculated
--'!L
*
Valuation Description I
Status Issued
225Filrh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01263ISSUED: 1011312004APPLIED: 10/1312004
EXPIRESz 0411312005
VALUE:
tr'ees Paid
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Gas Fireplace
Gas Outlets l-4
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid Date Paid
10fi3t04
t0lt3t04
10fi3t04
t0n3t04
t0n3t04
t0n3t04
$10.00
$4.50
$3.1s
$15.00
$4.00
$26.00
Receipt Number
2200400000000001277
2200400000000001277
2200400000000001277
220040b0000 000ir277
2200400000000001277
2200400000000001277
$62.65
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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Reouired Insnections
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.
\a \\
Owner or Contractors Sign ature
Paee2 of2
Date
-T r\
i
,5 Fifth Street
rpririgfi eld, Oregon 97 47 7
541-726-3759 Phone
rtty of Springlield Oflicial Receipt
-_,v elop men t Seryice s D ep artment
P ublic Works D ep artrnent
RECEIPT#: 2200400000000001277 Date: 10113/2004 tt:222554M
Job/Journal Number
coM2004-01263
coM2004-01263
coM2004-01263
coM2004-01263
coM2004-01263
cou2004-01263
Description
Gas Outlets l-4
Gas Fireplace
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ l}oh Administrative Fee
Item Total:$62.65
Amount Due
4.00
15.00
26.00
10.00
3.15
4.50
Received By Batch Number Number How Received Amount Paid
Type of PaYment Paid BY
AMBASSADOR PIPING,INC. jmp 8085 In Person
Payment Total:
$62.6s
Check $62.65
1011312004 Page 1 of 1
City of Springfietd
225 Fifth Street, Springfield, OR 97 477
541-726-3759 Phone
541-726-3676Fax
March 16,2005
ROSBORO LUMBER CO LLC
PO BOX 20
SPRINGFIELD OR 97477
Job Number:
Location:
coM2004-0t263
160 S 22ND ST
Project:Replacing heater with new gas fireplace
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 160 S 22ND ST which is set to expire
on 411312005. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permi(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely
Lisa Hopper
Building Safety Supervisor