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Home My WebLink AboutPermit Mechanical 2003-10-14Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01040ISSUED: 1011412003 APPLIEDz 1011412003 EXPIRESz 0411412004 VALUE: SITE ADDRESS: 875 25TH PL ASSESSOR'SPARCELNO.: 1703361107900 PROJECT DESCRIPTION: Install gas freestanding stove Owner: DELONA INMAN Address: 875 25TH PL SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PhoneNumber: 541-746-2202 Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 Expiration Date 03t27t2005 Phone 541-726-5723 CONTRACTORINF( # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN $ Per Sq Ft or multiplier Square Footage or Bid Amount REQUIRED PARI(NG Total: Handicapped: Compact: $l ORK \S N01 r0R wr${ # Drive d: oh oILot Coverage: \\e NsI\ 1\\\s hu1 c0\ Total Value of Project Pase I of2 PUBLIC IMPROVEMENTS Description Type of Construction Value Date Calculated lrU ll-Lrll\rJ l.t\ I (JKIYIA t l(rL\ | # of Stories: Height of Structure Type of Heat: Water Size: Ft lst Floor: 2nd Floor: Basement: Surface Area:w Bc TD Yaluatiqn De$dplioll ON\ Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01040ISSUED: 1011412003APPLIEDz 1011412003 EXPIRESz 0411412004 VALUE: f,'ees Paid Amount Paid $10.00 $4.s0 $3.15 $15.00 $4.00 $26.00 $62.6s Date Paid Receipt Number 1200200000000002310 1200200000000002310 1200200000000002310 1200200000000002310 1200200000000002310 1200200000000002310 Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7%o State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid t0n4t03 10fi4t03 t0lr4l03 ton4t03 r0n4t03 10fi4t03 PIan 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. I 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. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. By signaturer l 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 Signature Paee 2 of 2 Date l(eourred InsDectrons I /0 /Ll 49 225 Fifth Street ::!1 Springfield, Oregon 97 477 541-726-3759 Phone 'City of Springfield Official Receipt Development Services Department Public Works Department Receipt #; 1200200000000002310 Drte: 10/14/2003 e:3t:{sAM coM2003-01040 coM2003-01040 coM2003-01040 coM2003-01040 coM2003-01040 coM2003-01040 + 7Yo State Surcharge + lDoh Administrative Fee Gas Outlets l-4 Gas Fireplace Minimum/Adjustment Mechanical -Mechanical Issuance Fee- 3.l s 4.50 4.00 15.00 26.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By Received By eheckNumbei Batch Number Authorization Number How Received Amount Paid Check AMBASSADOR PIPING INC djb In Person Payment Total: s62.65 $62.65 City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Farx March 22,2004 INMAN 875 25THPL SPRII{GFIELD Job Number: Location: DELONA oR 97477 coM2003-01040 875 25TH PL Project:Install gas freestanding stove 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 (ecords, you obtained a permit for a project at 875 25TH PL which is set to expire on 412212004. Our records indicate that you have not requested an inspection within the past frve (5) months. This letter is written to notify you that your permit(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. Lisa Hopper Building S afefy Supervisor