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Home My WebLink AboutPermit Mechanical 2005-12-20CITY OF S Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541-7 26-37 69 I ns pection Line SITE ADDRESS: 3825 VIRGINIA AVE ASSESSOR'S PARCEL NO.: 1702314402800 PROJECT DESCRIPTION: Install gas fireplace and piping PERMIT NO: COM2005-017 52 ISSUED: APPLIED: EXPIRES: VALUE: Springlield TYPE OF TYPEOF USE: 12t20t200s 12120t2005 06120t2006 Heating System New Residential Owner: Address: BUD REDICK 3825 VIRGINIA AVE SPRINGFIELD OR 97478 Phone Number: 541-726-5117 Contractor Type Mechanical ,. # of Unib: Primary Occupancy Group: Secondary Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: Contractor AMBASSADOR PIPING INC to\\ow R-3 u\ Expiration Date 03t2712007 Phone 541-726-!5723 et\ot 1 ough o\es OAR \nO AB95 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VN ca\\i nurtr $ Per Sq Ft or multiplier ,rC-?3* nla Frontlard Setbmlc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: 0R 1ss rr Sidewalk Type: DownspoutVDrains REQUIRED PARKING Total: Handicapped: Compact: $c $l$\ Square Footage orBftI AmountDescription Tvpe of Construction lof2 Value Date Calculated ! u(rl\ l r(AL r (,I( rN r u__5ly!LL1!l!_.] L[! V [L(rrlvttll\ r lN.r (rr(luA r r(rN Valuation Description I FIELD Building/Co mbination Permit PRIN Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541:7 26-37 69 I nspection Line PERMIT NO: COM2005-017 52ISSUED: 1212012005 APPLIEDz 1212012005 E)OIRESz 0612012006 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 1oh State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Amount Paid Total Value of Project Date Paid 12t20t05 12t20tos t2120t05 12120105 12t20t05 t2t20tos Receipt Number 1200500000000001829 1200s00000000001829 1200500000000001829 1200s00000000001829 1200s00000000001829 1200500000000001829 $r0.00 $4.50 $3.15 $15.00 $4.00 $26.00 $62.65 Plan Reviews To Request an inspection call the24 hour recording at 72G3769. 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 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 SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCT PAI\CY wilt be made of any structure without permission of the Community Services Division, Buitding Safety. I further certiff that only contractors and emplopes 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 stree( that the permit card b located at the front of the property, and the approved set of plans will remain on the site at all times construction. Owner or Contractors Signature 2of2 Date 1Z-ZO-CS- r ees ralo I l(eourred lnsDecnons I ,: 225 Fifth Street Sgtingfhld, Ore gon 97 477 5,tl:726-3759 Phone ^ity of Springfield Official Receipt , evelopment Services Department Public Works Department RECEIPT#: 1200500000000001829 Date: 1212012005 8:34:58AM Job/Journal Number coM2005-01752 coM2005-01752 coM2005-01752 coM2005-01752 coM2005-01752 coM2005-01752 Description + 7o/o State Surcharge + l0% Administrative Fee Gas Outlets l-4 Gas Fireplace Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.1s 4.50 4.00 15.00 26.00 10.00 Item Total:$62.6s Payments: Tlpe of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Crleck AMBASSADOR PIPING INC djb 9047 In Person Payment Total: $62.6s $62.6s,i 4 ,t I rl ,l ,+ 1 l i '* t2/2012005 lofl $Ftlilq?lallt