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Home My WebLink AboutPermit Mechanical 2004-06-07Status 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: COM2004-00665ISSUED: 0610712004 APPLIEDz 0610712004 EXPIRESz 1210712004 VALUE: I Ilf,iIJIt-:.sf {[}LIION SITE ADDRESS: 2281 36th Court ASSESSOR'S PARCELNO.: 1702194305800 PROJECT DESCRIPTION: Install gas fire pit and associated gas line Owner: pAMELA PEARSON CRAIG Address: 228136TH CT SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PhoneNumber: 541-687-0488 Contractor Tvpe Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Secondary Construction # of Bedrooms: Contractor AMBASSADOR PIPING $rp $e License 121469 Building:nla Expiration Date 0312712005 Phone 541-726-5723 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo of Lot r$ Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Description Type of Construction Page I Value Date Calculated T Valuation Description I Ut,N II(ALTUK TT\.TUryJ B uilding/ C o mb in atio n P e r mit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00665ISSUED: 0610712004APPLIED: 0610712004 EXPIRESz 1210712004 VALUE: Fees Paid Fee Description -Mechanical Issuance Fee- + lOoh Administrative Fee + 77o State Surcharge Appliance Not Listed Gas Outlets l-4 Minimum/Adjustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $9.00 $4.00 $32.00 $62.6s Date Paid 6t7t04 6t7104 6t7104 6t7104 6t7t04 6t7t04 Receipt Number 120040000000000086s 120040000000000086s 1200400000000000865 r200400000000000865 r20040000000000086s 1200400000000000865 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. 1 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. 4 Final Gas: When all gas work is complete. Reouired Insnect 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAIICY 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 Pase2 of2 Date lr.] 225 Fifth Street Springlield, Oregon 97 477 541-72G3759 Phone ^ity of Sprin gfield OfticiatReceipf _ .,velopment Services Department Public Works Department RECEIPT #: 1200400000000000865 Date: 0610712004 1:30:40PM Job/Journal Number coM2004-0066s coM2004-00665 coM2004-00665 coM2004-0066s coM2004-0066s coM2004-0066s Description -Mechanical Issuance Fee- + 7o/o State Surcharge + l0% Administrative Fee Gas Outlets l-4 Appliance Not Listed Minimum/Adjustment Mechanical Amount Due 10.00 3. l5 4.50 4.00 9.00 32.00 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check AMBASSADOR PIPING djb 7714 In Person Payment Total: $62.65 -562^6-t 61712004 Page I of I zl tJE L I A ENGfNttH,NCi ANII MANU|-AC r UHIII_G PRECISION SHEET MEIAL AND ENCLOSUBES PHONE: (5O3) 692-4435 FAX: (503) 692-5030 rlt-HousE FABBrcATtoN, FtNtsH, ASSEMBLY AND AUALITY SYSTEMS . -TFCTR(IMC NITH{iACE .SHEARI}& . 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