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Home My WebLink AboutPermit Mechanical 2008-8-19 -ii..~ Status Iss u ed 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01241 ISSUED- 08/19/2008 APPLIED' 08/19/2008 EXPIRES: 02/19/2009 VALUE: SITE ADDRESS 2717 LOCUST ST ASSESSOR'S PARCEL NO 1703244101400 Springfield TYPE OF WORK Mechanlcdl Only PROJECT DESCRIPTION Gas piping to pool heater and fire pIt TYPE OF USE New Resldenllal Owner BARBARA LOPEZ Address 2717 LOCUST ST SPRINGFIELD OR 97477 I CONTRACTOR INF<!RMATION I Contractor Type Mechamcal Contractor AMBASSADOR PIPING INC LIcense 121469 # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type SeconddrY ConstructIOn Type # 01 Bedrooms Flontyard Selback Side 1 Setback Side 2 Setbdck Rearyard Setback Solar Setbacks Street Improvements Storm Sewer Available SpeCIal InstructIOn Notes I BUILDING INFORMATION I # of Stones R-3 HeIght of Structure ~leS ~Oll ~~ Type of He~<tlleo.ll e~O" \l\~\~ VB 1;tN\\O~~8b~s~~Il~~~~:~~~~ ~\\0'l'11\l\em.;~~IP~'~IOU~~ 0' \"9 lUte lIe ,,\()\\\\ca.\\~SRfJItt&~ dC~ ':ne \e\e~\nqko" \ ~.I:\ g".. _'! ,,'0 \'\~\P..' \ .\~"c'l;! \~';DEviLOfME'ta,,~~~~ I co.'! - {'O\ l~- ~\~J J l\\l((l'Oej..,en\el IS OVerlay D.st # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Phone Number 541-521-9209 ExpIratIon Date 03127/2009 Phone 541-726-5723 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occupant Load ",...,,' REQUIRED PARKING Total -' Handlcdpped Compact I PUBLIC IMPROVEMENTS I n\1 . . . ~ \NOt''' Sldew~lk ,f''{~ \S ~Q1 ~01\C~" ~ ~ ~~~\\O'?< 1\-\\S \It.?.~IOD \}~Dt B~~DQ~t.t) ~\-\O?\l~ O? \S ~ ~O"^W\t.~(Jt.~ \It.?.\QD. ',' .o.{' 0 I ValuatIon Descn~::~'n-l $ Per Sq Ft or mulllpher Squdre Footage or B.d Amount DeSCriptIOn Tvpe of ConstructIOn Page I of2 Value Date Cdlculated -1IIr-~-:'" ~ .~ .' Sta tus Issued 225 FIfth Street, Sprongfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe Total Value of Project Fees P:ud I Fee DescroptlOn -MechaDlcal Issuance Fee- + 10% AdmlOlstratove Fee + 12% State Surcharge + 5% Technology Fee Flrepldce (LIsted) Gas Outlets 1-4 MIDlmum/AdJustment MechdDlcal Amount PaId Date PaId $2100 $520 $624 $260 $1800 $600 $28 00 8119/08 8/19/08 8119/08 8119/08 8119/08 8119/08 8119/08 Totdl Amount PaId $87 04 Plan Reviews ,I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-0124I ISSUED 08/19/2008 APPLIED: 08/19/2008 EXPIRES 02/19/2009 VALUE: ReceIpt Number 1200800000000000884 1200800000000000884 1200800000000000884 1200800000000000884 1200800000000000884 1200800000000000884 1200800000000000884 To Request an mspectIon call the 24 hour recordmg at 726-3769. All inspectIons requested before 7:00 a.m. wtll be made the same workmg day, inspectIons requested after 7:00 a.m will be made the followmg work day I Reouired Jnsn~chons I Rough Gas After hne IS IOstalled and reqUIred testlOg and capped If not attached to an apphance FlOal Gas When all gas work IS complete By slgndture, I state and agree, that I have carefully eXdmlOed the completed apphcatlOn and do hereby certIfy thdt dll IOformatlOn hereon IS true and correct, and I further certofy that any and all work performed shall be done 10 accordance WIth the OrdlOances of the CIty of Sprongfield and the Laws of the State of Oregon pertdlDlng to the work descrobed herelO, and that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the CommuDlty ServIces DIvISIon, BUlldlOg Safety I further certlly that only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS project I further agree to ensure that dll reqUIred IOspectoons are requested at the proper tome, that each address IS readdble from the street, that the permIt card IS located at the front of the property, and the approved set of plans wIll remalO on the sIte at all "m";~;;Ln Owner or Contractors Slgndture Page 2 of2 . )(~/'f~o~ Date 225 Flftl) Street Spnngfield, Oregon 97477 541-726-3759 Phone ~PA~:Q~.:o ~ ~ CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008-0 1241 COM2008-0124! COM2008-01241 COM2008-0124! COM2008-0 1241 COM2008-0 1241 COM2008-0 1241 Payments Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000884 Date. 08/19/2008 De~cnptlOn Gas Outlets 1-4 Fireplace (Listed) MInInlUmJAdJustment Mechamcal + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee -Mechamcallssuance Fee- Paid By MATTHEW CLEMENT Item Total Check Number AuthOrization Received By Batch Number Number How Received dJb 01580B In Person Payment Total Page 1 of 1 II 17 08AM Amount Due 600 1800 2800 260 624 520 2100 $87 04 Amount Paid $87 04 $87 04 8/1912008