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HomeMy WebLinkAboutPermit Mechanical 2009-1-5 , 1}uiIding/Combination Permit PERMIT NO: COM2009-0001I ISSUED: 01/05/2009 APPLIED: 01/0512009 EXPIRES: 07/05/2009' VALUE: Status Issued 225 Fifth Street, Spriugtield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line , CITY OF SPRINGFIELD SITE ADDRESS: 717 64TH ST ASSESSOR'S PARCEL NO.: 1702341300502 Spriugfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Installlp fireplace insert TYPE OF USE: New Residential Owner: KRISTY ROBERTSON Address: 717 64TH ST SPRINGFIELD OR 97478 I CONTRACTOR ~NFORMATlON , Contractor Type Mechanical Contractor License AMBASSADOR PIPING INC 12]469 I BUILDING INFORM!\T'fOiiill " ", if It,\ , I ' 'f\" \'O--N \0'0Ie9<'>' e\\OI , CfiQ1}S%ieSJ,e \eS 'Ole S S?-OO'- R-3 'C.\,\\\O~' ~te!gh1~bS~\'l]~t\ 9 IIl\eS '0'1 1>-\: tl.lWs \):J:--y'pe 0 ij1llit!9 S 0\ \"e ~otle vilO~~'O\\o(\ ~ 'l'(at~\" l\fUll\l\~ \"e \e\~~\C'O\\O(\ \\O\\\~I' gS?'- ~~n1:'e\IYlI-tl!N0\\'i\\i \'\~). \(\ 0 (), 'loll (\ ~l!efg~tl!'1}ll' ~?;'l-?;A ()()9 \;.\\\(\9 \"\~pr.mI;Ye~.8:illir;r.ng o \.-~t 1....'( \'Q lDEV~L1)~MENT INFORMATION 1 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 54]-654-0]74 Expiration Date 03/27/2009 Phone 54] -726-5723 n/a Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: \ \ REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' f "{\\'t. \NO"'~ ltO~~~~~\i S~;~~~:~~9:0 ~i\-lO~ll~\\)O~ IS f>,'<<~ CO~~~~Ctf>,'/ p~\\IO~. f>,~'/ ,\~Q ~ Street Improvements: Storm Sewer A vaiJable: , Special Instruction: Notes: I ,Valuation Desc~iptio~ I Description $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Tvpe of Construction Page] of2 Value Date Calculated Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00011 ISSUED: 01/0512009 APPLIED: 01/05/2009 EXPIRES: 07/05/2009 VALUE: 225 Fifth Street, Springlield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line Total Value of Project Fees Paid ,I Fee Description + 12% State Surcharge + 5% Technology Fee ]st Appliance LP Gas Tank & Piping Amount Paid Date Paid $1I.52 $4.80 $79.00 $17.00 1/5/09 1/5/09 1/5/09 1/5/09 Receipt Number 2200900000000000009 2200900000000000009 2200900000000000009 2200900000000000009 Total Amount Paid $112.32 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 ~e'1':1ired I n~p~c~ions I , 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 compleie. 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 aU 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 he 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 plaus will remain on the site at all times during construction. Ku~ R .c-JAJ~A-rn O~ne~ or co~iJctorS~.Signature . Date Page 2 01'2 225 Fifth Street' Springfield, bregon 97477 541-726-3759 Phone Job/Journal Number COM2009-000 11 COM2009-000 II COM2009-000 11 COM2009-000 11 Payments: Type of Payment CreditCard cReceint 1 RECEIPT #: Description 1st Appliance LP Gas Tank & Piping + 5% Technology Fee + 12% State Surcharge Paid By KRlSTY ROBERTSON / City of Springfield Official Receip~ Development Services Department Public Works Department " 2200900000000000009 Date: 01/05/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 219236 In Person Payment Total: Page I of I ]] :46:0SAM Amount Due 79,00 17,00 4,80 11.52 $112.32 Amount Paid' $112.32 $112.32 1/5/2009