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HomeMy WebLinkAboutPermit Mechanical 2009-2-12 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00206 ISSUED: 02/1212009 APPLIED: 02/1212009 EXPIRES: 08/12/2009 VALUE: '. SITE ADDRESS: 919 G ST' ASSESSOR'S PARCEL NO.: 1703351208100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Gas piping- 4 outlets Owner: JUDD SHELVIA J Address: PO BOX 495 SPRINGFIELD OR 97477 in I~I-, ~-' C. -:'J_:lr'l'1_nn1 n thrnl rnh n8'j:l Qt:i'J-001 ~ 0,1: mNTRACTORJNF()~T10l"!""les by . calling the center. (Note: the telephone Contractor number for the Oregon Util~icens'e;atioiExpiration Date AMBASSADOR PIPING INGnter is 1-800-3321:Z:146~. 03/27/2009 BUILDING INFORMATION I , . Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constructiou Type: # of Bedrooms: Frontyard Setback:' Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of ConstructIou 1\', -'.!''-'r'N: Oregon law requires you to fc:" ':i . . .'",' adopted by the Oregon Utility 1\.. -,~......,~"_ '" ('"""lnl" Thr'\coCl 1"1 doC' ~I'C coot fnrth # of Stories: R-3 Height of Structure Type of Heat: Water Type: NOTlCE:Range TYPte: THIS PERN~f:~IfJ;~t~tif!i'AP.J: IF THE V'd,QRK /lIITlinRI7~8 IIMn~R TI-lle: 'D~R~nIT Ie: ~lnT l; U IliDEVE.I!;(i)PMENIT'fIfl)Hl:0.RMl\:U0!l1KI AN'll tiU UAY PtKIUU. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Residential Phone 541-726-5723 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: I Valuation Descriotion ~ $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of2 Value Date Calculated Status Iss it ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00206 ISSUED: 02/12/2009 APPLIED: 02/12/2009 EXPIRES: 08/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541"726'3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pair! I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 .2/12/09 . 2/12/09 2/12/09 2200900000000000168 2200900000000000168 2200900000000000168 , Total Amount Paid $92.43 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 Reouirer! Insnections , Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. 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 witb the Ordinances of the City of Springfield and tbe 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 . ~\~:.~cons~uct~~~-L ^' ~ I~ ~ ,--.,{) '" . j 1) ~Oj LV J-J.-Lu.uJ,.." rl r;J, L/-I Owner or Contractors Siguature Date Page 2 of2 225 Fifth Street Spring6eld~ Oregon 97477 541-n6-3759 Phone Job/Journal Number COM2009-00206 COM2009-00206 COM2009-00206 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description 1st Appliance + 5% Technology Fee + 12% State Surcharge Paid By DEBORA CLEMENT, City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000168 Date: 02/12/2009 , Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 00582b In Person Payment Total: Page I of I IO:08:45AM Amount Due 79,00 3,95 9,48 $92.43 Amount Paid $92,43 $92.43 2112/2009