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Home My WebLink AboutPermit Mechanical 2007-1-30 . . CITY OF SrK1r~\JriELD Building/Combination Permit PERMIT NO: COM2007-00143 ISSUED: 01/30/2007 APPLIED: 01/30/2007 EXPIRES:. 07/30/2007 VALUE: Status Issued 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 575 MALLARD AVE ASSESSOR'S PARCEL NO.: 1703221315700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Gas piping, Fireplace Insert, and Waterheater. Owner: MARTINEZ PATRICIA E Address: 1574 COBURG RD 106 EUGENE OR 97401 a.~ I CO~m-OR INFORMATION I ,\~IJ ~ ,- Contractor ~~ ~" ~~ License AMBASSAD()~ . ~~ 121469 BARNES HJ<ll(J.: :C~iJMBING INC 83311 . S~~;<v~ ~,p~UILDlNG INFORMATION' ,-0 N~'# ~"f. ~ . o~~~~ # of Units: ~'\~ ~<v~ ~<v<:) ~~ ~~<:) # of Stories: '?J""~ ~~o.~e: Primary occupan~~I)~~ 'i.J<Y:A ~<<:; Height of Structure: .:1'~ .~ ~:!kFt IsfFloor: Secondary Occupan~~ ~<v~ <:)'f. Type of Heat: ,.0 o'..rtJ q}0 ~VEtl2'~ Floor: Primary Construction ~ ....'Q<:::> Water Type: ,~~ >$''lJ ~'lJ1I:1 ~q, ~~,~nt: Secondary Construction iul:\ Range Type: .!i/)0"'<)~ rJb" tE'O~~~ ~~age/Carport # of Bedrooms: ~~ Energy Path: .,),.0 ~rP",~O"- .d' ",,-qfJ ther: Sprinkled B~~dlnt<>~~. ~1Iftt7JJfJ 0' gl( ilD~t Load: .~ tn_"C1) ->.:. *(l"~ J~ O~ I DEVELOPM",l'ii ilWba~o/16~:f ~ !C>'/;' ~J~~ ~v.JlJ!,.,-~'# REQUIRED PARKING overla~;{<l'~o~ #. #' ~ # Stre~~{I~d~ r# '#' Paved D"'~~"~~ cfJ % of Lot Covera\-.e5'v Contractor Type Mechanical Plumbing Expiration Date 03/27/2007 02/17/2008 Phone 541-726-5723 541-726-9854 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pa2e I 00 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00143 ISSUED: 01/30/2007 APPLIED: 01/30/2007 EXPIRES: 07/30/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calcolated Total Value of Project FpP~, tiIiIJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Gas Outlets 1-4 Minimum/Adjustment Plumbing Not Covered Mechanical Amount Paid Date Paid Receipt Number $10.00 $9.40 $4.70 $7.52 $14.00 $4.00 $31.00 $45.00 1/30/07 1/30/07 1/30/07 1/30/07 1/30/07 1/30/07 1/30/07 1/30/07 2200700000000000126 2200700000000000126 2200700000000000126 2200700000000000126 2200700000000000126 2200700000000000126 2200700000000000126 2200700000000000126 Total Amount Paid $125.62 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. IRpn~ Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Pa2e 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00143 ISSUED: 01/30/2007 APPLIED: 01/30/2007 EXPIRES: 07/30/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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, aud I further certify that any and all 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 withont 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 eusure that all required iuspections 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. ;11;:ttl;;:>~{L () 1- 4?-(J7 - Owner or Coutractors Signature Date Pa2e 3 of3 . ca of Springfield Official Receipt _elopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone '; 1I!~1:'!1F,!~"!-'?.... -- s ( "1'\.1''-'' . ~ .4'-" .~'''''''-~'-''" ......; --...-" Job/Journal Number COM2007-00143 COM2Q07-00143 COM2007-00143 COM2007-00143 COM2007-00143 COM2007-00143 COM2007-00143 COM2007-00143 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000000126 Date: 01/30/2007 Description Fixture Minimum/Adjustment Plumbing Gas Outlets 1-4 Not Covered Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MATTHEW S. CLEMENT Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 005128 In Person Payment Total: Pa2e I of I 10:02:38AM Amount Due 14.00 31.00 4.00 45.00 10.00 4.70 7.52 9.40 $125.62 Amount Paid $125.62 $125.62 1/30/2007 , .. ~ .I , .~ Q Q ~j ~j rrDl1 l\ ~l ~j ~j ,0 ZZ5 ruTH STREET. SPRINGFIELD, OR 97477 . rH:(54 1)726-3753 . FAX: (541)726-3689 City Job Number COf--1\ 'Z-OO l ~ Co \ i\: ~ LOCATION OF PROI'OSED WORK: 5?~;11&! 1 &-/ I} AtI-c ASSESORS MAP: TAX LOT: OWNER: ({/fu.J ,;t <?,,*~I Me;.I),.IIt'.? . 5/.5- M~ 71 ,H// Av'~ 5'oJL,l 1/ . LJI" SPRINGFIELD L ~ _-~ ., Il ^. /-" 'I i ...J ,f\ _~.......~--__ /"" ',- ; ./ .--~~. . ~.::'___;: I ! ." /)A ", ; ''''---._-----;;., ~yt ",.. Ill,,- ;u:- 4-S- 4- &-~ PHONE: 7~&j- '?K''55: ADDRESS: CITI': ~TATE: ZIP: - ;lFl .J(~~-7/l:1 ,) .-.:> . . . 0Vo f,-~;''5'' Aeo 1f? /~ S?M<:.J/ .4 e.o ?)/I../. . ADDlTON: DEMOLISH: _ OTHER: t< VALUE: 4t 5;;< I/.~ DESCRIITION OF WORK: NEW: REMODEL: CONTRACfOR'S NAME CONST. CONTRACfOR # EXPIRES . ADDRESS GENERAL: PLUMBING: MECHANICAL: A,.J.ll.~t.?t,.., elf iJ ELECfRlCAL: 12/ Y(,J I'HONE 7:2C- 5 ?d)..s: MECIiAN1CAL PERMIT PLUMBING PERMIT ITEM FEE ITEM furnace Fixtures Residential Rath(s) No. Sanitary Sewer IT. Water IT. Storm Sewer IT. Exhaust Hood Vent Fan No. Wood Stove/Insert/Fireplace Unit Mechanicall'ermit Subtotal "Minimum of$45.00 Stale Surcharge 8% Administrative Fee 10% Issuance Fee Technology Fce %5 Plumbing Permit Subtotal "Minimum of $45:00 State Surcharge 8% Administrative Fee 10% Technology Fee %5 TOTAL MECHANICAL TOTAL PLUMBING FEE Mre(ChaJJlliie'aJ~ _ ~ _ ~ :;,,0 _,__ _~_,_ _.. _,_._ _,_.__ _~ ..... ."'" lill~ 1!... " · f~l!J1ml!})hlU1g M~s:(CJ~]E(IDID;~([))1illS; _~__.~- ~ .,,__.....__~.~_...... _~-_r . Shared Drive(T.)'Buildmg FomlSfPenml Workshcet08-06 doc