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Home My WebLink AboutPermit Mechanical 2009-10-8 Mechanical Authorization To Begin Work E-mailedTo:ambassador-piping@hotrnail.com 69600-BMC-09-00145 1017/2009 3:36 pm App,roval,COde: 03512C \'._ Check on status of permit :;V'\1.;{;;~y.61~ri~: 541 ;726-3753 or Email: pennitcenter@ci.springfield.or.us I 0" Newcons~~_~~/'.' . . ~ " [R] ::~~;1ddi'tiOnl~t~~ationJn;:~.lacement I Description 0}or 2f"';ily ~~il!\.V?tJ ~Ult:-f"nil;, 0 Co~"d'" 0"""'00' Buildi", ';: ~~~BTsITE:IN~ORMATIONIAN51i:OCAiION~:;:~1 I Job Address: 973 S'ST.'." ,< -';.. . I City/State/ZIP: SPRn~GF.IELD, OR "97477 . I Suitelbldg./apt.no.: ~ I First Appliance Fee I Subtotal ISlatc surcharge (12% of penn it total) I Technology fec (5% of permit total) I TOTAL PERMIT FEE $79,001 $9.481 $].95l 592.431 'Project Name: gas 'fire'p_l~ce Cross Street/direction; to' job siie;"}Oth imis 5t ., Cq-IY;)O ~ \0\ sICA I Tn m.p/p.".' no.: i 1 m Lfu \~f)~OJ 1~~"'mDEsCRI~TION[OF,,-Wo.R'g~fl;~~~ Install gas line, install gas firepla'e,instal]gaswaterh~aterandexhau5tv(;:nt I Name: Daryl Curran I Phone: 541.74]-7]64,,:.__;. __ Fax: I Email: ~.urlvs;;.: I~'" ~Qi.fNTR.l\CTORI~mt!lh~i;'~Y,l'JJ:l~t I CCBIi<.no.d21469'iU j H'UliILtU UNUt:K I HIS f'l:I-l'ivillI0 NUT I B"'i.",N.mdMaASSADORPiRJildiNCJK 10 AtiANIJUNEIJ FUR I c..."" f-IIH IOU UI-IY t-'ttil!)U, " I Address: PO BOX 70737 City/State/ZIP: EUGENE, OR 974()\. Phone: 541-726-SU3 , Fa.t: 541-726-5174 ATTENTION: qregon law requires you to follow rules ad9pted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952,001 :001 0 through OAR 952-001- 0090. You may bbtain copies of the rules by calling the center. (Note: the telephone number for thltOregon Utility Notification Center is 1-800-332-2344). Ema.l: I Metro lie. no.: City lie. DO.: Upon review and approval by your local jurisdiction, your permit will be a.mailed or faxed within one business day, with Instructions on how to schedule your inspeCtion.' ~ . ~ ;! . - e : ~i. , ., Q 0/ ....0... !i'0 (A'U !:\Q' ~ !i ~'? I!, .,y,>- " I' " !i !i This Aut~o.~ization To Begin Work must be posted at the job site until replaced by a Permit NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. ~ The local building department may determine that an Authorization To Begin " j. Work is null and void If It ~oes. not meet applicable land use laws and local "- o"'in.nc.s ~ 'Q ~^' ,I .. " ~ , " . ,I., " Status Issued; CITY OF SrKlj~\.JJ1IELD Building/CQmbination Permit PERMIT NO: COM2009-0]420 ISSUED: 10/08/2009 APPLIED: 09/24/2009 EXPIRES: 04/08/20]0 VALUE: . 225 Fifth Stree(Sprjngfield. OR 541-726-3753Phone ' , , 541-726-3676 Fax 541c 726-3769 Inspection Line SITE ADDRESS:, ';973 S ST '.,;~ ASSESSOR'S pARCEL NO:: 1703261308600 , Spriuglield TYPE OF WORK: HeaHug System .;f ".\ TYPE OF USE: New Resideutial ;~ROJECT DES<:;gI!'TION: Install gas piping aud appliances . '.,,-. ~" ~ .-r' ~;.. :~. . Owner: CURRAN LIVING TRUST Address: 973 S ST SPRINGFIELD OR 97477 - ~.' I ,CONTRACTOR INFORMATION 1 Contractor Type" Mechanical ; Contractor License AMBASSADOR PIPING INC 121469 BUILDING INFORMATlONI Expirati~n Date 03/27/2011 Phone 541-726-5723 VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Buildiug: Lot Size: " Sq Ft J'st Floor: Sq Ft 2hd Floor: Sq Ft ~asemeut: Sq Ft <{arage/Carport Sq Ft Other: Occup~ut Load: !1. # of Uuits: 'Primary Occupancy Group: Secondary Occupancy Group:' Primary Construction Type Secondary Construction Type: # of Bedrooms:" . " R-3 u/a I DEVELOPMENT INFORMATION I , REQUIRED PARKING Frontyard Setback:". , " Overlay Dist: , Total: Side I Setbac'~:'JTlGE:. # Street Trees Rqd: ATTENTION: OregorH~ndicapped: you to Side 2 Setbac({:IIS PERMIT SHALL EXPIRE IF THIP~V:;'d')Efrive Rqd: follow rules adoptede,qrnpacf:regon Utility Rearyard Se~~llc,~:,ORIZED UNDER THIS PERMIToJ~ojjilift Coverage: Notification Center. Those rules are set forth Solar SetbacteiJMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ................ \1_.. _~,. _h~....:.... ............i^~ .....ftho rlda.~ h\l ANY 1l:lU UAY t'tt\IUU, I PUBLIC IMPROVEMENTS 1 '-~~Iiing the center.;1 (Note: the telephone , number for the Oregon Utility Notification Street Improvements: ,Slilet>0W;JiYR,e:1-800-332-2344), Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Descri,Dtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 Status Iss U ed .,1,. CITY OF SPRINGFIELD Building/Combination Permit I' " PERMIT NO: COM2009-01420 ISSUED: ]0/08/2009 APPLIED: 09/24/2009 EXPIRES: 04/08/2010 VALUE: , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspe~~~0~Line Total Value of Project I Fe~s Pa,id I Fee Description :,: , ' , , + 12% State Surch~'qle:: , + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number f'\ :1 ,. $9.48 10/8/09 2200900000000001157 $3.95 10/8109 2200900000000001157 $79.00 10/8/09 2200900000000001157 Total Amouut Paid $92.43 [ 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, willlibe made the following work day. !le,~I~i!edI.n,snecti~ns I Rough Gas: After line is installed and required testing and capped if uot attached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete, . 1~ By signature, I s.tate,and agree, that I have carefully examined the completed application arid do h~reby certify that all information her~on!s true,and correct, and I further certify that any and all work performed shall be done in accordance with' the Ordiuances of the City of Spriugfield and the Laws of the State of Oregou pertainiug to the work described herein, and that NO OCCUPANCY will be made of auy structure without permissiou of the Commuuity Services Division, Buildiug Safety, I further certify that ouly contractors and employees who are in compliauce with ORS 701.005 will be used ou this pl'oject, I further agree to ensure that all required inspectious are requested at the proper time, that each a'ddress is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wiII remaiu on the site at all times during construction. i! . Owner or Contractors Signature Date' Paee 2 01'2 22S:FifthStfeett;i;.:;illJ-:,:"..;; < Springfield, On;gon97477';"','f,!:-'::.', . 54],726-3759 PhtJIiJ,." , ""3 -. . - .'" , ", .~ :;,RECEIPl',#: .fr'-"":'-,," '-"';0"" City of Springfield Official Receipt Development Services Department Public Works Department 220090000000000]]57 Date: ]0/08/2009 " Job/Journal Numb~.r-.~:..~~;~:.Q~~~;ipti~n COM2009-01420',"\:.:, ',;.lstAppliance COM2009-0 1420:',''/,' <if 5% Technology Fee : .. ~. . -. ".: .\" ~ '-'...' .. ' - . -,"", . COM2009-0 1420 ,,,- "+,:1?% St~te~Hfsharge . . , '. .~ Paymeuts: Type of Payment ONLINE CHGS cReceintl ,Paid By ,0NLINE,PERMFf,CHGS ~~~~~ ~;::':1;t~~J<' ";.'. 'j;' 'i";'" "-' '. :,':::~;ft~~'::'~~~:~i;;:::"~- . ." ,:",.,., ":c;._ . " .. " , , . " . , ,; :1 ~ Received By llh Page I of I Item Total: Check Number Authorization Batch Number Number How Received .. ONLINE, ambassador Onl\ne piping Paym~,nt Total: t, 9:51:33AM Amount Due 79,00 3.95 9.48' $92.43 Amount Paid $92.43 $92,43 10/8/2009