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Home My WebLink AboutPermit Mechanical 2010-1-5 CIO.I:Y SPRIN::t~..~ ., . ..', (fH; rl~~{, ~ ~ .':\. OREGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-1 0-00006. Approval Code: 04514C 1/5/2010 1:42 pm E-mailedTo:ambassadorpiping@hotmail.com . :.;:",1 . '.... ~ ~. I Description Qty. J Ea. Total I '; ,;:: ~;I I First Appliance Fee J I $79.00 I 1~~~a~t~~Jia9i!TIJI:Fees~~~~!'::~,"{~'f( ;!'~,~4:d:"t"~~~~~""?~~:.~o J. I State surcharge (12% of permit $9.48 total) I Technology fee (5% of permit total) $3.95 I TOTAL PERMIT FEE $92.43 I 0 New Construction [gJAddition/allerationtrePlacement ;;it~.m"-';~'~1't~~ci::'is"~C~I~G,,Oltr~iC;;iF~'Q.t:J'~jf~JJ9)fi9N.&71~;~~^*h~:~~;~'~~1 [RJ 1 or 2 fam'ily dwelling 0 'Multi-family 0 Commercial 0 Accessory 11';-'l":;,=;',:,,'j"P:!!liJOB SITEliNF[6RMATioN:~ND;tOCATION"~7~'l<J I Job Address: 2443 38TH ST CitylStatefZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: I Project Name: Wilson I C,o.. S'meUd;,ect;ons to iob s;t" I Tax map/parcel no.: 1702194209900 ;~ flW 01Qroo IGl2-- Ih5110 Gas piping from meter to tankless water heater Name: Marvbeth Wilson Phone:.541-747-9951 Fax: I Ema!l: Ii} I eee lie. no.: 121469 . I Business Name: AMBASSADOR PIPINGINC ,'.. I 'yulil;E. l< cont"~'; ;;3 ;,-:r.';J!IT ~W'-'- 1=YDI!1l= IF THE WOR I Addms~:'m~9fRI71!n tINDER THIS PERMIT IS NOT I c;ty/S";,t~3'fiHWEOOI3!l< @;RolS ABANDONEU ~U~ Phon" P,,;iI1!6&,sO DAY PERIUU. Fax: 5417265174 ",' ATTENTION: Oregon law requires you to follDW rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010through OAR 952-001- 0090. You may obtain copies Df the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Email: Metro lie. no.: City 'ie. no.: Upon review and approval by your local jurisdiction, your pennlt will be e.malled or faxed within one business day, with Instnlctlons on how to schedule your Inspection. NOTE: This Authorilatiofl To Begin Work expires within 180 days If a permit Is not obtained. ~ I~ ~ \.\ ~~ ~:c;. \\J Q/ \-\9-\O~ ~~ \t\ The local building department may detennlfle that an Authorization To Begin Work Is null and void if it does nof meet applicable land use law$ and local ordinances. Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 1 225 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: COM2010-00022 ISSUED: 01105/2010 APPLIED: 01/05/2010 EXPIRES: 07/05/2010 VALUE: SITE ADDRESS: ,2443 38TH ST ASSESSOR'S PARCEL NO.: 1702194209900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIP;fION: Gas piping from meter to tank!ess water heater in residence. , Residential Owner: Address: , WILSON ZANE 0 & MARY BETH 2443 N 38TH ST SPRINGFIELD OR 97477 . , Phone Number: 541-747-9951 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License , 121469 Expiration Date 03/27/2011 Phone 541-726-5723 BUILDING INFORMA nON. # of Units: Primary Occupancy Grollp: Secondary Occupallcy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . # of Stories: Height of Structure Type of Heat: W~ter Type: RiingeType: Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ". D/a I DE".ELOPMENT INFORMATION I REQUIRED PARKING r Frontyard Setback: I Overlay Dist: t Total: Side 1 Setback: I . #Street Trees Rqd: ATTENTION: Oregon IMIrfll~Il~IlM!OU.t.o Side 2 Setback'. ",'''' ';"-P-~ved !Jrive Rqd: follow rules adopted bv:1i1flP.9lP.9on Utility Rearyard sJi,OJJ.C~: L EXPIRE If 1HE<M\l}~X~t Coverage: Notification Center. Those rules are set forth Solar Setbacl;1IS ,PERMIT SHfl.l IS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- f,Jr: {'2n.':,cn IIMI'iFR 1H " ~,-r., :~^ v^" ~~~i'1 ('opies of the rules by COMMENCED OR IS ABAND~6~LIC IMPROVEMENTS I calling the center. (Note:.~he tel~~no~e I 'D'v PERIOD." "numb~rfor the Oregon Utility Notlflcalion Street Impro~atiP ", . ~1~\fIlI~r1jriIJl'.a00-332'2344). Storm Sewer Available: Special Instruction: i Downspouts/Drains: ,Notes: ..' .:. Description I I I TyJe of Construction 1 I V aluaii~n DescriDti~n I , $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 01"2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12";', State Surcharge + 5% Technology Fee 1st Appliance Total Amount Paid . ,Total Value of Project ,;/' '.:; I. Fees Paid' Amount Paid $9.48 $3.95 $79.00 $92.43 Plan Reviews I Date Paid 1/5/10 1/5/10 1/51l0 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00022 ISSUED: 01105/2010 . APPLIED: 01105/2010 EXPIRES: 07/05/2010 VALUE: Receipt Number 2201000000000000002 2201000000000000002 2201000000000000002 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. Rough Mechanical: Prior to Cover Rellnired Tnsneetillns , 'i :', r Final Mechanical: When all mechanical worlds complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon iSlrue and correct, and 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 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 use~ on this project. I further agree to ensure tbat 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 times during construction. Owner or Contractors Signature , , ." " .~: " Page 2 01'2 Daie 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00022 COM20 I 0-00022 COM20 1 0-00022 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Des~ription I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 2201000000000000002 City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/05/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received KR :L . , Page 1 of 1 ONLINEAMBASSA Online DOR PIPING Payment Total: 2:29:IIPM Amount Due 79.00 9.48 3.95 $92.43 Amount Paid $92.43 $92.43 1/5/20 I 0