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HomeMy WebLinkAboutPermit Mechanical 2010-1-5 (2) CITY OF ~rKINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2010-00022 ISSUED: 01105/2010 APPLIED: 01/0512010 EXPIRES: 07/08/2010 VALUE: Status Issued SITE ADDRESS: 2443 38TH ST ASSESSOR'S PARCEL NO:: 1702194209900 Springfield TVPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Gas piping from meter,to tank less water heater in residence. Residential Owner: WILSON ZANE 0 & MARY BETH Address: 2443 N 38TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATlO~.1 Contractor Type Mechanical Plumbing Lic~nse. 121469' 83311 Contractor AMBASSADOR PIPING INC BARNES HIGH TECH PLUMBING INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type' Secondary Constructiou Type: # of Bedrooms: I BUILDING INFORMATION 1 .# of Storie.kw~\res 'PI. \0 ''''''O~ Clg1l90J'1bli ~B'O\'egon \J\\11t!. ~TTE1"" WlltlI~. ale sel .0"" toIlO'II ",\es~. il~lll\l\eS AR 952.001- Not\lIce\lon 10Ugh ~ \he rule6 bY In OAR 952........_ ?pI9:'..e telephone _^"" '(ou ,,'M,"!\'l' "'te: U' :..._atloft """V'. \hfi~1I Wtit1\it'1 NO'"""'iiTa calling '.:,t.....Ole ~ - 3.mA\. n~EiliwlM1':~~RMATION 1 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: I PUBLIC IMPROVEMENTS 1 Phone Number: 541-747-9951 Expiration Date 03/27/2011 02117/2010 Phone 541-726-5723 541-726-9854 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Typ.e::;.,:,""""'" .f . ". ?\l' , Downsp~uttW"l~ 'J'J~01 ~e~\~~~~~~ ~~'-i?\t[i~~~~~~ r~?\. .:. J',\l'\\10?\ t.\) O?\ IS CO~~t.~C J','{ ?t.?\10\). J',~'{ '\ '00 \) Street Improvements: Storm Sewer Available: Special Instruction: Notes:' /'< r .Page 1 of 3 ---~-~- Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 'Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvoe of Construction Total Value of Project Fp:p:~P-liti , Fee Description + t2% State Surcharge + 5% Technology Fee 1st Appliance + 12%,State Surcharge + 5% Technology Fee Fixture . MinimumlAdjnstment Plumbing Amount Paid Date Paid $9.48 $3.95 $79.00 $6.96 $2.90 $19.00 $39.00 1/5/10 115/10 1/5110 1/8/10 1/8/10 1/8/10 1/8/10 Total Amount Paid $160.29 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00022 ISSUED: 01/0512010 APPLIED: 01105/2010 EXPIRES: 07/0812010 VALUE: Value Date Calculated Receipt Number 2201000000000000002 2201000000000000002 2201000000000000002 1201000000000000026 1201000000000000026 1201000000000000026 1201000000000000026 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. 'w'" c., :fr RpnllU Tn~nprJinw Rough Mechanical, Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plnmbing: When all plumbing work is complete. Paee 2 of 3 Status Issued ."" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00022 ISSUED: 01105/2010 APPLIED: 01/0512010 EXPIRES: 07/08/2010 VALUE: 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, and I further certify that any and all work performed shaH 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 OCCUPANCV 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 times during construction. ' flf~/W J~<j-/;J Owner or Contractors Signature Date ,e.., !..... Page 3 of 3 225 Fifth Street SpriIfgfieid; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM20 1 0-00022 COM20 1 0-00022 COM20 10-00022 COM20 I 0-00022 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1201000000000000026 Date: 01108/2010 Description Fixture' Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Paid By MA TTHEW, CLEMENT Item Total: Check Number Authorization Received, By Batch Number Number 1-1 ow Received djb 00579c In Person Paym~nt Total: '": }' ~~:;\ ", Page 1 of 1 1:08:54PM Amount Due 19.00 39.00 6,96 2.90 $67.86 Amount Paid $67,86 $67.86 1/8/2010