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