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Home My WebLink AboutPermit Building 2009-10-8 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01420 ISSUED: 10/08/2009 APPLIED: 09/24/2009 EXPIRES: 04/08/2010 VALUE: :1" Ii Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 973 S ST ASSESSOR'S PARCEL NO.: 1703261308600 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install gas piping and appliances TYPE OF USE: New Residential Owner: CURRAN LIVING TRUST Address: 973 S ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechaniclll Contractor License AMBASSADOR PIPING INC 121469 I BUILDING INFORMATION ~ # of Units: Primary Occupancy Group: Secondary Occupllncy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: U \0 R-3 Heig~! 81~ull'M-,ytti\itY . Otl'. 01~\l~r~'ll'Ole90flse\ tonh ~'t1it\1\le& Sdo::llJltllleS ale 952-GG~- \OlIo\f4 '~cefltllt. ~il9h O!>.R lules b,/ ",otitiCa~~~_OO~.~lllljY93\!AlIS ot th~?hofle III O!>.R '(ou {lIS,/ ~ '~~~~~\i\iCa\iOn n/a calli ~ :e MATlON lIutn ce Front yard Setback: Side I Setback: Side 2 Setback: , Rearyard Setback: Solar Setbacks: Overlay Dist:, # StreetTrees Rqd:' - pavedOl'ive Rqd: ~/o of Lot Coverage: .:. ....;... I PUBLIC' IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: SpecialIllstruetion: Expiration Date 03/27/2011 Phone 541- 726-5723 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Totlll: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: , Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ,... ';....> :(";'~'I" , Valuation Descr CEO OR IS ABANDONED FOR ANY 180 DAY PERIOD. Square Footage 01' Bid Amount Description $ Pel' Sq Ft 01' multiplier Type of Construction Paee I of 3 Value Date ClIlculated '. -~..'.'N~.F'....I.;'i'iii . ..... Status Issued 225 Fiflh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Descriotion + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Fixture Gas Outlets 1-4 Minimum/Adjustment Plumbing Vent Fan Total Amount Paid ; ,...... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01420 ISSUED: 10/08/2009 APPLIED: 09/24/2009 EXPIRES: 04/08/2010 VALUE: .~ Total Value of Project ~ Amount Paid Date Paid Receipt Number $9.48 10/8/09 2200900000000001157 $3.95 10/8/09 22009000000000001157 $79.00 10/8/09 2200900000000001157 $8.88 3/4/10 2201000000000000197 $3.70 3/4/10 2201000000000000197 $19.00 3/4/10 2201000000000000197 ... , $7.00 . .. ,~ 3/4/10 2201000000000000197 $39.00 , 3/4/10 2201000000000000197 . ~ '.' t ....:' $9.00" 3/4/10 2201000000000000197 $179.01 I Plan Reviews ~ To Request an inspection call the 24 hour recording at}26-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections n.quested after 7:00 a.m. will be made the following work day. UeolliredJ nsnee~ Rough Gas: After line is installed and required testing and capped if not 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 i~.completc-: Page 2 of 3 Status Issued 225 Fifth Street, Springtleld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ,j. ,. ~~ '. ". . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01420 ISSUED: 10/0812009 APPLIED: 09/24/2009 EXPIRES: 04/08/2010 VALUE: 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 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 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. \) iJ- f'^" "'~ vt1~(,.:w (' ~~ f Owner or Contractors Sign ture _ ~ .1 ~:I . ,.... i.'., ., .c_ Paee 3 of 3 Date ~/f 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ".j~~"~;.,; Wir' , '.! i-'.,. i t,' , " . . " ~ -, ,.! . "'~ ___..__.,_".~____." u City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000197 Date: 03/04/2010 1:50:02PM Job/Journal Number COM2009-0 1420 COM2009-0 1420 COM2009-0 1420 COM2009-0 1420 COM2009-0 1420 COM2009-0 1420 Payments: Type of Payment CreditCard cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 9.00 7.00 19.00 39.00 8.88 3.70 $86.58 Description Vent Fan Gas .Outlets 1-4 Fixture Minimum/Adjustment Plumbing + 12% State Surcharge + 5% Technology Fee Paid By MATTHEW CLEMENT Amount Paid djb 04583c In Person Payment Total: $86.58 $86.58 "."..... ",'? .:~' ."';';$'. "t~!:~ ~t/" . -.~?- . Page I of I 3/4/20 I 0