HomeMy WebLinkAboutPermit Mechanical 2007-6-26
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2580 31ST ST
ASSESSOR'S PARCEL NO;: 1702193200603
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00943
ISSUED: 06/26/2007
APPLIED: 06/26/2007
EXPIRES: 12/26/2007
VALUE:
Springfield
TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Install gas lines for patio heater and bbq
TYPE OF USE: New
Residential
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I CONTRACTOR INFAAM~ll'O~I" & ,;;;.0 ~(j
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Contractor o~. 'b-~p~<z>.ktc~n~ 210' $'xwation Date
AMBASSADOR PIPING INC .~ J~ r~" ~ 51>'2):,-4%9 ~ ,,<:;-..::5 r-0;)CV 03/27/2009
BUILD INC'< 00<0'iMNTI:9Nj.~~,,0'0 <:o<0~
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# of Stoct,es:O~ ~o ~ ,& ~0'
Height ~-St'rut..t'ti~ef' Q;- r'P"
, ~- 'b-":;Q v
Type of HeaP. (j ~
:V
Water Type: <:'
Range Type:
Energy Path:
Sprinkled Building:
Owner:
Address:
PAUL BEDORTHA
2580 31ST ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I DEVELOPMENT INFORMATION I
541-741-2810
Phone
541- 726-5723
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
:-\:-
.#~~RED PARKING
~~~.
~ A.::. #al"-.9~capped:
~ ~~ 83mpact:
~~ Q..v ~
0/ .p ~~
_<y _A.::. ~
I PUBLIC IMPROVEMENTS I ~ C:J,<:-\~0 ~ ~'
'V ~~ . '5 Q..." ~.
,~ (~- ~(lewltJK T*pe:
~ Q..v <:V <c<::::> <)<<;
~ {:? ~DO:YVi1sMuts/Drains:
"'~ ~~ ~ ~ <v Y:-
~~.~~
~~ ~'
~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pa2e 1 of 2
Value
Date Calculated
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
Total Value of Project
Fees Paid.
Amount Paid
Date Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00943
ISSUED: 06/26/2007
APPLIED: 06/26/2007
EXPIRES: 12/26/2007
VALUE:
Receipt Number
1200700000000000823
1200700000000000823
1200700000000000823
1200700000000000823
1200700000000000823
1200700000000000823
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.
$10.00
$4.50
$2.25
$3.60
$4.00
$41.00
6/26/07
6/26/07
6/26/07
6126/07
6/26/07
6/26/07
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
$65.35
I Plan Reviews,
I ReQuired Insoections I
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.
JJkl/(--",
, ,
Owner or Contractors Signature
Pal!e 2 of 2
?"2~--02
- ...,
Date
225 ~Fifth-Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00943
COM2007-00943
COM2007-00943
COM2007-00943
COM2007-00943
COM2007-00943
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000000823
Date: 06/26/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Gas Outlets 1-4
Minimum/Adjustment Mechanical
~Mechanical ISsuance Fee~
Paid By
MATTHEW CLEMENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 05526B In Person
Payment Total:
Page 1 of I
8:52:59AM
Amount Due
2.25
3.60
4.50
4.00
41.00
10.00
$65.35
Amount Paid
$65.35
$65.35
6/26/2007