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Home My WebLink AboutPermit Mechanical 2007-7-5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00990 ISSUED: 07/05/2007 APPLIED: 07/05/2007 EXPIRES: 01105/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 545 FLAMINGO AVE ASSESSOR'S PARCEL NO.: 1703224200300 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Install gas line and gas fireplace TYPE OF USE: New Residential Sidewalk Type: NOTICE: '~THE wORteownspouts/Drains: THIS PERMIT SHAlt EXPIRE II'" , AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR J.\I\I ~ i 33 - .".. ::ms~. Owner: MERL LAWRENCE Address: 545 FLAMINGO AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical License 121469 Contractor AMBASSADOR PIPING INC BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: AI I clmON: Oregon 1fW.t.~~dittg: n/a !.o..II...... ___8__ .--!--',,~.~et ^-~J"JI:a.. n;;nIg'A .,..1... ,...."...r.IIil,..cI"W\ 11".8 _*~'L, Jt... Notification centlfiifli~--II~A TION I In OAR 952-G01-o otnrouAnu,,"~-UU1. 0090, You may ob.talnIJ~I88 by , calling the center. ;v ill. number for the Oregon ~!~'w Center 18 1 _ .e~ o 0 ot overage: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VB I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pal!e 1 of 2 .. Phone Number: 541-746-7362 Expiration Date 03/2712009 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 Total: Handicapped: Compact: Value , Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00990 ISSUED: 07/05/2007 APPLIED: 07/05/2007 EXPIRES: 01/05/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fireplace (Listed) Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $4.50 $2.25 $3.60 $17.00 $5.00 $23.00 7/5/07 7/5/07 7/5/07 7/5/07 7/5/07 7/5/07 7/5/07 1200700000000000864 1200700000000000864 1200700000000000864 1200700000000000864 1200700000000000864 1200700000000000864 1200700000000000864 Total Amount Paid $75.35 I Plan Reviews ' I 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. I Reouired Insnections . Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 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 dU~~,/g. CO;:Ji!ctiO.'/:!.~ ~ /y!jl4;;;5~-vv- ~-G -/)7, , - Owner or Contractors Signature Date Pal!e 2 of 2 225 Fifth Stteet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00990 COM2007-00990 COM2007-00990 COM2007-00990 COM2007-00990 COM2007-00990 COM2007-00990 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000864 Date: 07/05/2007 Description Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MATTHEW CLEMENT Item Total: Check N!lmber Authorization Received By Batch Number Number How Received djb 025848 In Person Payment Total: Page 1 of I 9:29:29AM Amount Due 5,00 17.00 23.00 20.00 2,25 3,60 4,50 $75.35 Amount Paid $75.35 $75.35 7/5/2007