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HomeMy WebLinkAboutPermit Mechanical 2005-12-7 -.,-r- ~~~~:~.I!!~!'ik;P.l~" il . ~. '.\' CITY OF SPRINGFIELD' Building/Combination Permit '- Status: Issued ',i 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2005-01701 ,ISSUED: 12/07/2005 APPLIED:' 12/07/2005 EXPIRES: 06/07/2006 VALUE: '. SITE ADDREsS: . 2717 MAlA LP . ASSESSOR'S PARCEL NO.: 1703251406700 \ Springfield TYPE OF Heating System TYPE OF USE: New Residential :: PROJECT DESCRIPTION: Gas piping, gas fireplace stove Owner: BElTY WIEMERS REVOCABLE LIVING TRUS Address: 2717 MAlA LOOP '. SPRINGFIELD OR 97477 Phone Number: 541-736-1994 I CONTRACTOR INFORMATION I , , Contractor Type Mechanical - Contractor !A~m~s yaE:X;}iration Date Phone AMBASSADOR PIPINM~TION; Orego.~_I~nt4l)~eaon Utilit)03/27/2007 541-726-5723 L Iro1B'fUNb:'- 'l~~dtiMirf~eN es are se; 10\ ~ ~ NOlI\ll,ClllU" ~ -001 0 thrOUg~ OAR 952~00 in aNlf~6r~~~ obtain copies ot the rU\V~J.1YSize: OOOOe~tl61'ay t r (Note: the te\ephot~q Ft 1st Floor: ~i>lfb~lte<al[' ;. gon Utility NotltlcaS?{Ft 2nd Floor: n~nm1tYi)'the. ~e800_332-2344). Sq Ft Basement: RaiIge ~p~r IS - . Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled n/a Occupant Load: ~i o! '.:.' # of Units: " Primary Occupancy Group: , Secondary Occupancy :f. Yrhnary Construction Type , Secondary Construction # of Bedrooms: R-3 VN I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: " Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handi~apped: . Compact: Notes: IPUBLIC IMPROVElflP lftJeWORK tte ~~E'f anS; 1H\S PERM\l StWUER1\i\$ftRM\l '5 NOt f1.U1HOR\IEO U )'R~'t~ fOR COMMENCED 0 AN~ 180 DAY PER\OO. ~ ~ Street . Storm Sewer Available: t. Special Instruction: , I Valuation Description I Description Type of Construction $PerSqFt or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 .1 __~~'!~9!l!J~~1' ~'''""H_" I ~ ./ ',. CITY OF SPRING~lELI):.~ Buildi.nglCombination Permit: PERMIT NO: COM2005-01701 ISSUED: 12/07/2005 APPLIED: 12/07/2005 EXPIRES: 06/07/2006 VALUE: Status: Issued . 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees PaidJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee " + 7% State Surcharge i Gas Fireplace Gas Outlets 1-4 {'. Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 . $3.15 $15.00 $4.00 $26.00 12/7/05 12/7/05 12/7/05 12/7/05 12/7/05 12/7/05 Receipt Number 1200500000000001785 1200500000000001785 1200500000000001785 1200500000000001785 1200500000000001785 1200500000000001785 '~~ Total Amount $62.65 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 wiD remain on the site at all times du~i~/onstruction. ~!/;ti?u;; (k/W~ /2~?~c?s- Owner or Contractors Signature Date ~ 2 of 2 ~f5 Fi{th Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01701 COM2005-01701 GOM2005-01701 CQM2005-01701 COM2005-0 170 1 COM2005-0 170 1 P~yments: TrPe of Payment . . C~eck " ~ I \ '.. 'i~ f"'. :1 A ; .; ., "It_ ,..v;:,> .~ 12/7/2005 ~{ RECEIPT #: 1200500000000001785 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace Minimum! Adjustment Mechanical ~Mechanical Issuance Fee- "ity of Springfield Official Receipt . .Jevelopment Services Department Public Works Department Date: 12/07/2005 Item Total: l.:heck Number Auttlorization Batch Number. Number How Received 9024 In Person Payment Total: Paid By . Received By AMBASSADOR PIPING INe djb 1 of I 8:48:34AM Amount Due 3.15 4.50 4.00 15.00 26.00 10.00 $62.65 Amount Paid $62.65 $62.65 , , ,