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Home My WebLink AboutPermit Mechanical 2005-3-21 Status Issued " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00317 ISSUED: 03/21/2005 APPLIED: 03/21/2005 EXPIRES: 09/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6090 MICA ST ASSESSOR'S PARCEL NO.: 1802033400147 TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential . PROJECT DESCRIPTION: relocate gas meter Owner: NAULT DAMIEN & TINA , Address: 6090 MICA ST SPRINGFIELD OR 97478 ~4\ .\.\(p.q,\,\1- tB Contractor Type Mechanical I CONTRACTOR INFORMATION. Contractor AMBASSADOR PIPING INC License 121469 Expiration Date 03/27/2005 Phone 541-726-5723 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: SqFt 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a ,'ilf 1::/1/- .1 DEVELOPMENT INFORMATION. I fa/low /IU/V.U. ,NOlir rUles rsoo" in leation adopt; Over!~~Rist: 00 OA.R 9/:'-') Center. "7- d ItSft~eLTH~es!-Rg,d: 90 v<~OO . 'h c..u-, >VU.. . You 7-001 CRilv~d VlivgJRQt'lt 10 Calling tl] 'nay Obt .0 tI]PI9~OghJl~f&>ro~[;ar/tity nUtnber" e Cente am eOPie OAR 9S e forti: Or tJ... _ t: (^,_. S nf ,,_ 2-fi!r.", ,,_. _ _ ~'ent$ '": 0rll1lJiBiocJMPcRQ:v.ENniN~s ill t . rlS l' .." ., Tl~ ,~.,. JERM . ~ V!/-J -.J' ;VO!" -'It"j -, IT SHAL I F>';PIRE IF . ,..12-234 IflCalio t\JTHORIZSid~waIKType: THE WORK .4), PI, tU uNDER rHI~ PER CO'\1fV1ENCDowuspoutsIDB fllins. MIT IS NOT ,',' ';~ LU UI1 i~ A ANDONED FOR fI,VY 100 DAY PERIOD. REQUIRED PARKING . Total: Handicapped: Compact: I Valuation Description I Tvpe of Construction $ Per Sq Ft or multiplier Date Calculated Square Footage or Bid Amount Value Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00317 ISSUED: 03/21/2005 APPLIED: 03/21/2005 EXPIRES: 09/21/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541,-726-3769 Inspection Line Total Value ofProjed . LFees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Gas Outlets 1-4 Minimum/ Adj ustment Mechanical Amount Paid. Date Paid Receipt NUlpber $10.00 3/21/05 1200500000000000351 $4.50 3/21/05 .1200500000000000351 $3.15 3/21/05 1200500000000000351 . $4.00 3/21/05 1200500000000000351 $41.00 3/21/05 1200500000000000351 Total Amount Paid $62.65 I 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. ' l Reauired Insoections I . Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. . Final Gas: When all gas 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 contr.actors 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 cardis located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ., ;r~(rI~~.- 3"''Z)~a5- Owner or Contractors Signature Date Pal/:e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ""ity of Springfield Official Receipt evelopment Services Department Public Works Department Job/Journal Number COM2005-00317 COM2005-00317 COM2005-00317 COM2005-00317 COM2005-00317 Payments: Type of Payment Check 3/21/2005 RECEIPT #: 1200500000000000351 Date: 03/21/2005 Description ~Mechanical Issuance Fee~ Minimum! Adjustment Mechanical Gas Outlets 1-4 + 7% State Surcharge + 10% Administrative Fee Paid By AMBASSADOR PIPING INC Item Total: Check Number Authorization Received By Batch Number Number How Received dIm 8445 In Person Payment Total: Page I of 1 9:36:34AM Amount Due 10.00 41.00 4.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65