HomeMy WebLinkAboutPermit Mechanical 2006-12-27
Status
Issued
,CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-01661
ISSUED: 12/27/2006
APPLIED: 12127/2006
EXPIRES: 06/27/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2794 VILLA WAY
ASSESSOR'S PARCEL NO.: 1703233300200
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Gas fireplace and barbeque.
Owner: ABA TIE ELIZABETH T
Address: 2794 VILLA WAY
SPRINGFIELD OR 97477
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I CON~CTOR INFORMATION I
~ ~ .
Contractor Type Contractor '\~<<v ~ ~ License
Mechanical AMBASSADOR<fi'P!~G'-I~ 121469
. <$<":S ~:~~~Iii)lNG INFORMATION I
~'y ,\'0 ~~ .
# of Units: . SY.:-~ ~<<:- 50~ # of Stories: "J . Lot Size:
Primary Occupancy G{~UP~ ~~~ ~ ~. Height of Structure -\,:3~ -# o~ Sq Ft 1st Floor:
Secondary Occupa~y~Gre{lp:<;> \:)<<:- ~\:)<V Type of Heat: ./:? ~\5 w~ s;)C)~~. Ft 2nd Floor:
Primary ConstruCtJo~C5~pe~'\; <5> <<<<; Water Type: . oS: 0~ 0 Cj ~~ c~q;,'Ft Basement:
Secondary Constr~~1)~~e&<0 <V~ Range Type:..);,.:. ,<.' O~ ~ qj. 9:- OJ ,~0~F.k Garage/Carport
# of Bedrooms: ~ ~~ ~"\:) Energy Path:,,"" ~0 ~0 O~.;s.0 ~<S~~'Other:
~~~ '" Sprinkled ~~~~~~Qc.,0:~~c:z;a,..'\.0:0~~ccupant Load:
I DEVELOP~E.NT~~iOR~iT-J.t)N:.:I~ ,,:~,.
..... ~- ~"......J ~. ~v :::s~ ~ REQUIRED PARKING
,,*, .~0 Oe :-.:'-J ~qj ~- ~ f!;)'I/
~v ~v _ ~ QV '!o,.......0 0..)
~Qv~la);~~)J~ ~ ~0 t-.f(;".J!;:)\J
~~~~~i~'t5ees~~dtl0 fl? ,93
Pa~ ~~&9~~ &~ ~~
o7cf~<-~0~~Page ~0
~ ~"!) ~ ':S)0' (;0
~ v.~
I PUBLIC IMPROV-EMENTS I
Expiration Date
03/27/2007
Phone
541- 726-5723
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
. J
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-01661
ISSUED: 12/27/2006
APPLIED: 12/27/2006
EXPIRES: 06/27/2007
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 I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$2.25
$3.60
$15.00
$4.00
$26.00
12/27/06
12/27/06
12/27/06
12/27/06
12/27/06
12/27/06
12/27/06
2200600000000001757
2200600000000001757
2200600000000001757
2200600000000001757
2200600000000001757
2200600000000001757
2200600000000001757
Total Amount Paid
$65.35
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 Reouired Insoections I
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 during construction.
~~~~ /~-~J-O~
Owner or Contractors Signature Date
Paee 2 of2
2125 Fifth Street
Springfield, Oregon 97477
~41-726-3759 Phone
0....' of Springfield Official Receipt
1 Jopment Services Department
Public Works Department
Job/Journal Number
CO M2006-0 1661
COM2006-0 1661
COM2006-0 1661
CO M2006-0 1661
COM2006-01661
COM2006-01661
COM2006-0 1661
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001757
Date: 12/27/2006
Description
Gas Outlets 1-4
Gas Fireplace
Minimum/Adjustment Mechanical
~Mechanicallssuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ELIZABETH T ABA TIE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Jmp
035890 In Person
Payment Total:
Page I of 1
2:39:35PM
Amount Due
4.00
15,00
26,00
10.00
2.25
3,60
4.50
$65.35
Amount Paid
$65.35
$65.35
12/27 /2006