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HomeMy WebLinkAboutPermit Mechanical 2004-6-17 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRIrlit.nELD Building/Combination Permit PERMIT NO: COM2004-00719 ISSUED: 06/17/2004 APPLIED: 06/17/2004 EXPIRES: 12/17/2004 VALUE: SITE ADDRESS: 2508 DUMAS DR ASSESSOR'S PARCEL NO.: 1703234400118 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: InstaU gas piping TYPE OF USE: Owner: JACOBS SHANNON V & DANA Address: 2508 DUMAS DR SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor AMBASSADOR PIPING INC License 121469 I BUILDING INFORMATION I ~IJ\" # of Units: ~ \"~~~fiSt~ies: Primary Occupancy Group: ~t.~~ '\ ~~\\U;-~t of Structure Secondary Occupancy Group: ~\..\.. ~-<v..\S '?~ ~~\)f.:yp'e of Heat: . Primary constr.!'~~~y~S~ 1t.~VN' 'r-~\)\j Water Type: Secondary CO{\~~~~ ' :U~\):'il 'r-~ Range Type: # of Bedrooms,\\\\S R)~-V \) \)~ \\)\). Energy Path: ....'U\V/...f-'ft.rv~" '?~~ Sprinkled Building: nla r _..to""\\'" nb.' "'~~~ \'Ov · I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Addition Residential Expiration Date 03/27/2005 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 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %OfLot~ep'~ ....- ~ i>~ . Bl:t~R,..,~..iJ~ $'~ a,.~..~ U.~:-~.t ~~~~ \o\\Q'Cf "';'~ ~O'l1"""'~o\~~idewalk Type: ~o\\\\~ gS2..()Q\~~~. \l'9~wnspoutslDrains: ",01'1 "oU It\e.'I _..Aat.~~ ~ 90 'eCP'-;,.~Of\ ' 00 r;a\\\flQ ~\ot t\e ()1 net ..... .. -,\~ 'S".,n.w. I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Paee 1 of2 Total: Handicapped: Compact: Value Date Calculated . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00719 ISSUED: 06/17/2004 APPLIED: 06/17/2004 EXPIRES: 12/1712004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l..Fp.p.~ P~id I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $4.00 $41.00 6/17/04 6/17/04 6/17/04 6/17/04 6/17/04 1200400000000000925 1200400000000000925 1200400000000000925 1200400000000000925 1200400000000000925 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. I Reouirp.d InsnectionsJ Rough Gas: After line is instaUed and required testing and capped if not attached to an appliance. Final Gas: When aU gas work is complete. By signature, I state and agree, that I have carefuUy 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. )'/4iv~ h~/)-.#C-/ Owner or Contractors Signature Date Paee 2 of2 . 225 Fifth Street Spi'f'ngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00719 COM2004-00719 COM2004-00719 COM2004-00719 COM2004-00719 Payments: Type of Payment Check 6/1712004 . RECEIPT #: .P"I"~' ,_.'!.f.laO "'_", '" _', Ul.; ~.; llllii.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200400000000000925 DescrIption + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By AMBASSADOR PIPING Received By djb Page I of I Date: 06/17/2004 Item Total: l:beck Number Authorization Batch Number Number How Received 7720 In Person Payment Total: 10:04:07AM Amount Due 3,15 4.50 4,00 41.00 10,00 $62.65 Amount Paid $62.65 $62.65