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HomeMy WebLinkAboutPermit Mechanical 2004-11-17 (2) l .' . .- CITY 01< ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2004-01419 ISSUED: 11117/2004 APPLIED: 11/17/2004 EXPIRES: 05/17/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 3553 GARDEN AVE ASSESSOR'S PARCEL NO.: 1802064200500 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Gas pipe and install of LP insert. Owner: PARMENTER CHERYL R Address: 3553 GARDEN A VENUE SPRINGFIELD OR 97478 5dt \ .5:f\.4,QtUV lX\ I CONTRACTOR INFORMATION I Contractor ':0<<:-*- ~ License AMBASSADOR PIPINGIJ~(cf ~':0 121469 " , ,- - I . BUlbDING'INFORMA TION I 9.~-~'V'~'V # of Units: <J:9 ~pfStories: . Lot Size: Primary Occupancy Group: R.3>, 'X-"~ ~~eight of Structure Sq Ft 1st Floor: Secondary Occupancy Group: "':>~~~<<:, ~ Type of Heat: ~,.o '" ~q Ft 2nd Floor: Primary Construction TYlle~' J:' VJII ~ ~ ':0'\)' Water Type: c,,,,,0 ~# oSq ft Basement: Secondary constructiongy'p'e:8' ~'\) ~ \:5 f<-<:f' Range Type: J>f?, 0<:- i;-'i ~ifF~Garage/Carport # of Bedrooms: .;j;. ,;J::> '< ':0~ ':ii:-,$ ~ ~ Energy Path: ,q,($ 0,q,C$ ~q, '0 <>><:>'t~gJ;t Other: ,,'\ " ~X' ",,{f ~ '\) Sprinkled Building: ,'1>~ ,&-q, ~!,/'l-fl:' ,OcSIi'li"tlt Load: ~~~ ^.~~n~~~ ~~~ . , DEVELOPMENTINEORM1TJON;I'c,~-'~~0~0J '{' ,~ e ~ ~. 0'< '~'~'.'S' ,-~. REQUIRED PARKING ,0 '1>?j ~q," ,'" 00 ~q,' .~.,., rJ" Overl~Y-'j)i~!f' cl' ,5:J'" ~i><:- ~O >;oS X'li . # Str~q;te.e~(]{qd:' (f) q," 100 ~'O'O Pa~"'D-<;ive-Rg'(C ",q>\ q,~ O,f?, <0<:5 ~....,v,,~ ," G e. ~' % of ot'COverage:~q, ~ ',Co ~ 0""'; "'. ~' <" .{:- _,,<>>""_~'0o, o.,>~i:'q,. Contractor Type Mechanical Expiration Date 03/27/2005 Phone 541-726-5723 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: ..... I'. - I PUBLIC IMPRdvE~ENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 , . . . CITY OF ~rK11~ld<1]<'LU Status Issued Building/Combination Permit PERMIT NO: COM2004-01419 ISSUED: 11/17/2004 APPLIED: 11/17/2004 EXPIRES: 05/17/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'f'S tilW Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge LP Gas Tank & Piping Miscellaneous Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 ll/17104 11/17/04 ll/17/04 11/17/04 ll/17/04 Receipt Number 2200400000000001423 2200400000000001423 2200400000000001423 2200400000000001423 2200400000000001423 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. ~ Reouired Inso~ 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. 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 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. JV\OlJ \1ll~! Date '~CkA~~""'A.^ . ,~ / Owner or Contractors Sig Pal!e 2 of2 225-Fifth'Street , Springfield, Oregon 97477 J 541-726-3759 Phone Job/Journal Number COM2004-01419 COM2004-01419 COM2004-01419 COM2004-0 1419 COM2004-01419 Payments: Type of Payment ,. Check .' It 11/1712004 . RECEIPT #: 6 .ity of Springfield Official Receipt ~evelopment Services Department Public Works Department 2200400000000001423 Date: 11/17/2004 Descriptioo LP Gas Tank & Piping Miscellaneous Mechanical -Mechanical Issuance F ee- + 7% State. Surcharge + 10% Administrative Fee Paid By AMBASSADOR PIPING, INC. Received By jmp Page I of! Item Total: Check Number Authorization Batch Number Number How Received 8166 In Person Payment Total: 1:47:14PM Amount Due 12.00 33.00 10.00 3.15 4,50 $62.65 Amount Paid $62.65 $62.65