HomeMy WebLinkAboutPermit Mechanical 2006-5-25
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Building/Combination Permit
PERMIT NO: COM2006-00632
ISSUED: OS/25/2006
APPLIED: OS/25/2006
EXPIRES: 11/25/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax '
541-726-3769 Inspection Line
SITE ADDRESS: 1465 PLEASANT ST
ASSESSOR'S PARCEL NO.: 1703253208300
Springfield TYPE OF WORK: Heating System
Owner:
Address:
TYPE OF USE: New
PROJECT DESCRIPTION: Install gas piping, gas fireplace, and gas water heater
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I ,CON:rRACTOR-INEORMA TION"I(\1 N\ }.\:I
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Contractor \.\\)0\ \8_J o\y~)O :e\ \lcl;;lcense ExpIratIOn Date
AMBASSADOR PIPINq:!NO ~ sal\(\Ual II' 121469 03/27/2007
BARNES HIGH TECH PbUMBING INC 83311 02117/2008
Residential
VINCENT BERNUCCI
1465 PLEASANT ST
SPRINGFIELD OR 97477
541-968-8356
Contractor Type
Mechanical
Plumbing
Phone
541-726-5723
541-726-9854
BUILDING INFORMATION I
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Otber~'II
nla Occnp)\nl. ilil!\~
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I DEVELOPMENT INFORMATION i;vS\ \:IC) (\1~~~~G\-\\\'I\j,
"3\'l\.Ju"'" "30\'l\\ 0 . ,",~1'IIRED PARKING
\:I(}I \J 6 s\\-\\ n \e; \\\~n"~'\l't-'
Overlay Disg \ e;\ \.W~\:I3 ,1'1.3 ,,'IJ\- . 'J:'ylill:
# Street Trhs~R~d~\-\\. j\ 3\\\. Handicapped:
Paved Dri"!i.\Rqit~ Compact:
% of Lot Coverage:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsfDrains:
Notes:
Paee 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
. Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Appliance Vent
Fixture
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustmenl Mechanical
Minimum/Adjustmenl. Plumbing
Total Amount Paid
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00632
ISSUED: OS/25/2006
APPLIED: OS/25/2006
EXPIRES: 11/25/2006
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipl Number
2200600000000000656
2200600000000000656
2200600000000000656
2200600000000000656
2200600000000000656
2200600000000000656
2200600000000000656
2200600000000000656
2200600000000000656
$10.00
$9.00
$7.20
$6.00
$14.00
$15.00
$4.00
$20.00
$31.00
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
5/25/06
$116.20
I Plan Reviews ,
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 Rpnlllirlfltl hl~nections I
Rough Plumhing: Prior to cover and including required tesling.
Final Plumbing: When all plumbing work is complete.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure lest done allhis point.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00632
ISSUED: 05/25/2006
APPLIED: 05/25/2006
EXPIRES: 1112512006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made ofany 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.
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Owner or Contractors Signature
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Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 I'hone
.
ii~
wr.' .
<a of Springfield Official Receipt
IWelopment Services Department
Public Works Department
Job/Journal Number
COM2006-00632
COM2006-00632
COM2006-00632
COM2006-00632
COM2006-00632
COM2006-00632
COM2006-00632
COM2006-00632
COM2006-00632
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
2200600000000000656
Date: OS/25/2006
Description
Fixture
Minimum/Adjustment Plumbing
Gas Outlets 1-4
Gas Fireplace
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
AMBASSADOR PIPING INC
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
djb 9342 In Person
Payment Total:
Page I of I
9:34:S6AM
Amount Due
14.00
31.00
4.00
15.00
6.00
20.00
10.00
7.20
9.00
$116.20
Amount Paid
$1\ 6.20
$116.20
5/25/2006