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Home My WebLink AboutPermit Mechanical 2007-8-23 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01251 ISSUED: 08/23/2007 APPLIED: 08/2312007 EXPIRES: 02/23/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2168 15TH ST ASSESSOR'S PARCEL NO.: 1703252208000 Springfield TYPE OF WORK: Heating System Residential PROJECT DESCRIPTION: Gas piping, gas insert and water heater TYPE OF USE: New Owner: JERRY ROUSH Address: 2168 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License ]21469 I BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: NOt\CIt3 .fttftlWiMlORK Secondary Occupancy GrouptH\S p~~M'T SHAll \'ij\\,. \S NOT Primary Construction Type lHO~tlEO UNDE . D FOR Secondary Construction TypJ,\U ENCEO OR \S*'i . # of Bedrooms: COMM r.." PERl(f0!rgy Path: ANY 180 0,..\1 Sprinkled Building: n/a I DEVELOPMENT INFORMA nON I Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Dr~_Rqd: Rearyard Setback: ATTENTION: Oregon law ~Id)itl mhft\lerage: Solar Setbacks: follow rule. adopted by the regonset fortb IIs~:1:t'~"'loR I"!QntQf Th,ose rules are..... .Jf .. .. In OAR 952.Q01.Q010 th~~r;~.Jf;':~JEMENTS I 0090. You may obtain ~ Street Improvements:calllng the center. (NotUiu~e::= Storm Sewer AvailablWmber for the Orego~~). Special Instruction: Center 181-80 Phone Number: 541-746-8677 Expiration Date 03/27/2009 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 Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: I V ~iuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa2e 1 of 3 Value Date Calculated . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Appliance Vent Fireplace (Listed) Fixture Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01251 ISSUED: 08/23/2007 APPLIED: 08/23/2007 EXPIRES: 02/23/2008 VALUE: Total Value of Project ~ Amount Paid Date Paid Receipt Number $20.00 $10.00 $5.00 $8.00 $7.00 $17.00 $16.00 $5.00 $21.00 $34.00 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 8/23/07 1200700000000001076 1200700000000001076 1200700000000001076 1200700000000001076 1200700000000001076 1200700000000001076 1200700000000001076 1200700000000001076 ]200700000000001076 1200700000000001076 $143.00 I Plan Reviews I . To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. UeouiredJnsnections' Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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. Pa2e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2007-01251 ISSUED: 08/23/2007 APPLIED: 08/23/2007 EXPIRES: 02/23/2008 VALUE: 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 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. f/117i1~ C~ , - Owner or Contractors Signature 8 -;(3 "rJ7 Date Pa2e 3 of 3 225 Fifth Str.eet . ' Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -0 I 25 I COM2007-0125 I COM2007-01251 COM2007-0125 I COM2007-01251 COM2007-01251 COM2007-01251 COM2007-01251 COM2007-0125 I COM2007-01251 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001076 Date: 08/23/2007 Description Fixture Minimum! Adjustment Plumbing Appliance Vent Gas Outlets 1-4 Fireplace (Listed) Minimum/Adjustment Mechanical , ~Mechanical Issuance Fee~ + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MA TTHEW CLEMENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 02525B In Person Payment Total: Page I of I 9:23:30AM Amount Due 16.00 34.00 7.00 5.00 17.00 21.00 20.00 5.00 8.00 10.00 $]43.00 Amount Paid $143.00 $]43.00 8/23/2007