HomeMy WebLinkAboutPermit Mechanical 2007-8-29
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01296
ISSUED: 08/29/2007
APPLIED: 08/29/2007
EXPIRES: 02/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1258 JANUS CT
ASSESSOR'S PARCEL NO.: 1703342200206
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Gas freestanding stove
Owner: BRUCE JOLLEY
Address: 1258 JANUS COURT
SPRINGFIELD OR 97477
Phone Number: 541-746-5086
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
AMBASSADOR PIPING INC
License
121469
Expiration Date
03/27/2009
Phone
541- 726-5723
BUILDING INFORMATION'
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Constructjpl\.:J'WlPl,W. Range Type:
# of Bedrooms: NU IllIC. J:~~.rillJM
THIS PERMIT SHAll EXPIR~ ii\ta~~\llaKng:
.^L'T~'-'~IJI5!) I}M~CD TUI~ D MIT I~ MOT
COMMENCED OR IS ~flfflINFORMA TION I
ANY 180 DAY PERIOD.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
AI I t:lffiON: Oregon law requires you to
fOllOW rUI Il'
Notificatio rth
in OAR 952-001-0010 through OAR 952..()()1.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
REQUIRED PARKING
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
Pal!e 1 of 2
Status
Issued
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
Fireplace (Listed)
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$17.00
$33.00
8/29/07
8/29/07
8/29/07
8/29/07
8/29/07
8/29/07
Total Amount Paid
$81.50
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination 'Permit
PERMIT NO: COM2007-01296
ISSUED: 08/29/2007
APPLIED: 08/29/2007
EXPIRES: 02/29/2008
VALUE:
Receipt Number
1200700000000001117
1200700000000001117
1200700000000001117
1200700000000001117
1200700000000001117
1200700000000001117
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.
Reouired Insoections I
Rough Mechanical: Prior to Cover
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.
/1//. ~,~~ .
1'117JZ/~ .~
Owner or Contractors Signature
Pa2e 2 of 2
?-Z7rO/
Date
225 )!ifth. Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01296
COM2007-0 1296
COM2007-01296
COM2007-01296
COM2007-01296
COM2007-01296
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200700000000001117
Date: 08/29/2007
Description
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 045798 In Person
Payment Total:
Page 1 of 1
8:48:01AM
Amount Due
17.00
33.00
20.00
2.50
4.00
5,00
$81.50
Amount Paid
$81.50
$81.50
8/29/2007