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HomeMy WebLinkAboutPermit Mechanical 2003-11-17 ., CITY OF SPRIrlju)< IItLD Building/Combination Permit PERMIT NO: COM2003-01149 ISSUED: 11117/2003 APPLIED: 11/17/2003 EXPIRES: 05/17/2004 VALUE: II ~. " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1013 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272203100 Springfield TYPE OF WORK: Heating System .........."c.\louto AnENi\ON:Oregcfn'E'~El:O.RMI!lNtjINFORMATlON . SETBACKS '\lOW rules adopteu - e rules art:l ,,,,. ,-" to .' center. ihOS .,.., ~R 052-00 . Front yard Setback:lotiticatlOn 1-001 0 thrOU~@verlay }list:e", \ Side 1 Setback: 1 OAR 952-00. btaill Copil#!Sf:.'.ft Tf~JJs RHd: Side 2 Sethack: 0090. You may 0 t r (NO\e:pavei1~1:iy~('Rh'a: II' g the cell e . UI"'tv NO\I\1CatIOll Rearyard Sethack: ca 111 tor the oregoll % .o~~?t Coverage: Solar Sethacks: Ilumber 'S 1_800-332-;1. /- ('.pntp.rl . I PUBLIC IMPROVEMENTS I nU/ll.t' . THIS PER' SIdewalk Type: AUTHORI MIT SHI1I..-&r6li~rYlr g~~~~NgX~ ~~~~1~~to~~~~~f~~~ TYPE OF USE: PROJECT DESCRIPTION: Install gas insert and piping Owner: BARBARA SEGER Address: 1013 DARLENE AVE SPRINGFIELD OR 97477 .. I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION' # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: R-3 VN " Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1 Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount " Total Value of Project Paee 1 of2 New Residential Phone Number: 541-726-7046 Expiration Date 12/23/2003 Phone 541-747-7445 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated - I f ! ~ Ii . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-01149 ISSUED: 11/17/2003 APPLIED: 11/17/2003 EXPIRES: 05/17/2004 VALUE: Is5ued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F....s Paid I ~ Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Numher $10.00 $4.50 $3,15 $15,00 $4.00 $26.00 11/17/03 11/17/03 11/17/03 11/17/03 11/17/03 11/17/03 1200200000000002478 1200200000000002478 1200200000000002478 1200200000000002478 1200200000000002478 1200200000000002478 Total Amount Paid $62.65 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 Reouired Insnections I I Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Mechanical: Prior to Cover 3 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. " ~Ai~~('v~ Owner or Contractors Signature 1\-\1~ DO Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01149 COM2003-01149 COM2003-01149 COM2003-01149 COM2003-01149 COM2003-01149 Payments: Type of Payment Check .A sr~''!J!I,!>.I;lf!LD'__' . . ,., ~~-1 ~>~~..J ,.' Receipt #: 1200200000000002478 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Minimum/Adjustment Mechanical Paid By MARS HALLS INC Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Departmen\ Date: 11/17/2003 2:01:5SPM Amount Paid . Item Total: 3.15 4.50 4.00 15.00 10.00 26.00 $62.65 How Received In Person Payment Total: Amount Paid . $62.65 $62.65 .