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Home My WebLink AboutPermit Mechanical 2004-7-6 " . . CITY OF ~t'K11~\.Jl'II!.LD . Building/Combination Permit PERMIT NO: COM2004-00819 ISSUED: 07/06/2004 APPLIED: 07/06/2004 EXPIRES: 01106/2005 VALUE: r' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 490 COLONIAL DR ASSESSOR'S PARCEL NO.: 1703221200201 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Install gas furnace, ac, water heater aud gas piping New Residential Owner: DONAHUE MICHAEL K & THELMA M Address: 490 COLONIAL DR SPRINGFIELD OR 97477 Phone Number: 541-744-8099 Contractor Type Mechanical _-1. .,\,\,: -:. '\'1 ..."t I CONTRACTOr~FO~TlON I ~~'(,.~~\' IJ~ Contractor \, ~i'J ~~ '(~ M~IJ ~ License MARSHAL~.INC~ c..,\\~~(_9.. '\'(\ ,,,,,,IJ\) 25790 o.\~'\ \~~~~~~Bfj'd,~liNFORMA TlON I \... ,;.\~, a,~L-'/" V .. ~1v~ ,\\ \' \\IJ" R.~\) ~~~ ~~'\ ~~~ ~~MStories: ~~ \ ro'>::J \) Height of Structure ~~" Type of Heat: VN Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 12123/2005 Phone 541-747-7445 # of Units: Primary Occupancy Group:' Secondary Occupancy Group: Primary Construction Type Secondary Constructiou Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: .A , nla Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I ..."'~~~tr' ~\W' rI' r.)'."OsP,OREQUlRED PARKING Overlay Dist: "" "P\r18 'lPe <a~~ # '<Stotal: # Street Trees Rqd~O~ i\~ ~EI" O~e~~~~andicapped: Paved Drive R~~~...J> '0 00/' ~~ dv~'.;.e~~pact: % of Lot C~a~<:l ~ ,,^~.r '~EI",..Jb vr- ~~~ # ~ . e\' ~v'r:P~ '\),. ~f$>' ~ 'J A~e<Or~.tf)~~...~ ;;f\...e'~l~~'n*'t I PUBLIC IAi~RO~_I)ifi:';',,.) ~r4-' "o~-.d}; , "C!' I '1.e~ (\\e~~ . ~O\.O.;t' "o~ ~e -S-e "Si<\.i!Walk Type: . \<' ()(;)'ll~,\,~~ t~-S>~ownspout~lDrains: ~~~ . Strect Improvements: Storm Sewer Available: Speciallustruction: Notes: ',5\ '. I Valuation Descriotion I Description Tvpe of Constructiou $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculatcd Total Value of Project Pa~e I of2 Status Issued I:~ '-\' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid .-;. , . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00819 ISSUED: 07/06/2004 APPLIED: 07/06/2004 EXPIRES: 01/0612005 VALUE: I Ff'f'~ P3ill I Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $12.00 $4.00 $9.00 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 7/6/04 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 1200400000000001039 $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. I Rellllirf'1I In~nedion~ I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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. 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 arc 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 "m""7!6]d 7-(,-nv ~..nd'" "'"""" D... .. ';.:' Pa2e 2 of2 225 Fifth Street Springfielp, Oregon 97477 541-126-3759 Phone .~.-..-! ~I ~ of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2004-00819 COM2004-00819 COM2004-00819 COM2004-00819 \:,COM2004-00819 COM2004-00819 COM2004-00819 COM2004-00819 RECEIPT #: 1200400000000001039 Date: 07/06/2004 Description -Mechanical Issuance Fee- Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets 1-4 Payments: Type of Payment Paid By Check MARSHALLS INC Item Total: l.:heck Number Authorization Received By Batcb Number Number How Received djb 18066 In Person Payment Total: ;:, \ '. r- 7/6/2004 Page I of I 1:45:20PM Amount Due 10.00 9.00 3.15 4.50 12.00 8.00 12.00 4.00 $62.65 Amount Paid $62.65 $62.65