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Home My WebLink AboutPermit Mechanical 2004-3-12 Status Issued .-. . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2004-00279 ISSUED: 03/12/2004 APPLIED: 03/12/2004 EXPIRES: 09/12/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6772 Jacob Lane ASSESSOR'S PARCEL NO.: 1702341109200 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Install gas line to upstairs dryer TYPE OF USE: Owner: MINIUM DENNIS R & ROSEMARIE Address: 8745 THURSTON RD SPRINGFIELD OR 97478 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: ~~ Primary Construction Type VN Water TI~<J ",\ Secondary Construction Type: .\\~~'ir \~ ~'v # of Bedrooms: . f>.\.\.. ~'/t&/b~ : 'f()v" un"\\~;;*-\'\ ~~\n~~ '\~~~IJ()~~ '\l\\~~Q~\t't.~~ ~nfOPMENT INFORMATION I f>.~Cl~~~~\~ \>\:.1". ~ ~ct \'Of;i Overlay Dist: ~\.. # Street Trees Rqd: Paved Drive Rqd: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description New Residential Expiration Date 12/23/2005 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: % of Lot Coverage: to res'1ou . _ ,,,w re(\UI _ _ , \\iliN 1\1IE~,hI'PUBjJciMP,ROVEMiN(fS;lt IQOft. rUleb -. V-' .. 0""02.-0 10110'01'1. center. \. I ou<;ln 01\<> \eS &.idewalk Type: "lieatlon OO~ 0 t\"\r. \\\"\e ru \\ot\ I\R 952-00~ - tain' copies 0 t lep\"\on~DownspoutslDrains: n agO '{oU ma.'1 o~er ~Note: ~~e ~~oti\iCa.tiOn 00 '. t\"\e cen' . n U\lIIW " call\ll<;l or t\"\e orego 332.-2.344). ~Ull1ber \ 'c 1_1'-00- 11 ,..............+/'"11". I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount TYne of Construction Total Value of Project Paee 1 of2 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 + 7% State Surcharge Dryer Vent Gas Outlets 1-4 MinimumlAdjustment Mechanical Total Amount Paid . I Fees Paid I Amount Paid Date Paid . CITY lll< ~nuNGFIELD Building/Combination Permit PERMIT NO: cOM2004-00279 ISSUED: 03/12/2004 APPLIED: 03/12/2004 EXPIRES: 09/12/2004 VALUE: Receipt Number 1200400000000000310 1200400000000000310 1200400000000000310 1200400000000000310 1200400000000000310 1200400000000000310 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. $10.00 $4.50 $3.15 $6.00 $4.00 $35.00 3/12/04 3112/04 3112/04 3/12/04 3/12/04 3/12104 $62.65 I Plan Reviews I ~ Reollired Insnpetions I 1 Rough Mechanical: Prior to Cover 2 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 dlU'ing construction. (~\Q ~tOt ) \(0 Owner or Contractors Signature LA-- Paee 2 on 3!1?;- 0Lf Date 225 Fifth Street"" Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00279 COM2004-00279 COM2004-00279 COM2004-00279 COM2004-00279 COM2004-00279 Payments: Type of Payment Check "IT;. IItr~'""",~ ',","" .~,~. 1 ...,..." : ,. ." .~.,., ....=_. .."....,. ..; ...,..;",;f".. ..J Receipt #: 1200400000000000310 Description + 7% State Surcharge + 10% Administrative Fee Dryer Vent Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Received By djb l.:heck Number Batch Number Authorization Number Paid By MARSHALLS INC 17887 City of Springfield Official Receip i Development Services Department- Public Works Department Date: 03/12/2004 10:21:09AM;''' " Amount Paid Item Total: 3.15 4.50 6.00 4.00 35,00 10.00 $62.65 How Received In Person Payment Total: Amount Paid $62.65 $62.65 . .