HomeMy WebLinkAboutPermit Mechanical 2003-9-3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1236 JANUS ST
ASSESSOR'S PARCEL NO.: 1703342200208
. CITY OF M'Kll'1ut<l~LD
Building/Combination Permit
PERMIT NO: COM2003-00849
ISSUED: 09/03/2003
APPLIED: 09/03/2003
EXPIRES: 03/03/2004
VALUE:
Springfield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Insert
Owner: KIMBALL THERESA M & GEORGE C
Address: 1236 JANUS ST SPRINGFIELD OR 97477
TYPE OF USE:
New
Residential
, CONTRAClululuORMATION I
Contractor Type
General
Mechanical
Contractor
GEORGE C KIMBALL
DICK BAILEY PLUMBING CO
License
64256
107255
Expiration Date
02107/2005
06/29/2004
Phone
541-747-1415
541-344-6696
BUILDING INFORMATION'
"_._, r.............~ ,_
AnENT\ON:'~DEYELOPMENT,INFORMl\nON I
folloW rules aoulJ'<>Th-~S~ rules are set tor~
Notification center.10 9xui!!'J.'llist:R 952-00
. O^R952-001-OO ,#Street,Tre.s'Rqcl!leS1
In '" btaln ,",u",vv -
0090. You may 0 ~b~g~ri!e.!{q~:hO~e
Calling the center.~, ....'t.''> I\ln,ifir..atlon
f the Oreg-elhllJO ...overage.
number or .. 800-332-2344),
r,,,,nter IS ,-
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
VN
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes,
Pa!!e 1 of3
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:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
.
. CITY UJ:' ~rKll"lju1'lJ!.LU
Building/Combination Permit
PERMIT NO: COM2003-00849
ISSUED: 09/03/2003
APPLIED: 09/03/2003
EXPIRES: 03/0312004
.vALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descrintion ,
Description'
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp<. PiWJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$15.00
$4.00
$26.00
9/3/03
9/3/03
9/3/03
9/3/03
9/3/03
9/3/03
Receipt Number
1200200000000002051
1200200000000002051
1200200000000002051
1200200000000002051
1200200000000002051
1200200000000002051
Total Amount Paid
$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.
IJ?p~
1 Rough Gas, After line is installed and required testing and capped if not attached to an appliance.
2 Rough Mechanical: Prior to Cover
3 Final Gas: When all gas work is complete.
4 Final Mechanical: When all mecbanical work is complete.
Paee 2 00
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.
~ U'-Vt ..fL r
owL ~ontractors Signatur
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Pal!e 3 of3
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00849
ISSUED: 09/03/2003
APPLIED: 09/03/2003
EXPIRES: 03/03/2004
VALUE:
~
C3 -:?
tJ'? '/
D
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00849
COM2003-00849
COM2003-00849
COM2003-00849
COM2003-00849
COM2003-00849
Payments:
Type of Payment
Check
""""',~"'~~"',".!!/!!!."~ '-......'........
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Receipt #: 1200200000000002051
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Gas Outlets 1-4
Gas Fireplace
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
KIMBALL CONSTR
Received By
djb
l:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department"
Public Works Department'
Date: 09/03/2003 1l:08:31AM .
Amount Paid
3.15
4.50
4.00
15,00
26.00
10.00
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
.
$62,65
$62.65
.