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Home My WebLink AboutPermit Mechanical 2004-10-26 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ..8 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01324 ISSUED: 10/26/2004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: ,~~ .., ..~ SITE ADDRESS: 2742 LOCUST ST ASSESSOR'S PARCEL NO.: 1703244101600 TYPE OF USE: New ,.'>,C . ......." ~i) r"\ ~ "--r L~\f-' 1"'::('1. 1. . , --I ~", , ,r, ,. "\1' r ,-Tef\ ' '. ....J '. ,I iJi':;,~JI. vt; . 1 ,\loW nil\. .. V', ~ ,.10... <1'-0 ~t:l 1\...11." WAYNE MASONER 0" f n Ceflter. \ "r.S'Phone Numbem.l1541-747-3441 2742 LOCUST ST SPRINGFIELD OR 97477 Notlllca \0 .0010 through OAK "'''',,- in OAR 952-001 ,,'_'n ~nniAS 01 the rules by n090, YOU '''''1 -~.. te' the telepIlU"~ I CONTRACTOR,INEORM>\'FION'I (~~ Utility NotilicatiDn numbeflUI "'w. -1-~0fb332-2344). C~ - 'Expiration Date 25790 12123/2005 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Install gas stove Residential Owner: Address: Contractor Type Mechanical Contractor MARS HALLS INC Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description BUILDING INFORMATION I ~ . ~:-. # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy.I~~th: Sq Ft Other: 'Sp~iriIi.led' Building: nla Occupant Load: 1>-11<:: P~r<MIT Shill I FXPiRf- iF THF WIIRK I DEVEBOPMENTtINFORM\\'FION I,:HMIT IS NOT L.UIVIIVltl~L.tU UH I::> l\ol\l~uONED FOR REQUIRED PARKING M!~rIWDQt~Y PERIOD, Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01324 ISSUED: 10/26/2004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I F~~~ V.llill I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $6.00 $4.00 $35.00 10/26/04 10/26/04 10/26/04 10/26/04 10/26/04 10/26/04 2200400000000001337 2200400000000001337 2200400000000001337 2200400000000001337 2200400000000001337 2200400000000001337 Total Amount Paid $62.65 I Plan Reviews , 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 R~ouired In~n~ction\l Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 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 he 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. ~\ rl ~~:\ (() t A l{)- ;;:)!O - OL/ - Owner or Contractors Signature Date Paee 2 of2 i~5F&'th Street Springfield, Oregon 97477 541-726-3759 Phone . a!!~I!I!,QF1.,~.n_._._..mj,!. 1IfiL"c-., l <" " ,4' "' ,""_"'<'-0.. :,' " ','" IfIittj.ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200400000000001337 Date: 10/26/2004 2:26:4IPM Job/Journal Number COM2004,O 1324 COM2004,O 1324 COM2004,O 1324 COM2004-0 1324 COM2004.01324 COM2004-01324 Description , + 7% State Surcharge + 10% Administrative Fee Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance F ee- Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 6.00 4.00 35.00 10.00 $62.65 Amount Paid Check MARSHALL'S nJm 18264 In Person Payment Total: $62.65 $62.65 10/26/2004 Page I of I