HomeMy WebLinkAboutPermit Mechanical 2005-7-27
-.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2453 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251408300
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01003
ISSUED: 07/2712005
APPLIED: 07/2712005
EXPIRES: 01127/2006
VALUE:
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install freestanding gas fireplace and pipe
Owner: MIKE CLIFT
Address: 451 OAKDALE A V
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541-746-1999
I CONTRACTOR INFORMATION'
License
25790
Expiration Date
12/23/2005
Phone
541-747-7445
I BUILDING INFORMATION.
R-3
# of Stories: Lot Size:
Hl!iJ!II:tliffON: Oregon law requires yiSq t11t 1st Floor:
~Y~tldopted by the Oregon lSlil ft 2nd Floor:
Nc)lf,,~q~enter, Those rules are s~qd1lt~asement:
in~IlJ~PS!l1-0010 through OAR 9~U1Garage/Carport
od>J'J',~8lW.\y obtain copies of the nl.'.!I3Il!pther:
~mla'i~e center.. (Note: tA'J'telephg,~~upant Load:
-------,--:--" ,---~O "..."., I\lOllTICallOn
,DEVELOPMElSiINFORMATION_1344),
VN
REQUIRED PARKING
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS'
Sidewalk Type:
NOTiCE: DownspoutslDrains
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANPONED FOR
A ~'" ... nn r.",/ nr-nlrH."'\
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
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
Appliance Vent
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount
.
. CITY 0.. I)t'KINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01003
ISSUED: 07/27/2005
APPLIED: 07/27/2005
EXPIRES: 01127/2006
VALUE:
Total Value of Project
L.Fees PaiIIJ
Amount Paid Date Paid Receipt Number
510.00 7127105 1200500000000001094
$4.50 7127105 1200500000000001094
$3.15 7127105 1200500000000001094
$6..00 7127105 1200500000000001094
515.00 7127105 1200500000000001094
$4..00 7127105 1200500000000001094
520.00 7127105 1200500000000001094
562.65
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 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 m accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,
and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division,
Building Safety. 1 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, te~, the permit card is located at the front of the property, and the approved set of plans wiD remain on the site
7~sr\riL:17t:olL rOt f---. ) ~ ~ I - 0:5
~ - .
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
SpringfIeld, Oregon 97477
54J;726-3759 Phone
.
.~
WiL ' .
lIJ.ty of S~ringfield Official Receipt
.velopment Services Department
Public Works Department
Joo/Jourual Number
COM2005-0 1 003
COM2005-0 1 003
COM2005-01003
COM2005-0 1 003
COM2005-0 1003
COM2005-01003
COM2005-0 1003
Payments:
Type of Payment
Check
~!
,
712712005
RECEIPT #:
1200500000000001094
Date: 07/27/2005
Descriptlou
+ 7% State Surcharge
+ 10% Administrative Fee
Appliance Vent
Gas Outlets 1-4
Gas Fireplace
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALLS INC
Item Total:
Lheck Number Authonzation
Received By, Batch Number Number How Received
djb 18733 In Person
Payment Total:
1 of I
2:05:03PM
Amon nt Due
3.15
4..50
6.00
4..00,
15,00
20.00
10..00
$62.65
Amount Paid
$62.65
$62.65