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Home My WebLink AboutPermit Mechanical 2003-9-18 . Status Issued ~ . l..ll f OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-00924 ISSUED: 09/18/2003 APPLIED: 09/1812003 EXPIRES: 03/18/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2622 MAlA LP ASSESSOR'S PARCEL NO.: 1703251405600 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Install gas stove free standing. Owner: STONECYPHER ED W TE Address: 2622 MAlA LOOP SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expiration Date 12123/2003 Phone 541-747-7445 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Flnor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ',' ;~uJ~d:uregun law I dqUlres you to . ' . , . s a opted by the 0 ' . Street Improvement~:JOTlCE.\lotlflcatlon Ct~!~.'!~n'~j3'~ll,ei regon UtJl:ty . 1:'" . I OAF; 95?-OC'''''''''' ~ ules are set fori Stor~ Sewer A~adalile:S PERMI u090 Y - Downs'pouts/Dral~s,:AR 052- Speclallnstructlon:4UTHORIZ T SHALL EXP/ " ou may obtain copies of th O~ CO EO UNO RE IF T calling the cente ( e rules! Nntes: . !' 1)~;v1ENCED OR I~RATHIS PERM/~~SWORRumberforthe or~g~~~;i~~er'ele.~ho~e 80 DAY PCr"". BANOnMc" _. NOT r "M'M";~ 1_.Q!1n "",,:L -JOl'flcatJon .'vu. I Valuation Descriotion , - -, r-r/. -. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pa~e I of2 . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-00924 ISSUED: 09/18/2003 APPLIED: 09/18/2003 EXPIRES: 03/18/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line IF...... tiW!.I Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Gas Outlets 1-4 Minimum/Adjustment Mechanicnl Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $6.00 $4.00 $35.00 9/18/03 9/18/03 9/18/03 9/18/03 9/18/03 9/18/03 2200200000000001549 2200200000000001549 2200200000000001549 2200200000000001549 2200200000000001549 2200200000000001549 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. L-Rf'/luir..d Tns,p..r.tions I 1 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. 2 Final Gas: When all gas 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 nf Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding 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. ~7f::-/;-/ kt7~ ?- If<. -():3 Owrier or C:n-;;'acto-;:s ~;tur; Date Paee 2 of2 225 Fifth Street J Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00924 COM2003-00924 COM2003-00924 COM2003-00924 COM2003-00924 COM2003-00924 Payments: Type of Payment Check Paid By MARSHALLS -~....... Wi:...'''.'''''..''....-.....'..... i:; ; ....'*""" t . tIIIJJ~- -. j - - - "._.~,.- --,; Receipt #: 2200200000000001549 Description Gas Outlets 1-4 Appliance Vent -Mechanical Issuance Fee- Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Received By lkw l:heck Number Batch Number Authorization Number 17516 City of Springfield Official Receip,f Development Services Department Public Works Department . Date: 09/18/2003 1I:03:\3AM Amount Paid Item Total: 4.00 6.00 10.00 35,00 3,15 4.50 $62.65 How Received In Person Payment Total: Amount Paid . $62.65 $62.65 .