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Home My WebLink AboutPermit Mechanical 2003-8-14 It Status Issued ,225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . CITY OF SPRINGNJ<.LU Building/Combination Permit PERMIT NO: COM2003-00756 ISSUED: 08/14/2003 APPLIED: 08/1412003 EXPIRES: 02/14/2004 VALUE: SITE ADDRESS: 2325 GROVEDALE DR ASSESSOR'S PARCEL NO.: 1703262200222 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install new gas service and two appliances Owner: MELLOR KENNETH W & RULENA J Address: PO BOX 1400 SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor MIDGLEY'S # of Buildings: Primary Occupancy Group: R-3 Secondary Occupaucy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: ' Special Instruction: Notes: Description Tvpe of Construction I CONTRACTOR INFORMATION I License Expiration Date 019364 _ ~II. 11/20/2003 BUILDING INFORMATlON-I\\'\t. ~~6, "S>\I"~' ~\, ~ hf Storl-cat-\..\..~" f;> \>~\'\ '\) '{I.)~ Lot Size: \\\)'\;!a' ~~oR;1 ~li!ilr1~ ~~'OI.)~~ Sq Ft Ist Floor: ,\,\\'Z> ~ \'Z> ~'O Sq Ft 2nd Floor: ~"i '~"~I~J;l ~I.)'i). Sq Ft Basement: !>: "~'~ :?t.\'\ Sq Ft Garage/Carport C.V e.~ ath: Sq Ft Other: !>: Impervious Surface Area: Phone 343-1131 I DEVELOPMENTINFORMATlON I REQUIRED PARKING Overlay Dist: ou1:otal: # Street Trees Rqd: laVol teqU\tes 'I U#.~'ldicapped: Paved Drive Rqd:,,"OtegO{\ \"'90t6g0{\ eCompact: G~I\U\'" ed '0'1" ate S \.- . % of ",~eOVaf.1!ge~dO\lt 1\'10Se tUI9~p..f\ 95'2.-00 \OII~~o~iO{\ C~';t~~1 0 t\'ltOu.~~ n\ t\'le tu\e.:~\ I PUBLIC iM~~OVEMi~;rS l'Otai~~~\~: t\'l9 te\~~;~~tiO{\ 09\J . - . 9{\\9t. \ , "-1\")/ NO o "\ling t\'le e Ot~~c!.eWBIR ~!g~). ell. \ot \\'Ie .onl"l-~~'2. . {\uln'Oet cen\et is 11Jownspouts/DralOs: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pa2e 1 012 .. . CITY OF .srJ:Ol"HJt<u'LD Building/Combination Permit PERMIT NO: COM2003-00756 ISSUED: 08/14/2003 APPLIED: 08/14/2003 EXPIRES: 02/14/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Pair! 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 $10.00 $4.50 $3.15 $6.00 $4.00 $35.00 8/14/03 8/14/03 8/14/03 8/14/03 8/14/03 8/14/03 Receipt Number 1200200000000001958 1200200000000001958 1200200000000001958 1200200000000001958 1200200000000001958 1200200000000001958 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 da.y, inspections requested after 7:00 a.m. will be made the following work day. I Reouirer! Insnedions 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 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mecll1anical 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, .lDd 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 Ithe front of the property, and the approved set of plans will remain on the site at all '~~~:1 - CJ/;c//oJ Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00756 COM2003-00756 COM2003-00756 COM2003-00756 COM2003-00756 COM2003-00756 Payments: Type of Payment Check Paid By a.A'TT'\nT D'TC' J.UuU......UJ....d..;..-.J -;:-=- Ml.:' ''''''''''.''C''-'. ",",."'.' .1, .'_' I , i /"--- ." I {.. i ""'-~""'-'. -,.~-, ''''~." Receipt #: 1200200000000001958 Description + 7% State Surcharge + 10% Administratiye Fee Appliance Vent Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Received By Check Number Batch Number Authorization Number .J~L UJU City of Springfield Official Receip! Development Services Department Public Works Department . . Date: 08/14/2003 IO:21:44AM Amount Paid 3.15 4.50 6,00 4.00 35,00 10,00 $62.65 Item Total: How Received in Person Payment Total: Amount Paid $62,65 $62.65 e .