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Home My WebLink AboutPermit Mechanical 2005-1-26 -. _-__CITY OF SPRIj\jld'lr,LIJ Building/Combination Permit PERMIT NO: COM2005-00I03 ISSUED: 01/2612005 APPLIED: 01/26/2005 EXPIRES: . 07/26/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 655 HARLOW RD APT 1 ASSESSOR'S PARCEL NO.: 1703271202700 Springfield TYPE OF WORK: Heating Syst,em TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Install gas console heater Owner: JOAN PATTERSON Address: 5055 CENTER WAY EUGENE OR 97405 Phone Number: 541- I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expiration Date 12123/2005 Phone 541-747-7445 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: ~~ Lot Size: Height of Structur\eO-~t~ ~\i\'Il\\' Sq Ft 1st Floor: Type of He ~ ..... ~IN"" sri< \0 ~.sq Ft 2nd Floor: W ~ 'IN '\).~ et0 9P'l.JjO Jq Ft Basement: ~~.~se Q,'ro O"'~ ~0'!> "~q Ft Garage/Carport l1" ttli"fi'l~~~: \\\~ e5 do \\\0 '/rIof\6 Sq Ft Other: \O~~ .o\}~ ~g.09~ . \\\0 \W/i~\~oaccupant Load: ",^'.w re-'J \...~. ..\,,~\ I ~EL9BMl:-;&;,mFoil~Jrfo~" ~\f\c1 t,. ~ \. ,.&Ou-J-! ~\ot~\$\ # Stre~rees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING # ofVnlls: Primary Occupancy Group: Secondary Occupancy Group:. Primary Construction Type Secondary Construction Type: # of Bedrooms: '. Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: R\<. . _, \lO ,.\.\1' V'JO . "01\Ct. p..\..\" E~(\1-:nspolltslD~\~~n ~~:~~~~~ t~~~~ ~~~~6~~~6\~R CO~~E~~~~ oI=RIOD. I ValuatiOl;ri~s~;;~;i~n I Notes: Description Tvpe of Construction $ Per Sq Ft or multiplIer Square Footage or Bid Amount Value Date Calculated Page 1 of2 Status .,. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description -Mechanicallssuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - Unit Heater Minimum/Adjustment Mechanical Total Amount Paid . . CITY OF SPRING1'1I!.LU Building/Combination Permit PERMIT NO: COM2005-00I03 ISSUED: 01126/2005 APPLIED: 01126/2005 EXPIRES: 07/26/2005 VALUE: Total Value of Project L.F...... p~ Amount Paid Date Paid 1/26/05 1/26/05 1/26/05 1/26/05 1/26/05 1/26/05 Receipt Number 1200500000000000121 1200500000000000121 1200500000000000121 1200500000000000121 1200500000000000121 1200500000000000121 $10.00 $4.50 $3.15 $6.00 $12.00 $27.00 $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. [..Reouired Tnsn..ctinn~ I Rough Mecbanical: Prior to Cover Final Mechanical: When all mechanical work Is complete. By signature, I state and agree, that T 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. .a2 r ~ ./.4..?~ ~_c~ Owner or Contractors Signature 1- ;.. t-c-::r- Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . -~...... . ~.'''--''''-..-.'-.''..''..'.'''.'...... ' \ : ,~ / ~'-~ .' "'1' " ';".,,'" .' ~ of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2005-00 I 03 COM2005-00103 COM2005-00 1 03 COM2005-00 1 03 COM2005-00 1 03 COM2005-00 1 03 Payments: Type or Payment Check 1/26/2005 RECEIPT #: 1200500000000000121 Date: 0112612005 Description + 7% State Surcharge + 10% Administrative Fee Furnace - Unit Heater Appliance Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fe..... Paid By MARSHALLS lNC Item Total: l:beck Number Authorization Received By Batch Number Number How Received djb 18419 In Person Payment Total: Page 1 of 1 1l:21:32AM Amount Due 3.15 4.50 12.00 6.00 27.00 10.00 $62.65 Amount Paid $62.65 $62.65