HomeMy WebLinkAboutPermit Building 2002-11-12
_~N'i
1 '.' ". .":~. --"". I.
' :'~' . 1
. .
,
. r-""". 'c>; ~
. , ..... ~
"" ., .,,'~ ...;.>'~
-.
. CITY VI< M"Kll~GFIELD
Building/Combination Permit
PERMIT NO: COM2002-01277
ISSUED: 11/12/2002
APPLIED: 11/12/2002
EXPIRES: 05/12/2003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 955 HA YDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703261200400
Springfield TYPE OF
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas furnace and water heater
Owner: MADSEN PATRICIAJ TE
Address: 955 HAYDEN BRIDGE RD SPRINGFIELD OR 97477
'CONTRACTOR INFORMA TJON I
Contractor Type
Mechanical
Owner
SETBACKS
Contractor
MARS HALLS INC
MADSEN PATRICIA J TE
BUILDING INFOR~'f.Il!lN J
. . Jril;. .. rlll. ;ov.'Q
# of slori;IJ:O-1;<ltIOI} eS <lO'a 're90I} I._Lot Size:
Height ofOBQ y, BS<_QCel}le~/eI16 "Sql.t 1st Floor:
TypeofH~ii Olllll 0'-00' -""0 ~IIMI2Il(l,lloor:
Water Type;, '110 Ir~ <1y 0,", '0,,- :s'e r.Sq FtlBasement:
-'va "~ viq" IlltO -It-! \':IVf) ~'I"
Range Type: 'rfol't. Cel}le II} Co ttOIS~"R~,Gara'gelCarport
Energy Path:Ce'/), ~eQ I; (tv.oO,oles 'Sq'll~Othe.r/::1}
'191" 'reI> fe. 'I'" &'..-- S"'rf A
IS, "'OI}l . tl)~ mPJ"'v,OU& u ace rea:
...Q" II.'.. \;' 1~. r,o. VJ
I DEVELOPMENT INFORMATlON1.?';;'tvoi/~1}01}~"bJ
'1<11 C<1lioREQUlRED PARKING
/. ';
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
I'rimary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Overlay Dist:
# Street Trees
Paved Drwe/fnd:
% of Lot cOli-R/iC.f:
\~UZH() fRlvtlr ".'f,
IPUBLlC IMPSQYE~~UND~(l (J(PIR
.' litO D4-( OR 1~~l~~rH( It,
; P(RIOo.o~1.4~},~MIl;1t1 /I2RI(
fJ'FOR Or
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Sethacks:
Stree t
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Desc rintion
Tvpe of Construction
$ Per Sq Ft
Square Foota!!e
Value
Date Calculated
Total Value of Project
I of 2
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 7% State Surcharge
+ 8% Administrative Fee
Gas Outlets 1-4
-Mechanical Issuance Fee-
Furnace - np to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount
Total Fees Paid Prior to 9/30/02
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2002-0I277
ISSUED: 11/12/2002
APPLIED: 11/12/2002
EXPIRES: 05/1212003
VALUE:
I Fees Paid I
Amount Paid
Date
Receipt Number
Received By
$3.15
$3.60
$4.00
$10.00
$12.00
$29.00
1l/12I02
1l/12I02
1l/12I02
1l/12102
1l/12I02
1l/12102
2200200000000000169
2200200000000000169
2200200000000000169
2200200000000000169
2200200000000000169
2200200000000000169
djb
djb
djb
djb
djb
djb
$61.75
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.
I Reauired Insnections I
I Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
2 Rough Mechanical: Prior to Cover
3 Final Gas: When all gas work is complete.
4 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certiIY 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 witbout permission of the Community Services Division,
Building Safety. I further certiIY that only contractors and employees who are in compliance with ORS 701.005 wiD 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 tbe permit card is located at the front of the property, and the approved set of plans will remain on the site
at~t dECf~~u\tfuA-. ! I / I ~/ Ou
Owner or Contractors Signature Date I
2 of 2