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Home My WebLink AboutPermit Mechanical 2004-4-21 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-00445 ISSUED: 04/21/2004 APPLIED: 04/21/2004 EXPIRES: 10/21/2004 VALUE: SITE ADDRESS: 3850 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO,: 1702190000202 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Install gas furnace and H20 htr Owner: WILLIAMS LARRY A & L KATHLEEN Address: 3850 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License' 25790 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy pat'V-JOR\<. -,~:1'''~'' ,,;:.L C:'lP~~,~r}~i,c.II\01 1I-1IS ?El'>\ofI1 \ ~~\"IDEViE"OrMEN,i;:INFORMA TION I i'.1.l11-10l'>IIEDI) OR IS ~ot'..~! CO\ofl\oflE~~i'.,( ?El'>IOI), Overlay Dist: ' i'.~'( \ \\Q # Street Trees Rqd: Paved Drive Rqd: R-3 VN Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Sethack: Solar Sethacks: % of Lot Coverage: __c "ou to .w.""....." ~1.Ofeclrp.UB~Ic; lMP~O;yF:MENTS I J\E~110\", \eO u, . at" ~_. Street Improvements: />. leS adOP se fllles 952-00 III0Wfll w,lno nOM" I Storm Sewer Availahle: 0 'fcation cen OO\o\nfo~g _I tne fUles Special Instruction: -.l0\1 ~R 952-00\ - 'otain copIes 0 telepnone In 0 'f u ffla'1 0 ~~ote: \ne flicatiOn Notes: 0090'1' Ogtne centef. gon \J\iliW ~~)' cal ~n __ 4"t \ne Ofe _""_,,,~.?-234 . New Residential Phone Numher: 541-988-3762 Expiration Date 12/23/2005 Phone 541-747-7445 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutsIDrains: nUf"-- __ ~_.. " I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Palrelof2 Value Date Calculated 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 Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid . I Ff'f's Paill . Amount Paid $10,00 $4,50 $3.15 $6.00 $12.00 $4.00 $23.00 $62.65 I Plan Reviews I Date Paid 4/21/04 4/21104 4/21/04 4/21104 4/21/04 4/21104 4/21104 . Ul t' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00445 ISSUED: 04/21/2004 APPLIED: 04/21/2004 EXPIRES: 10/21/2004 VALUE: Receipt Number 1200400000000000512 1200400000000000512 1200400000000000512 1200400000000000512 1200400000000000512 1200400000000000512 1200400000000000512 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 Rf'nuirf'd Tn.nf'dinn.' 1 Rougb Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do bereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb 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 ofany 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 tbe approved set of plans will remain on the site at all times during construction. ~ ~^ lOLJ Owner or Contractors Signature '(0 u Paee 2 of2 ~~ ?J ~o-! Date . ~j7;~ ~ Wit. i JiiY of Springfield Official Receipt Wvelopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3.759 Phone Job/Journal Number COM2004-00445 COM2004-00445 COM2004-00445 COM2004-00445 COM2004-00445 COM2004-00445 COM2004-00445 Payments: Type of Payment Check 4/2112004 RECEIPT #: 1200400000000000512 Date: 04/21/2004 Desc...iption + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee-- Paid By MARS HALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 17956 In Person Payment Total: Page 1 of 1 9:34:38AM Amount Due 3,15 4.50 12,00 6,00 4,00 23,00 10,00 $62.65 Amount Paid $62,65 $62.65