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Home My WebLink AboutPermit Mechanical 2003-2-26 I. .~ _l1li-, 7",J.,N,~..sFl,M...V :..,.,~ ,- '" ".~, '/. ; . I ' ~. ....~~.;"-..., '.",..,.'_ """_".t.'."........>'!':._.':4:I'~'\;, . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00119 ISSUED: 02/26/2003 APPLIED: 02/26/2003 EXPIRES: 08/26/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1232 ISLAND ST ASSESSOR'S PARCEL NO.: 1703342200214 Springfield TYPE OF Mechanical Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Gas Piping & Venting Owner: JORDANTHEODOREH& D1ANAJ Address: 1232 ISLAND ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Owner Contractor JORDAN THEODORE H & DIANA J BUILDING INFORMATION I License Expiration Date Phone # of Buildings: Primary Occupancy Group: Secondary Occupancy JTrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport: Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMA nON I REQUIRED PARKING Front yard Setback: Overlay Dist: Side I Setback: # Street Trees Side 2 Setback: Paved Drive Rqd: Rearyard Setback:'" I I~.',' IV,' .v. C!jU, , IdW '(:H-l%'iif-bo't:COverage: Solar Setbacks: follow ruies c1doptea by the Oregan Utility ~~~~~;;-~~;-'~~1 ;~~~;~~'~;e~~~~,~i'ME~~~%I;E~MIT SHA 0090. You may obtain COpieS m me rUles 0, AUTHORI~i~'ti\'!k~~;n~PJRE IF THE WORK calling the center, (Note: (he telephone CO n'C ov [. /IS PERMIT IS NOT Stor~ Sewer A,:"i1~!J.~;;er for the Oregon Utility Notification MMENDoG.Gpolastm:'l>>mONED FOR SpeclBl Instruction: C:1nte: i.' '; -R';rl-332-?344). ANY 180 DAY PERIOD. Total: Handicapped: Compact: Street Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Prnject I of 2 i .. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00119 ISSUED: 02/26/2003 APPLIED: 0212612003 EXPIRFS: 08/26/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L-Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% Stale Surcharge Gas Outlets 1-4 Minimum/Adjustment Mechanical Vent Fan Amount Paid Date $10.00 $4.50 $3.15 $16.00 $23.00 $6.00 2126/03 2/26/03 2/26/03 2/26/03 2/26/03 2126/03 Receipt Number 2200200000000000528 2200200000000000528 2200200000000000528 2200200000000000528 2200200000000000528 2200200000000000528 Total Amount $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. I Rough Gas: After line is installed and required testing and capped if not attached to an appliance, 2 Final Gas: When all gas work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certity that all information hereon is true and correct, and I further certify that any and nIl 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 certity 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 atalltimeS~)?: nstructi)"'. """) //_0/ '-~~/J'/c ~ c;:7-c:T" 7 OW;;-er or Contracto~~ Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .e Items: Job/Journal Number COM2003-00119 COM2003-00119 COM2003-00 1 19 COM2003-00 119 ,COM2003-00119 COM2003-00119 tw'ments: TWe of Payment Check :/ . Paid By Receipt #: 2200200000000000528 Date: 02/26/2003 Description Gas Outlets 1-4 Vent Fan Minimum/Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Received By Check Number Confirm No COMFORT FLOW 21118 lkw Page I of I 2/2612003 2:58:25PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 16.00 6.00 23.00 3.15 4.50 10.00 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 $62.65 Payment Total: cReceipt.rpt