HomeMy WebLinkAboutPermit Mechanical 2003-05-06Building/Combination Permit
PERMIT NO: COM2003-00343Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
ISSUED:
APPLIED:
EXPIRES:
VALUE:
05t06t2003
0s/06/2003
Lu06t2003
SITE ADDRESS: T6l WOODCREST DR
ASSESSOR'S PARCEL NO.: 1703341216600
PROJECT DESCRIPTION: Install gas piping to range
Owner: DUKE SUSAN K & RANDy M
Address: T6l WOODCREST DR SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New Residential
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
DUKE SUSAN K & RANDY M
License
25790
Expiration Date
12t23t2003
Phone
s4l-747-7445
CONTRACTOR INFORMATION
v
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
sU
b.l
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
vN
\0..l
5S
lHIS
AUl
b
800
Sidewalk Type:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
o1
N OTICE:
PER
HORI
Description Type of Construction $ Per Sq Ft Square Footage
Paee I of2
AY
Value Date Calculated
t)
D U ll-L, 11\ (r I1\ I (rKlYrry..l
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00343ISSUED: 0510612003APPLIED: 05/0612003
EXPIRESz 1110612003
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ llYo Administrative Fee
+ 7Vo State Surcharge
Exhaust Hoods
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
Total Value of Project
Date Pai
5t6t03
516t03
st6t03
5t6t03
st6t03
516t03
Receipt Number
1200200000000001141
120020000000000rr41
1200200000000001141
1200200000000001141
1200200000000001141
1200200000000001141
$10.00
$4.s0
$3.1s
$9.00
$4.00
$32.00
$62.6s
tr'ees Peid
To Request an inspection call the24 hour recording at 726-3769. AII 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 Rough Mechanical: Prior to Cover
3 Final Mechanical: When all mechanical work is complete.
lnsnections
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, 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 OCCUPAIICY 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 70f .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.
L,*uir,m-T
Owner or Contractors .-_#*,*
Pase2 of2
Date
225Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Pubric*"fin?,"iHffii
Receipt #: 1200200000000001141 Date: 05/06/2003
coM2003-00343
coM2003-00343
coM2003-00343
coM2003-00343
coM2003-00343
coM2003-00343
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Exhaust Hoods
Gas Outlets l-4
-Mechanical Issuance Fee-
Minimum/Adj ustrnent Mechanical
3.15
4.50
9.00
4.00
10.00
32.00
Item Total:$62.6s
Payments:
Check MARSHALLS INC djb In Person
Payment Total:
62.65
$62.65
5/6/2003 l:27:06PM Page I ofl cReceipt.rpt
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