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Home My WebLink AboutPermit Mechanical 2004-10-05F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01235ISSUED: 1010512004 rAPPLIED: 10/05 t2004 iEXPIREST 0410512005 iVALUE:r SITE ADDRESS: 1338 9TH ST ASSESSOR'SPARCELNO.: 1703264303600 PROJECT DESCRIPTION: Install gas stove Owner: SMITH LyNNE M Address: 1338 9TH ST SPRINGFIELD OR 97477 Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: lo( Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential to s01'0 the Expiration Date 12t23t2005 Phone 541-747-7445 Vlhr of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla REQUIRED PARIflNG Total: Handicapped: Compact: N1\\E t0B $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description TYPe of Construction Total Velue of Project Value Date Calculated ol 1s0 Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01235ISSUED: 1010512004 APPLIED: 10/0512004 EXPIRESz 0410512005 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7%o State Surcharge Exhaust Hoods Gas Outlets l-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $9.00 $4.00 $32.00 $62.6s Date Paid t0t5t04 t0t5t04 t0tst04 t0l5t04 t0tst04 t0tst04 Receipt Number 1200400000000001432 1200400000000001432 r20040000000000r432 1200400000000001432 1200400000000001432 1200400000000001432 Plan Reviews To Request an inspection call the24 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. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 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 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 5 Owner or Contractors Signature Paee2 of2 Date Hees rrrfl I KgqulrcqlnsDeetrons l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone csty of Springlield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200400000000001432 Date: 1010512004 10:01:57AM Job/Journal Number coM2004-01235 coM2004-01235 coM2004-01235 coM2004-01235 coM2004-01235 i coM2004-01235 Description + TYoState Surcharge + l0% Administrative Fee Exhaust Hoods Gas Outlets l-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.ls 4.s0 9.00 4.00 32.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By checl(Number Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb 18232 In Person $62.65 Paymenttotal: ffi tol512004 Page I of I