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Home My WebLink AboutPermit Mechanical 2003-08-19Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00795ISSUED: 08/19/2003APPLIED: 08/1912003 EXPIRESz 0211912004 VALUE: SITE ADDRESS: 2438I7THPL ASSESSOR'S PARCEL NO.: 1703243400340 PROJECT DESCRIPTION: Install nat gas insert and nat gas furnace OWNCT: MILLIKEN ESTHER M Address: 2438 N 17TH PL SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2003 Phone 541-747-7445 License 25790 BUILDIN( # 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: R-3 VN # of Stories: of Structure Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ( $ PARJ<ING $ Per Sq Ft or multiplier o( Square Footage or Bid Amount Total Value of Project Pase I of2 Description Type of Construction Value Date Calculated T UUI\ I I(AL I t-,K TN I' L'ry] llYlrK(JVt lYrllNrJI Valuation Description I 10('\$ Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 2637 69 Inspection Line PERMIT NO: COM2003-00795ISSUED: 08/19/2003APPLIED: 08/1912003 EXPIRESz 0211912004 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7Yo State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $6.00 $12.00 $15.00 $4.00 $8.00 $62.6s Date Paid 8/19/03 8/19/03 8t19t03 8/I9103 8n9t03 8/19/03 8t19t03 8n9t03 Receipt Number r20020000000000198r 120020000000000r981 1200200000000001981 1200200000000001981 1200200000000001981 1200200000000001981 1200200000000001981 r200200000000001981 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 \ilorking 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 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 4 Final Gas: When all gas work is complete. 5 Final Mechanical: When all mechanical work is complete. red Insnections 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 Springlield 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 during construction. g-l7-oz Owner or Contractors Signature Pase2 of2 Date tlees raro I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department coM2003-0079s coM2003-00795 coM2003-0079s coM2003-00795 coM2003-00795 coM2003-00795 coM2003-00795 coM2003-00795 Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Gas Fireplace Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0%o Administrative Fee 12.00 6.00 4.00 15.00 8.00 10.00 3.15 4.50 Item Total:$62.65 Payments: Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALLS INC djb In Person Payment Total: $62.65 $62.65