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Home My WebLink AboutPermit Mechanical 2006-11-13L Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01446ISSUED: 1111312006 APPLIED: 11/1312006 EXPIRES: 05/1312007 VALUE: SITE ADDRESS: 2560 23RD ST ASSESSOR'S PARCEL NO.: 1703244201700 PROJECT DESCRIPTION: Install gas stove including gas piping. Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential {n lnu 0c9 Owner: Address: Contractor Type Mechanical MILDRED I WAGNER REVOCABLE LIVING T 2560 N 23RD ST SPRINGFIELD OR 97477 PhoneNumber: 541-746-4043 Contractor MARSHALLS INC License 25790 Expiration Date t212312009 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available Special Instruction: Notes: overtay Dist: THIS PERMIT # Streei Trees Rqd: AUTH0RIZED Paved Drive Rqd: COMMENCED YoofLotCoverage: ANY 180 DAY S H A L L EXT{ffIFfRfl. fiffiING H:llHuffiffiirsNol PERIOD # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of 2 Value Date Calculated s 1-t1{i0-332-2344\ rlnrl Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ItullrrtNG L1\l urflvrA r tt-rN.l Valuatiou Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01446ISSUED: 1111312006APPLIEDz 1111312006 EXPIRES: 05/13/2007 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/. Administrative Fee + 57o Technology Fee + 87o State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid $10.00 $4.50 $2.2s $3.60 $15.00 $4.00 $26.00 tUt3t06 tut3t06 tUt3t06 tut3l06 tu13l06 tut3l06 tut3106 Total Value of Project Date PaidAmount Paid $6s.35 Receipt Number 2200600000000001 s7l 2200600000000001 571 2200600000000001 571 2200600000000001571 2200600000000001 s7l 2200600000000001 571 220060000000000r571 Fees Pa Plan Reviews 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. 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. nsnections 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 properfy, and the approved set of plans will remain on the site at all times during construction. ,.-'rlzz< Owner or Contractors Signature Pase 2 of 2 Date /,/- t )'C/- I 225 Fifth Street Spingfield, Oregon 97 477 541-726-3759 Phone C rf Springfield Official Receipt DeYelopment Services Department Public Works Department RECEIPT #: 2200600000000001571 Date: 1111312006 2:12:l8PM Job/Journal Number coM2006-01446 coM2006-01446 coM2006-01446 coM2006-01446 coM2006-01446 coM2006-01446 coM2006-01446 Description Gas Fireplace Gas Outlets l-4 -Mechanical Issuance Fee- Minimum/Adj ustment Mechan ical + 5olo Technology Fee + 8% State Surcharge + l0o Administrative Fee Amount Due I 5.00 4.00 10.00 26.00 2.25 3.60 4.50 Item Total $6s.35 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALL'S In Person Payment Total; $65.3 5 -$6s-F ddk I 950s cReceint I Page I of I 1111312006 i lFn$,4*m;LS