HomeMy WebLinkAboutPermit Mechanical 2005-02-03Status 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: COM2005-00129ISSUED: 0210312005
APPLIEDz 0210112005
EXPIRES: 08/0312005
VALUE:
SITE ADDRESS: 1262 35TH ST
ASSESSORTSPARCELNO.: 1702303409600
PROJECT DESCRIPTION: Install gas wall furnace
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 509-684-2430
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Expiration Date
12t2312005
Residential
Phone
541-747-7445
Owner:
Address:
DONNA MCTIMMONDS
1262 N 35TH
SPRINGFIELD OR 97478
License
25790
BUILDI
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o oflot Coverage:
$ Per Sq Ft
or multiplier
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
ON: Oregon I aw requi
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
res you to
Square Footage
or Bid Amount
DEVELOPMENT
Description Type of Construction
Pase I of 2
Value Date Calculated
Valuation Description I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00129ISSUED: 0210312005APPLIEDz 0210112005
EXPIRES: 08/0312005
VALUE:
f,'ees Pa
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 77o State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets 14
Minimum/Adj ustment Mechanical
Amount Paid
Total Value of Project
Date Paid
2t3t05
2t3los
2t3t0s
2t3l0s
2t3t05
213t05
2t3105
Receipt Number
3200s00000000000047
3200s00000000000047
3200500000000000047
3200500000000000047
3200500000000000047
3200500000000000047
3200s00000000000047
$10.00
$4.s0
$3.15
$6.00
$r2.00
$4.00
$23.00
Total Amount Paid $62.6s
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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
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 wilt 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.
?/-*-2z- --r<?-L
nsnections
Owner or Contractors Signature
Pase2 of2
Date
J-v-oi
-T
225 Fifth Street
Spriagfield, Oregon 97 477
541-726-3759 Phone
rrty of Springfield Oflicial Receipt
"velopment Services Department
Public Works Department
RECEIPT #: 3200500000000000047 Date: 0210312005 2z20z29PM
Job/Journal Number
coM2005-00129
coM2005-00129
coM200s-00129
coM200s-00129
coM2005-00129
coM2005-00129
coM200s-00129
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Fumace - up to 100,000 btu
Appliance Vent
Gas Outlets l-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.l s
4.50
12.00
6.00
4.00
23.00
10.00
Item Total:$62.6s
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALLS INC djb 18438 In Person
Payment Total:
$62.65
-$6-2*6-t
21312005 Page I of I
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