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Home My WebLink AboutPermit Mechanical 2003-03-13Status: Issued 225 Fifth Streef SpringfieH, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 Inspection Line Buildin g1C omb in atio n Per mit PER,MIT NO: COM2003-00166ISSUED: 03/13/2003APPLIED: 03/1312003E)?IRES: 0911312003 VALUE: SITE ADDRESS: 2420 37TH ST ASSESSOR'S PARCEL NO. : 1702194207200 PROJECT DESCRIPTION: Install gas water heater and vent Owner: RODNEy OLSEN Address: 242037TH5T SPRINGFBLD OR 97477 Springfield TYPE OF TYPE OF USE: License Single Family Residence Alteration Residential Expiration Date Phone 541-726-1506 541-726-1506 Contractor Type Mechanical Owner Plumbing Contractor RODNEY OLSEN RODNEY OLSEN RODNEY OLSEN CONTRACT OR INF ORMATI ON BUILDING INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Frimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq F't Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Paved Drive Rqd: oh of Lot Coverage: \t REQUIRED PARKING Total: Handicapped: Compact: \S N0 r0B PUBLIC IMPROVEMENTS Notes: l of 3 1s0 0 N\ i^ # of Stories: Height of Type of (\€ Status: Issued 225 Fifth Streef SpringfieH, OR 541:726-3753 Phone 54l-726-3676 Fax 541:7 26-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2003-00166ISSUED: 0311312003 APPLIED: 03/1312003E)?IRESz 0911312003 VALT]E: Description Type of Construction $ Per Sq Ft Square Footage Total Value of Project Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 7%o State Surcharge Appliance Not Listed Appliance Vent Fixture Minimum/Adjustment Mechanical Minimum/Adj ustment Plumbing Amount Paid Date Total Amount $115.30 Value Date Calculated $10.00 $9.00 $6.30 $9.00 $6.00 $14.00 $30.00 $31.00 3fi3103 3fi3103 3fi3t03 3fi3t03 3n3t03 3n3t03 3fi3t03 3lt3l03 Receipt Number 1200200000000000824 r200200000000000824 1200200000000000824 1200200000000000824 1200200000000000824 1200200000000000824 1200200000000000824 1200200000000000824 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Reouired Insnections 2of3 Valuation Description I r ees raro I Status: Issued 225 Fifth Street Springfield, OR 541:726-Y53 Phone 541-726-K76 Fax 541.,:726-37 69 Inspection Line GFIELD Buildin g/C ombin ation Permit PERMIT NO: COM2003-00r66ISSUED: 0311312003APPLIED: 03/1312003E)PIRESz 0911312003 VALT]E: By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 hereirl and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiS that only contractors and employees who are in compliance with ORS 701.005 wiU 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,the permit card is located at the front of the property, and the approved set of plars will remain on the site at all 2)o Owner or Contractors Signature Date 3 of 3 I 3/1312003 l:20:43PM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541:726-3759 Phone Receipt #z 1200200000000000824 Date: 0311312003 Line ltems: Job/Journal Number Description Amount Paid coM2003-00166 coM2003-00166 coM2003-00166 coM2003-00166 coM2003-00166 coM2003-00166 coM2003-00166 coM2003-00166 Fixture Minimum/Adj ustment Plumbing Appliance Vent Appliance Not Listed -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical + 7%o State Surcharge + l0o/o Adminishative Fee Payments: 14.00 31.00 6.00 9.00 10.00 30.00 6.30 9.00 Line Item Total:$115.30 Type of Payment Paid By Received By Check Number Conlirm No How Received Amount Paid Check RODNEY OLSEN djb In Person l15.30 Page I of I Total:$115.30 cReceipt.rpt sprtltrtcFtELl'