HomeMy WebLinkAboutPermit Mechanical 2003-09-26Building/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: COM2003-00967ISSUED: 0912612003
APPLIEDz 0912512003
EXPIRESz 0312612004
VALUE:
PROJECT DESCRIPTION: Install LP fireplace insert
Owner: KATHy JENSEN
Address: 2118 6TH ST SPRINGFIELD OR 97477
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Contractor Tvpe
Mechanical
Contractor
MARSHALLS INC
Expiration Date
12123t2003
Phone
541-747-7445
License
25790
CONTRACTOR INFORMATION
} INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
R-3
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type: AT-TE
Energy Path: fOllOW
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
s are
Compact:
youto
F THE WORK
RMIT IS NOT
NED FOR
NTION
ruleE lort
Cer$er'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh ofLot Coverage:
^t:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Pase I of2
PUBLIC IMPROVEMENTS
Description Type of Construction Value Date Calculated
SITE ADDRESS: 2118 6TH ST
ASSESSOR'S PARCEL NO.: 1703262102217
Handicapped:
AUTh
ANY
Valuation Description I
COM
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Bax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00967ISSUED: 0912612003APPLIED: 0912512003
EXPIRESz 0312612004
YALUE:
Fees Paid
Fee Description
-Mechanical Issuance Fee-
+ 10o Administrative Fee
+ 7Yo State Surcharge
Gas Fireplace
LP Gas Tank & Piping
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid Date Paid
9t26t03
9t26t03
9t26t03
9t26t03
9t26t03
9t26t03
$10.00
$4.s0
$3.15
$15.00
$12.00
$18.00
Receipt Number
2200200000000001592
2200200000000001592
2200200000000001s92
2200200000000001s92
2200200000000001s92
2200200000000001592
$62.6s
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII 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 Mechanical: Prior to Cover
2 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
3 Final Gas: When all gas work is complete.
4 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 construction.
Q*za -os
Owner or Contractors
Pase2 of2
Date
Kequrreo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Rbceipt
Development Services Department
Public Works Department
coM2003-00967
coM2003-00967
coM2003-00967
coM2003-00967
coM2003-00967
coM2003-00967
+ 7oA State Surcharge
+ lUYo Administrative Fee
LP Gas Tank & Piping
Gas Fireplace
Minimum/Adj ustrnent Mechanical
-Mechanical Issuance Fee-
Item Total:$62.65
3. l5
4.50
12.00
15.00
18.00
10.00
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check MARSHALS INC djb In Person
Payment Total:
$62.65
$62.6s
03/25/2004 11:03 FA{ 541 682 S87E If,{CSA PTI SPFLD DIl'@ oor
City of Springfield
225 Flfth Street, Springlield, Ol*.97477
541-726-3159 Phone
541-726-3676 ['ax
March 22,2A04
IENSEN
2118 6TH ST
SPRINGFIELD
Job Number:
Iocation:
KAT}TY
Project:Install LP fireplace insert
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a pemrit to
remain valid, the work which has bee,n authorized by the perrnit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 2t 18 6TH ST which is set to expire on
4/7/20M. Our records indicate that you have not requested an inspection within the past five (5i
months. This letter is written to noti$r you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3'190.
LisaHopper
Building Safety Supervisor
oR 97477
coM2003-00967
2l 18 6TH ST
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City of Springfield
225 Fifth Street, Springfield, OR97477
541-126-3759 Phone' "541-726-3676Faix
March 22,2004
JENSEN
2118 6TH ST
SPRINGFIELD
Job Number:
Location:
KATHY
oR 97477
coM2003-00967
2118 6TH ST
Install LP fueplace insert
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our,records, you obtained a permit for a project at2l18 6TH ST which is set to expire on
41712004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are'ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete yotu project.
If you have any questions, please feel free to phone me at 541-726-3790. :
tto;
Lisa Hopper
Building S afety Supervisor
Project: