HomeMy WebLinkAboutPermit Mechanical 2003-12-22Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
S4l-726-3676Fax
541-7 26-37 69 Inspection Line
B uilding/ C o mb in atio n p e r mit
PERMIT NO: COM2003-01275ISSUED: 1212212003
APPLIEDz 1212212003
EXPIRESz 0612212004
VALUE:
SITE ADDRESS: 2460 20TII ST
ASSESSOR'S PARCEL NO.: 1703244301601
PROJECT DESCRIPTION: Install gas insert and water heater
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New Residential
Phone Number: 541-747-6051Owner:
Address:
JAN CARRJGAN
2460 2OTH ST SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Expiration Date
12t23t2003
Phone
541-747-7445
License
25790
CONTRACTOR INFORMATION
)RMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
SETBACK$ OAR 952"00r
)o90.You maY obtattr
Frontyard Setback:calllng the center'
Side 1 Setback:
Side 2 Setback:numb.erlor the Oregon
+ar ie 1-
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:
Rqd:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARKING
Total:
Handicapped:
Compact:
Total Value of Project
Page 1 of2
Description Type of Construction Value Date Calculated
# of Bedrooms:to
tho
AUTHOBIZED
COMMENCED
ANY 180 OAY
by
Yaluetiolrl)eseriBfior ]
F PRIN FTELD
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01275ISSUED: 1212212003
APPLIEDz 1212212003
EXPIRESz 0612212004
VALUE:
ees Paid
Amount Paid
$10.00
$4.s0
$3.r5
$6.00
$4.00
$3s.00
$62.65
Date Paid Receipt Number
1200200000000002642
1200200000000002642
1200200000000002642
1200200000000002642
1200200000000002642
r200200000000002642
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
Appliance Vent
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Total Amount Paid
12t22t03
t2t22t03
12t22t03
12t22103
12t22t03
12t22t03
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 working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
leouired 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 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 during construction.
U /A
Pase? of2
Date
L
or Contractors Signature
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
,d'City'of Springfi eld Official Receipt
Development Services Department
Public Works Department
#z 1200200000000002642 Date: 1212212003 1l:13:15AM
coM2003-01275
coM2003-01275
coM2003-01275
coM2003-01275
coM2003-01275
coM2003-01275
+ 7%o State Surcharge
+ l0%o Administrative Fee
Appliance Vent
Gas Outlets l-4
Minimum/Adjustrnent Mechanical
-Mechanical Issuance Fee-
Item Total:$62.65
3.15
4.50
6.00
4.00
35.00
10.00
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
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