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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 r*.affi'rRe