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Home My WebLink AboutPermit Mechanical 2004-11-18Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01422ISSUED: tlll8l2004APPLIED: l111812004EXPIRES: 05/1812005 VALUE: SITE ADDRESS: 2560 23RD ST ASSESSOR'S PARCEL NO.: 1703244201700 PROJECT DESCRIPTION: Gas insert Springfield TYPE OF WORJ(: Heating System TYPE OF USE: New Residential PhoneNumber: 541-746-4043Owner: Address: MILDRED WAGNER 2560 23RD ST SPRINGFIELD OR 97477 Contractor Tvpe Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2005 Phone 54t-747-7445 License 25790 CONTRACTOR INFORMATION # 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: tho @nter Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: E L EXPIR ' Sidewalk Type: PERM \1 SHAL UNDE R IHIS DONED P ERM\1 Downspouts/Drains: ORIZED OR IS # ofStories:Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: R-3 VN Notitic in OAB WORKNo.tl lHIS AUlH COMM ANY 1 ENCED ABAN BO DAY PER\ODNotes: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated t urt lrll\(, u\LUKTYTArrr.,N_l Valuation Dessripti!il Building/Combination 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: COM2004-01422ISSUED: llll8l2004 APPLIED: 11/1812004 EXPIRES: 05/1812005 VALUE: Fees Paid Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 7o/o State Surcharge Gas Fireplace Gas Outlets l-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $1s.00 $4.00 $26.00 $62.65 Date Paid tut8l04 tUt8t04 tut8t04 tutBt04 tut8t04 tut8t04 Receipt Number 1200400000000001629 1200400000000001629 1200400000000001629 r200400000000001629 120040000000000r629 1200400000000001629 Plan Reviews To Request an inspection call the 24 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 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 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 \ or Contractors Signature Date Paee2 ol2 **rlILI) t(equrreo lnsDectlons I 225Fiftl Street Springfield, Oregon 97 477 541-726-3759 Phone ^rty of Springfield Official Receipt --evelopment Services Department Public Works Department RECEIPT #: 1200400000000001629 Date: 1111812004 1:09:37PM Job/Journal Number coM2004-01422 coM2004-01422 colll2004-01422 coM2004-01422 coM2004-0r422 coM2004-01422 Description + 7oA State Surcharge + l0Yo Administrative Fee Gas Outlets l-4 Gas Fireplace Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 4.00 15.00 26.00 10.00 $62.6s Payments: Type ofPayment Paid By checkNumber Authorrzatron Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb I 8307 In Person $62.65 Payment Total: -56ffi tUtS/2004 Page I of I t*rrlaljr Item Total: