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Home My WebLink AboutPermit Mechanical 2003-02-18Status: Issued 225 Fifth Street SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fa'x 541:7 26-37 69 Inspection Line Buitdin g/C omb inatio n Per mit PERI\{IT NO: COM2003-00090ISSUED: 0211812003APPLIEDz 0211812003E)3IRES: 08/1812003 VALT]E: SITE ADDRESS: 1417 31ST ST ASSESSOR'S PARCEL NO.: 1702303403501 Springfield TYPE OF TYPEOF USE: Heating System New Residential PROJECT DESCRIPTION: Install H20 heater, gas stove and heat pump Owner: SHOUSH JESSE R Address: 1417 3lST ST SPRINGFIELD OR 97478 Contractor Type Mechanical Owner Contractor MARSHALLS INC SHOUSH JESSE R Expiration Date 12t23t2003 Phone 541-747-7445 TION i.-\\\ # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: lA\{s,e Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Path: C ll 1 Sidewalk Type: DownspoutVDrains REQUIRED PARKING Total: Handicapped: Compact: 100 Street Storm Sewer Alailable: Special Instruction: Notes: Descrbtion Type of Construction $ Per Sq Ft Square Footage DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS lof2 Value Date Calculated \o Valuation Description I Status: Issued 225 Fifth Street SpringfieH, OR 541:126-3753 Phone 541-726-t676 Fax 541:7 26-37 69 Inspection Line Buildin g/C ombin ation Permit PERMIT NO: COM2003-00090ISSUED: 0211812003 APPLIEDz 0211812003E)3IRES: 08/1812003 VALT]E: Total Value of Project Date Fee Description -Mechanical Issuance Fee- + lOoh Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets 1-4 Heat Pump Minimum/Adj ustment Mechanical Total Amount Amount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $4.00 $12.00 $9.00 $62.65 2ll8t03 2n8t03 2n8t03 2n8t03 2lt8l03 2n8,t03 2l18t03 2lt&t03 Receipt Number 1200200000000000714 1200200000000000714 1200200000000000714 1200200000000000714 1200200000000000714 1200200000000000714 12002000000000007r4 1200200000000000714 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. ons By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.0{E 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 plars will remain on the site at all g cons ction. Owner Contractors Signature 2of2 Date 2 -({-c3 lees raro I I 2/18/2003 ll:32:27ANI City of Springfield Development Services Deparhnent Public Works l)epartment Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #z 12002000000000 007 1,4 Date: 0211812003 Line ltems: Job/Journal Number Description Amount Paid coM2003-00090 coM2003-00090 coM2003-00090 coM2003-00090 coM2003-00090 coM2003-00090 coM2003-00090 coM2003-00090 Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets l-4 Heat Pump Minimunr/Adj ustrnent Mechanical -Mechanical Issuance Fee- + 7oh State Surcharge + l}Yo Administrative Fee Payments: 8.00 12.00 4.00 12.00 9.00 10.00 3.l s 4.50 Line Item Total:$62.6s Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check MARSHALLS djb In Person 62.6s Page I of I Total: cReceipt.ryt 6F.,*tlrl{*rtel.u t, Buildin g/C omb ination Per mit Status: Issued 225 Fifth Street Springfield, OR 541:126-3753 Phone 541-726-3676 Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2003-00090ISSUED: 0211812003APPLIED: 0211812003E)PIRESz 0910412003 VALT]E: PROJECT DESCRIPTION: Install H20 heater, gas stove and heat pump SITE ADDRESS: l4l7 31ST ST ASSESSOR'S PARCEL NO.: 1702303403501 Springfield TYPE OF TYPEOF USE: License 25790 Heating System New Residential Owner: Address: SHOUSH JESSE R 1417 31ST ST SPRINGFIELD OR 97478 Contractor Type Mechanical Owner Plumbing Contractor MARSIIALLS INC SHOUSH JESSE R SURRETTS PLUMBING INC Expiration Date 12t23t2003 Phone s4r-747-7445 121687 0u14t2004 s41-741-3ss3 C ONTRACT OR INF ORMATI ON BUILDING INF( # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING overray Dist: THIS PERMIT SHALL ExPIRlJtfrhf,YIII # Streei rreesAUTHORlZED UNDER THIS PEfteflIil$#&I Paved lhive SpfytMENCED 0R lS ABANDOESBfOB vo of LotcorclA$J 80 DAY PEB|0O' Sidewalk Type: {otlttcatton Uenter. Ihos n OAR 952-001-0010thx 1090. You may obtain co calling the center. (Not numberforthe Oregon ,'\an+a" i- 4 cll"\a . PUBLIC IMPROVEMENTS Notes: l of 3 .a Status: Issued 225 Fifth Street SpringfieH, OR 541:726-3753 Phone 541-726-1676 Fax 541:726-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2003-00090ISSUED: 0211812003APPLBDz 0211812003E)0IRES: 0910412003 VALT]E: Descrbtion Type of Construction $ Per Sq Ft Square Footage Total Value of Project Amount Paid Date Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets 1-4 Heat Pump Minimum/Adjustment Mechanical + l0Yo Administrative Fee + 77o State Surcharge Fixture Minimum/Adj ustment Plumbing Total Amount $r1s.30 Value Date Calculated $r0.00 $4.50 $3.1s $8.00 $12.00 $4.00 $12.00 $9.00 $4.50 $3.15 $14.00 $31.00 2n8t03 2n8t03 2t18t03 2n8t03 2n8103 2fi8t03 2n8t03 2n8t03 3t4t03 3t4t03 3t4103 3t4103 Receipt Number 1200200000000000714 1200200000000000714 r200200000000000714 1200200000000000714 1200200000000000714 1200200000000000714 1200200000000000714 1200200000000000714 1200200000000000766 1200200000000000766 1200200000000000766 I 200200000000000766 Plan To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 4 Final Plumbing: When all plumbing work is complete. nsnections 2of3 V alua tian Desq rjp tigL.] rr ees ralo I Status: Issued 225 Fifth Streel Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2003-00090ISSUED: 0211812003 APPLIEDz 0211812003E)PIRES: 0910412003 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 Springfietd 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 certiff that only contractors and employees who are in compliance with ORS 701.0()5 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, urd the approved set of plans will remain on the site at all times cons a 7 Owner or Contractors Date 3 of 3 314/2003 I l:23:06AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 47 7 541:126-3759 Phone Receipt #: 1200200000000000766 Date: 0310412003 ,re Items: Job/Journal Number Description Amount Paid coM2003-00090 coM2003-00090 coM2003-00090 coM2003-00090 Fixture Minimum/Adj ustment Plumbing + 7oh State Surcharge + l0%o Administrative Fee Payments: 14.00 31.00 3.15 4.50 Line Item Total:$52.65 Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check MARSHALLS INC dlm t7 ttt In Person 52.65 Total:$52.65 Page 1 of I cReceipt.rpt alrnlfll3FlGLo