HomeMy WebLinkAboutPermit Mechanical 2004-11-10FIELD
Building/C ombination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01388ISSUED: llll0l2004APPLIED: 11/1012004
EXPIRES: 05/1012005
VALUE:
SITE ADDRESS: 310 33RD ST
ASSESSOR'S PARCEL NO.: 1702313103400
PROJECT DESCRIPTION: Gas freestanding stove
Owner: DAVID SANDERS
Address: 310 33RD ST SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-746-7732
Contractor Type
Mechanical
Contractor
MARSHALLS INC
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Phone
541-747-7445
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
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Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Pt Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
R-3
VN
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARKING
Total:
Handicapped:
Compact:
DEVELOPMENT INFORMATION
Description Type of Construction
Total Value of Project
Yalue Date Calculated
Valuation Description I
Building/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: COM2004-01388ISSUED: llll0l2004
APPLIED: 11/1012004
EXPIRES: 05/1012005
VALUE:
Amount Paid
$10.00
$4.s0
$3.15
$15.00
$4.00
$26.00
$62.65
Date Paid Receipt Number
1200400000000001593
1200400000000001593
1200400000000001593
1200400000000001593
1200400000000001593
120040000000000rs93
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7oh State Surcharge
Gas Fireplace
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Total Amount Paid
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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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
nsnections
(
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 ll-l
Owner or Contractors Signature Date
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Pase2 of2
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225 Fifth Street
Springfielci, Oregon 97 477
541-726-3759 Phone
city of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001593 Date: 1111012004 10:29:54AM
Job/Journal Number
coM2004-01388
coM2004-01388
coM2004-01388
coM2004-01388
coM2004-01388
coM2004-01388
Description
+ 7%o State Surcharge
+ l0% Administrative Fee
Gas Outlets l-4
Gas Fireplace
Minimum/Adj usfinent Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.s0
4.00
15.00
26.00
10.00
Item Total:$62.65
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALLS INC djb 18296 In Person $62.65
Payment Total:
-567F
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