HomeMy WebLinkAboutPermit Mechanical 2003-11-25OF SPRIN FIELD
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01182ISSUED: 1112512003APPLIED: 1112512003EXPIRES: 0512512004
VALUE:
SITE ADDRESS: 2788 32ND ST
ASSESSOR'SPARCELNO.: 1702193100504
PROJECT DESCRIPTION: Install gas insert and piping
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-726-0117Owner:
Address:
ROBERT VIRGIL
2788 32ND ST SPRINGFIELD OR 97478
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Expiration Date
12t23t2003
Phone
541-747-7445
License
25790
CONTRACTOR INFORMATION
] INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:E:EXPI RE IT IH
LL
Street t0D.
Storm
Special Instruction:
Notes:
Sidewalk Type:
DownspoutsiDrains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount Value
Total Value of Project
Page 1 of2
DEVELOPMENT INFORMATION
Valuation
Description Type of Construction Date Calculated
PRtltli+Fl,ELO
\E}t...
uml
OF PRIN
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01182ISSUED: 1112512003APPLIEDz 1112512003EXPIRES: 0512512004
VALUE:
tr'ees Paid
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 7o/o State Surcharge
Gas Fireplace
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.50
$3.15
$1s.00
$4.00
$26.00
$62.6s
Date Paid
tu25l03
tu25l03
tu25t03
tU25t03
tu25t03
tuzst03
Receipt Number
1200200000000002514
1200200000000002514
1200200000000002514
1200200000000002514
1200200000000002514
1200200000000002s14
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.
Reouired Insnect
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.
/t-za{?,
Owner or Contractors Signature
Pase? of?
Date
PRII{,".FlELD
225 Fiith Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
t0t*'
Ammtldd
coM2003-01182
coM2003-01182
coM2003-01182
coM2003-01182
coM2003-01182
coM2003-01182
+ 7%o State Surcharge
+ ljYo Administrative Fee
Gas Outlets l-4
Gas Fireplace
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
3. l5
4.50
4.00
15.00
26.00
10.00
Item Total:$62.6s
Payments:
Type of Payment Paid By Received By
M
Batch Number Authorization Number How Received Amount Paid
Check MARSHALLS INC djb In Person
Payment Total:
$62.6s
-$ffir
\
I
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676F.ax
May 06, 2004
VIRGIL
2788 32ND ST
SPRINGFIELD
Job Number:
Location:
ROBERT
oR 97478
coM2003-01182
2788 32ND ST
Project:Install gas insert and piping
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 2788 32ND ST which is set to expire
on 612312004. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) wiil expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor