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Home My WebLink AboutPermit Mechanical 2004-11-10 (2),sFru.{6FrIl-D 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: COM2004-01388ISSUED: llll0l2004APPLIED: 11/1012004 EXPIREST 0611612005 VALUE: SITE ADDRESS: 310 33RD ST ASSESSOR'S PARCEL NO.: 1702313103400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PhoneNumber: 541-746-7732 PROJECT DESCRJPTION: Gas freestanding stove and gas water heater Owner: DAVID SANDERS Address: 310 33RD ST SPRJNGFIELD OR 97478 Contractor Type Mechanical Plumbing Contractor MARSHALLS INC SHAD CHASAN SURRETT License 25790 158295 Expiration Date 12t23t2005 0u1412006 Phone 541-747-7445 541-741-3553 )NTRACTOR INFORMATION )RMATION # of Units: Primart, 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: Notes: R-3 VN * or storieN 0 T I C E: Lot Size: Height orJtiiIitHFdl\1lT SHALL EXPIB[ ffi T*fr966rg6 rype or H0dd:I H 0 H i Z t D U t',,i D E R T H I SmEHImtr EqqUf rff : IIffi i Tr,i 3i? ,gIi lB flBA ruw$ffiHH,H","* Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Sidewalk Type: Downspouts/Drains: REQUIRED PARJflNG Total: Handicapped: Compact: Gsfingttc nrfietrffi Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Conrtru.tf;idt or multiplier Page I of2 Yalue Date Calculated F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line PERMIT NO: COM2004-01388ISSUED: llll0l2004APPLIED: 11/1012004EXPIRESz 0611612005 VALUE: Total Value of Project Date PaidFee Description -Mechanical Issuance Fee- + llYo Administrative Fee + 77o State Surcharge Gas Fireplace Gas Outlets l-4 Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + 7o/o State Surcharge Fixture Minimum/Adj ustment Plumbing Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $rs.00 $4.00 $26.00 $4.50 $3.15 $14.00 $31.00 $l15.30 tilt0t04 tut0t04 tyt0t04 tut0t04 tUt0t04 tyt0t04 12fl6104 t2n6t04 t2n6t04 12fi6t04 Receipt Number 1200400000000001s93 1200400000000001s93 120040000000000r593 1200400000000001593 1200400000000001593 1200400000000001593 1200400000000001749 1200400000000001749 1200400000000001749 1200400000000001749 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing 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 property, and the approved set of plans will remain on the site at all times during (-* Owner or Signature Paee 2 of 2 Date rees raro I card is located at the front ofthe 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt relopment Services Department Public Works Department RECEIPT #: r200400000000001749 Date: 1211612004 8:57:02AM Job/Journal Number coM2004-01388 coM2004-01388 coM2004-01388 coM2004-01388 Description + 7o/o State Surcharge + l0o/o Administrative Fee Fixture Minimum/Adjustment Plumbing Amount Due 3. l5 4.50 14.00 31.00 Item Total:$52.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard DAN GIARRUSSSO djb 099928 In Person $52.65 Payment Totat: ---Tffi t2il612004 Page I of I rErlllrtal"o