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HomeMy WebLinkAboutPermit Mechanical 2005-02-10Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00155ISSUED: 0211012005APPLIEDz 0210912005EXPIRES: 08/1012005 VALUE: SITE ADDRESS: 697 34TH ST ASSESSOR'S PARCEL NO.: 1702312103600 PROJECT DESCRIPTION: Install tube heater and gas piping Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Owner: Address: Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2005 Commercial Phone 541-747-7445 AIJABRA INVESSTMENTS LLC 87760 CEDAR FLAT RI) SPRINGFIELD OR 97478 License 25790 CONTRACTOR m # 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: Notes: #of o bY Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: Floor: Floor:the $ Per Sq Ft or multiplier Ft Other: Load: REQUIRED PARJ(NG Total: Handicapped: Compact: Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value Date Calculated I o1 the Valuation Description I - Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fa'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00155ISSUED: 0211012005APPLIEDz 0210912005 EXPIRES: 08/1012005 VALUE: Fee Description -Mechanical Issuance tr'ee- + l0o/o Administrative Fee + 7oh State Surcharge Furnace - Unit Heater Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $12.00 $4.00 $29.00 $62.65 Total Value of Project Date Paid 2fi0105 2n0t05 2n0t05 2tr0l0s 2n0t05 2n0105 Receipt Number 3200500000000000052 3200500000000000052 3200s00000000000052 3200500000000000052 3200500000000000052 3200500000000000052 tr'ees 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 Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Reouired Insnections 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)'1-2.2.+ -:2z- ?-ta'-a1 Owner or Contractors Signature Pase 2 of 2 Date 225 Fifth Street Springfield, Oregon 97 477 541-716-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 3200500000000000052 Date: 0211012005 2:27:57PNt Job/Journal Number coM2005-00155 coM2005-00155 coM2005-00155 coM2005-00155 coM2005-00155 coM2005-00155 Description + 7o/o State Surcharge + l0o/o Administrative Fee Furnace - Unit Heater Gas Outlets l-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 4.00 29.00 r0.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb I 8453 In Person $62.65 PaymentTotal: ffi ri 2/10/2005 Page I of I *}Ittlltra!D