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
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