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HomeMy WebLinkAboutPermit Mechanical 2005-04-06Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00401ISSUED: 0410612005APPLIEDz 0410612005EXPIRES: 10/0612005 VALUE: SITEADDRESS: 246738THST ASSESSOR'S PARCEL NO.: 1702194209800 PROJECT DESCRIPTION: Install gas insert and gas piping Springfield TYPE OF WORI( Heating System TYPE OF USE: Addition Owner: Address: Contractor Type Mechanical TOM HUNZIKER 2467 38TH ST SPRINGFIELD OR 97477 Contractor MARSHALLS INC License 25790 Expiration Date 12123t200s Phone Number: 541- Residential Phone 541-747-7445 CONTRACTOR INFORMATION TION BUILDING INFORMATI( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type # of Stories: Height of Structure Type of Heat: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Secondary Construction Type: , l ol)ted by the # of Bedrooms: .,'c,nier. Those ru R-3 t[$on law re gon util 2 001-0olo th rough dariing the center. nunrber for the Ore Frontyard Setback: Center rs 1 -800-332 Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: nla llI,ffi'#i:?'P*l Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: Handicapped: Compact: Rqd: Paved Drive Rqd: oh of Lot Coverage: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROYEMENTS Description Type of Construction Pase I of2 Value Date Calculated r&Li- AIIY l BO DAY PERIO Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00401ISSUED: 0410612005APPLIED: 0410612005EXPIRES: 10/0612005 VALUE: Fee Description -Mechanical Issuance Fee- + lOoh Administrative Fee + 7o/o State Surcharge Gas Fireplace Gas Outlets l-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $1s.00 $4.00 $26.00 $62.6s Total Value of Project Date Paid 4t6t05 4t6t0s 4t6t05 4t6t05 4t6t05 4t6t05 Receipt Number 2200500000000000392 2200500000000000392 2200500000000000392 2200500000000000392 2200500000000000392 2200500000000000392 Plan Reviews To Request an inspection call the 24 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. 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..1*; Owner or Contractors Signature Pase2 of2 Date L/-/_o{ fT rees raro I Keourre(l InsDectrons I 225 Fifth Street Springfield Oregon 97477 541-725-37r; Phone city of Springlield Official Receipt _ ;velopment Services Department Public Works Department RECEIPT#: 2200500000000000392 Date: 0410612005 11:47:58AM Job/Journal Number coM200s-00401 ccM2005-00401 coM200s-00401 coM2005-00401 coM200s-00401 coM2005-00401 Description + 1Yo State Surcharge + l0o Administrative Fee Gas Outlets l-4 Gas Fireplace Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 4.00 15.00 26.00 10.00 Item Total:$62.65 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALL INC djb 18541 In Person $62.65 PaymentTotat: -Sffi ,l 4/612005 Page I of I .F'IOl|3.o