HomeMy WebLinkAboutPermit Mechanical 2003-11-17
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Building/Combination Permit
Status
Issued
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PERMIT NO: COM2003-01150
ISSUED: 11/17/2003
APPLIED: 11/17/2003
EXPIRES: 05/17/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-37691nspection Line
SITE ADDRESS: 815 Marilyn Ct
ASSESSOR'S PARCEL NO.: 1703342101710
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: InstaU gas furnace
Owner: PAT CELLERS
Address: 815 MARILYN CT SPRINGFIELD OR 97477
Phone Number: 541-726-4884
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2003
Phone
541-747-7445
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT,INFORMATION ,
SETBACKS ,,1a.'III'-O' e901\-.- \ot'
.Ote90 \ne t ~<p. se\ ._
Frontyard Setback: N-"ON. \eO 'o'! !Ule OV~I~?::,~lst:l.
Side 1 Setback: p.,\lE: les a.OO? ,nose n /!)Stre,!t,Tlt!'.es Rqd:
Side 2 Setback: \0110'/11 t~ "ce,,\e~,Q\n!oU,9 stlived:D~\t.~~qd:
'\iCa.\IO QQ,..Q 'co?le I pie?! '"n
Rearyard Setba&)\1 p.,\'\ 9:;~" . o'o\a.I" NO\e'. \\o/;} ~&t\\lc::o~erage:
Solar Setbacks: I" 0 '{oU (fIa.'! e,,\Ct. ~ 'J\ill\'! ^ ^)
....noQ. _",",0, C _ ..."o{\ _ "r:I.'"t"'t . \\,no\,{
.. ca.\\~~t'\O! \ne ,~~-~I'PUBLic IMPROVEMENTSi,t,'. Llfl,LL E'i.?IRE If ~;I; IS NOi
"u1l\ ("'",,,lpn,, tR\o.J\\\ Sn . oWlS ?ERw\
Street Improvements:' \ \J,\S I' LSidl)'r,aJli.ifype. "ONEO rOil,
. .\" I-IORIILu. ~n Ie, ~I\fI,~u
Storm Sewer Available: ' J' MtNc,Itlt.wnspout~Drams:
Special Instruction: c ~N\ 0 Ofl,'i ?E\\IO .
I\N'i \1)
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
.
. CITY OF SPRIl'iul'1ELD .
Building/Combination Permit
PERMIT NO: COM2003-01150
ISSUED: 11/17/2003
APPLIED: 11/17/2003
EXPIRES: 05/17/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
I F~~s Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
1\117/03
1\/17/03
11/17/03
11/17/03
11/17/03
1200200000000002479
1200200000000002479
1200200000000002479
1200200000000002479
1200200000000002479
Total Amount Paid
$62.65
I Plan Reviews I
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.
I RelJuired I nsnections I
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When aU mechanical work is complete.
By signature, I state and agree, that I have carefuUy e.amined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU 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 ofany 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 an
. times during construction.
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Owner or Contractors Signature \
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17)()~
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Date
Paee 2 of2
225 Fifth Street ,.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01150
COM2003-01150
COM2003-0 1150
COM2003-0 1150
COM2003-01150
Payments:
Type of Payment
Check
Wirr~"~!!f1~ -.'. j
<'-'WI. .
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.-, "'~/;:- ,.;
Receipt #: 1200200000000002479
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALLS INC
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department \
Public Works Department
Date: 11/17/2003 2:02:41PM
Amount Paid
Item Total:
3.15
4.50
12.00
33.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65
.
.