HomeMy WebLinkAboutPermit Mechanical 2005-6-22
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Status: Issued
225 Flftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection LIne
*
., CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00783
ISSUED: 06/22/2005
APPLIED: 06/22/2005
EXPIRES: 12/22/2005
VALUE:
SITE ADDRESS: 2005 MARCOLA RD APT I
ASSESSOR'S PARCEL NO.: 1703251300700
Springfield TYPE OF
Heating System
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Replace existing log lighter with gas insert in the REC ROOM
Residential
Owner: VILLAGE INN APARTMENfS, LLC
Address: 1111 MAIN ST STE 700
VANCOUVER W A 98660
Phone Number: 360-735-1I00
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
DIVERSITY ENVIRONMENTAL SERVICES 119364
Expiration Date
10/20/2005
Phone
541-343-1131
I BUILDING INFORMATIONI
ATTENTION: Oregon law reqUI~ you, ~
# of Units: I doptedbWliUnUtlhty
PrImary Occupancy Grou1P.I~OW N esc: te Tho ~:Y9.re set forth
Secondary Occupancy Notification n r. th ~AI952-001.
VrImary Construction 1)IptOAR 95~1'()()1~ a IS: rules by
Secondary Construction 0090. You may obtalO CI~l\ i!\~~hone
# of Bedrooms: calling the center. (Nj! ~~ Jr.fication
number for the Orego~ ' nla
~__._.,~ LQnn.. ~2-2 4\.
I DEVELOPMENT INFORMA nON,
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Vis!:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Special InstructIon:
NOTICE: IPUBLlC IMPROVEMENTS I
THIS PERMIT SHAll EXPIHt It. I Me vvvRK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Sidewalk Type:
DownspoutslDrains
Notes:
I Valuation Descriotion I
Description
Type of Construction
$PerSqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
.
.
CITY OF SPRINGFIELD'
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection LIne
Building/Combination Permit
PERMIT NO: COM200S-00783
ISSUED: 06/22/2005
APPLIED: 06/22/2005
EXPIRES: 12/22/2005
VALUE:
Total Value of Project
Fees PaidJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Gas Fireplace
Minimum/Adjustment Mechanical
Amount Paid
$10.00
$4.50
$3.15
$15.00
$30.00
Date Paid
6/22/05
6/22/05
6/22/05
6122/05
6122/05
Receipt Number
1200500000000000888
1200500000000000888
1200500000000000888
1200500000000000888
1200500000000000888
Total Amount
$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.
, ..
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 wID be made ofany structure without permission of the Community Services Division,
Building Safety. I further certify that only contractnn 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 l'l located at the front of the property, and the approved set of plans wID remain on the site
at all times during constructIolL
--Ar'9al ;, J- cP /,}.;;-/o 6
(,/
Owner or Contracton Signature Date
2 of 2
225 Fifth Street
SpriI13field, Oregon 97477
541-726-3759 Phone
.'
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~~
.....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00783
COM2005-00783
COM2005-00783
COM2005-00783
COM2005-00783
Payments:
T)1Ie of Payment
Check
612212005
RECEIPT #:
1200500000000000888
Date: 06/22/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Gas Fireplace
Minimum! AdjuSbnent Mechanical
-Mechanical Issuance Fee-
Paid By
MIDGLEYS
Received By
djb
I of 1
Item Total:
Lbeck Number AUUlorizatlOD
Batch Number Number How Received
9589 In Person
Payment Total:
10:48:36AM
Amount Due
3.15
4,50
15.00
30.00
10.00
$62.65
Amount Paid
$62,65
$62.65