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Home My WebLink AboutPermit Mechanical 2004-12-28 ., . .-CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00118 ISSUED: 12/28/2004 APPLIED: 0112812004 EXPIRES: 06/28/2005 VALUE: Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3580 MARCOLA RD ASSESSOR'S PARCEL NO.: 1702300000903 Springfield TYPE OF Automotive TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Installation of2 heaters. Owner: BROWN GARY & PENELOPE Address: 82864 RATILESNAKE RD DEXTER OR 97431. I CONTRACTOR INFORMATION I Contractor Type General Contractor DAVID PAUL MCCOLLUM License 146809 Expiration Date 01129/2005 Phone 503-286-0571 BUILDING INFORMATION' # of Units: Primary Occupancy Gronp: Secondary Occupancy JTrimary Construction Type Secondary Construction # of Bedrooms: VN # of Stories: Height of Type of Heat: Wa~~e: Ram~~ E1~~~~"!': f'^UlI-tO/),~4111.~" -''\a- .&~,. ~d.. I DEVEl.QPMii;NiJ;INF0RM:X-llwN.Jc III n r ~'{ 'O(J 0. 'V VR/. -I, I/of.'!..". If:,. REQUIRED PARKING ~YD 8,</ U PI" il-lt I., Overlay D'sccRIQ 8'</4'0 ~'R41lr ryal1f-TotaI: # Street Trees ~ 04'to IS /Va 'I Handicapped: Paved Drive Rqd: Fall r Compact: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: .n:" IPUBLlC IMPRv~ "ldENTSI fOII~I.;::lvnOIV:O~ 1V0fjfk.~!H!~. egon / in 0'.4~ t:f1n~Pted by a"" reqUires 009lJ.o~<<S't1>4tJIP..tlmfhose the Ore90/OU to cali" Ou tnay 0'0 ""1'0 rUles a~ Utility nUtn ng the Ce ObtaIn Co Ugh OAJ:l e Set fOrth ber fOr the nter. (NOt'P!es Of the 952-001. CSno_ . Oreo,,_ . e. the te,_ rUles f-" . ." '-800. -ltllly AI, .... 'one I Valuation Descrintion I 3J2-2344~~/fJcatlon Notes: Description Type of Construction $ Per Sq Ft or multip6er Square Footage or Bid Amount Value Date Calculated Total Value of Project I of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00118 ISSUED: 12/28/2004 APPLIED: 01128/2004 EXPIRES: 06/28/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fp.p.~ Pair! I Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Furnace - more than 100,000 Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Numher $10.00 $4.50 $3.15 $30.00 $4.00 $11.00 1/28/04 1/28/04 1/28/04 1/28/04 1/28/04 1/28/04 2200400000000000068 2200400000000000068 2200400000000000068 2200400000000000068 2200400000000000068 2200400000000000068 Total Amount Paid $62.65 I Plan Reviews I SUB Review 01128/2004 DH 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. ~ Rp.ouirp.r! In~op.ction~ I I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2 Rough Mechanical: Prior to Cover 3 Final Gas: When all gas work is complete. 4 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 will be made of any structure-without permission of the Community Services Division, Building Safety. I further certify that only contractors and employO;s who are in compliance with ORS 701.005 will be used on this project. I further rgree tOlensure that all requir~d-iii;pections 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 ilioo.'t\:P/ . 1~17c1~ Owner o~ontractors Signature Date Paee 2 of2 2~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00118 COM2004-00118 COM2004-00118 COM2004-00118 COM2004-00 118 COM2004-00 118 Payments: Type of Payment Check Receipt #: 2200400000000000068 Description Furnace - more than 100,000 Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By jmp L'heck Number Batch Number Authorization Number Paid By MONSTER 4WD INC. 1195 City of Springfield ~iPt Development Services Department Public Works Department Date: 01/28/2004 2:47:40PM l Amount Paid Item Total: 30.00 4.00 11.00 10.00 3.15 4.50 $62.65 How Received In Person Payment Total: Amount Paid . $62.65 $62.65 .