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HomeMy WebLinkAboutPermit Mechanical 2004-7-16 _.~AINQI'IIII.D. . ~... ..' UI..___ : ~., . Status Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6595 MAIN ST ASSESSOR'S PARCEL NO.: 1702344401200 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00890 ISSUED: 07/16/2004 APPLIED: 07/16/2004 EXPIRES: 01116/2005 VALUE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install gas furnace and piping Owner: JM BRANDT-DRURY Address: PO BOX 1473 SPRINGFIELD OR 97477 TYPE OF USE: I CONTRACTOR INFORMATION I Contractor ~ ll.C License MARSHALLS INC ~r-:':J~\Yll\~.....75790 ~. J ~o :I'" 1,1).' iN'GiNj~.)liNil~8N I .. it" /I .. ,_, ., ~" O~Q- p~ # of Units: ~~~ @~ifI}. '\\'IGtU\e5ne Primary Occupancy GroupL~~'ll~~PW f1:~'\lP on Secondary Occupancy Gro~ ~ ~ ~'i;~llr. e . ~~ Primary Construction Type ~S~ ~. Secondary Construction Type. ~~ ~~ # of Bedrooms: ~ ~ \;) ergy Path: Sprinkled Building: Contractor Type Mechanical I DEVELOPMENT INFORMATION I Total: ~{capped: ~ act: r..~t \'f '\~ \~ ~() .._. ill ~fe o'C.~~~ f.(\.~ I PUBLIC I~~1~ff~\)'C.~ '\;t>-~\)I;)'~~ ,\~\:l L16\\\1.~~n \)\\ ~~;'alk Type: ",,-\'\f' ~C;~\J 'C.~. . I'" \)~~t: \)~ ~ 'l)ownspoutslDrains: c: '" \~~ f>.~' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Paee I of2 New Residential Phone Number: 541-746-1751 Expiration Date 12123/2005 Phone 541-747-7445 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid . . CITY OF ~rK1NGFIELD I Building/Combination Permit PERMIT NO: COM2004-00890 ISSUED: 07/16/2004 APPLIED: 07/16/2004 EXPIRES: 01/16/2005 VALUE: I Fp~s P3id I Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $6.00 $12.00 $4.00 $23.00 7/16/04 7/16/04 7/16/04 7/16/04 7/16104 7/16/04 7/16104 1200400000000001096 1200400000000001096 1200400000000001096 1200400000000001096 1200400000000001096 1200400000000001096 1200400000000001096 $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 Reouired TnsnectionsJ Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 will be made of any structure without permission of the Community Services Division, Building Safety. 1 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 3Q;J (OU Owner or Contractors Signature '1- /& -{)t/ v Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00890 COM2004-00890 COM2004-00890 COM2004-00890 COM2004-00890 COM2004-00890 COM2004-00890 . .~'!-lNQFI""'. ... ~,___ ___' t. Witl ' . ...-.: ti1IiiJj.ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200400000000001096 Date: 07/16/2004 2:18:09PM Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 6.00 4.00 23.00 10.00 $62.65 Item Total: Check Number Authorization Received By Batch Number Number How Received Payments: Type of Payment Paid By Check 7/1612004 Amount Paid MARSHALLS INe djb 18091 In Person Payment Total: $62.65 $62.65 Page I of I