HomeMy WebLinkAboutPermit Mechanical 2004-7-16
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Status
Issued
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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
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# 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 '
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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
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