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Home My WebLink AboutPermit Mechanical 2004-11-18 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01426 ISSUED: 11/18/2004 APPLIED: 11/18/2004 EXPIRES: 05/18/2005 VALUE: . , liE . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~, ;. SITE ADDRESS: 6955 MAIN ST ASSESSOR'S PARCEL NO.: 1702353306000 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Gas furnace Owner: DAVID VANDERPLOEG Address: 40014 MOHAWK RIVER RD MARCOLA OR 97454 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Typ~ of Heat: to Primary Construction Type ATT\>NTION: OretW.I\e~'ffpgulres you. . Secondary Construction Type: follow rules adoptf61.ll!e !i%Qregon Utility # of Bedrooms: Notification Center. ETle~pWlG~ are set forth in OAR 952-001-00~~lillil\!/llib&Mlit~:52-001. n/a :S::. '.':::. :--:--:-_\" ..............:... ","~io~ "f 'th~ rlllg~ hv calling ttlaDilMEt.OPMEN1nINE(i)RMWIlION I ". .w , /. IT ""J number for me uregon Ullllly I~UUIII;clU' " Center is b~Qj:l~~~44). # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Froutyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Repair Residential Phone Number: 541-933-2717 Expiration Date 12/23/2005 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: ~~I~I~i~M\T SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR I :--.:: :.~.\.' ~:Dlnn "1'4 I -- I Valuation Descrintion I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pagelof2 Value Date Calculated .. ~~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01426 ISSUED: 11/18/2004 APPLIED: 11/18/2004 EXPIRES: 05/18/2005 VALUE: I Fees P,lIid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $6.00 $12.00 $27.00 11118/04 11118/04 11118/04 11118/04 11118/04 11118/04 Receipt Number 1200400000000001628 1200400000000001628 1200400000000001628 1200400000000001628 1200400000000001628 1200400000000001628 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 Re?~ired I nsoections I Rough Mechauical: Prior to Cover Final Mechanical: When all mechauical work Is complete. By signature, I state and agree, that 1 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 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 oftbe property, and the approved set of plans will remain on the site at all ;sr~g&;.r;J f( (>> v-- r 1& O~ ~ Owner or Contractors Signature Date Page 2 of2 ~ 22~ !Jfth 'l?treet Sprmgfielil, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01426 COM2004-0 1426 COM2004-0 1426 COM2004-0 1426 COM2004-0 1426 COM2004-0 1426 Payments: }. Type of Payment ~heck , \. III I 812004 . .~ WiL Ii, .' RECEIPT #: ..a.ty of Springfield Official Receipt Wvelopment Services Department Public Works Department 1200400000000001628 Date: 11/18/2004 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARS HALLS INC Received By djb Page I of I Item Total: Check Number Authorization Batch Number Number How Received 18307 In Person Payment Total: 1 :08:55PM Amount Due 3.15 4.50 12.00 6.00 27.00 10.00 $62.65 Amount Paid $62.65 $62.65