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Home My WebLink AboutPermit Mechanical 2003-12-16 ~ " Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01258 ISSUED: 12/1612003 APPLIED: 12/16/2003 EXPIRES: 06/16/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1134 1ST PL ASSESSOR'S PARCEL NO.: 1703263300538 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas insert and piping Owner: NANCY ROSE Address: 1134 1ST PL SPRINGFIELD OR 97477 Phone Number: 541-741-1656 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION. Expiration Date 12/23/2003 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 ',t;:. SETBACKS I DEVELOPMENT INFORMATION. . ... ,.~<,\~ \' II tf\ ^JTENTION:Oregon IREQtJIRED-P1\.CfuqNG ,... . d b" the Oragon Utility Overlay Dist: follow rules adop~e,- !~~l:lles are set fort' # Street Trees Rqd: \lotification Centsl. ThCHandicap,ped:05r.>_OO- . 0010 1.h-",\\U"I\1 t JI-\t'\;;:J " Paved DrIve Rqd: In OAR 952-001- . ,I €o~pact~ th les' t obtain copIes 01 e ru % of Lot Coverage: 0090. :ou I:ay ter {Note: the telephone _ ~~~~r ~t~; ~e: Or~Qon Utility Notification I PUBLIC IMPROVEMENTS' i~."" CAnter is 1-800-3:;~-~;j't't J. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements:' Storm Sewer Available: Special Instruction: NOTICE.. " THIS PERMIT SHALL EXPIRE IF THE WOR~ AUTHORIZED UNDER THIS PERMIT IS NO COMME~CED OR IS ABANDONED FOR tof\lV1 ~O DAY PERIOD. I Valuation Description I Sidewalk Type: Downspouts/Drains: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-01258 ISSUED: 12/16/2003 APPLIED: 12/16/2003 EXPIRES: 06/16/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-367(i Fax 541-726-3769 Inspection Line L Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $15.00 $4.00 $26.00 12/16/03 12/16/03 12/16/03 12/16/03 12/16/03 12/16/03 1200200000000002606 1200200000000002606 1200200000000002606 1200200000000002606 1200200000000002606 1200200000000002606 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 Reouired Insoections I 1 Rough Mechanical: Prior to Cover 2 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 employees who are in coinpliance 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 :~,()~g L"S',"ctiOO_l__ /! t . L11/~ /)fMi~ /Z~/6--0,5 / ' o./C/" Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01258 COM2003-0 1258 COM2003-0 1258 COM2003-0 1258 COM2003-01258 COM2003-01258 Payments: Type of Payment Check Receipt #: 1200200000000002606 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace Minimum! Adj ustment Mechanical -Mechanical Issuance Fee- Paid By MARS HALLS INC Received By djb Check Number Batch Number Authorization Number City of SprHigfield Official Receipt Development Services Department Public Works Department Date: 12/16/2003 8:12:08AM Amount Paid Item Total: 3.15 4,50 4.00 15.00 26.00 10,00 $62.65 How Received In Person Payment Total: Amount Paid $62.65 $62.65