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HomeMy WebLinkAboutPermit Mechanical 2005-9-7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01220 ISSUED: 09/07/2005 APPLIED: 09/07/2005 EXPIRES: 03/07/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1425 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252200702 Springfield TYPE OF Heating System PROJECT DESCRIPTION: Install gas fireplace and piping TYPE OF USE: New Residential Owner: Address: ROBERT WARREN \N {eD.U\{es 'J~\\~~\} 1425 HAYDEN BRIDGJJ(.YJh{egon \a: tne o{egon t 'O{\n SPRINGFIEL~~~~t~dopted ~~c;e {\~\e~ ~{~ ~~2-00'\- \O\~~.. (. n cenwl'.\ hI.Qug\\ ""'.~-""r> rU\eS uy ~ot\'\Ca~52_00'\.O~1l0~Y'J1~TION , \n Op..B. u f{\a'J 0 J ~~ote'. nt:' o\\,\ca\\O C~~~8r \ne cente{. on \j\\\\\\) N A) License MARsfl\A~&rlN.6e ore~n{')_332-23A' 25790 nUll''''. 1'::1 \ - centc BUILDING INFORMATION' Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: R-3 # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled VN I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-729-3410 Expiration Date 12/23/2005 Phone 541-747-7445 n/a 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: ,,' . .~,nr: \1= I\-\E \NOR~ IPUBLIc'IMPl!O,:YIi;MENis~'~\:~~\S'?ERM\1 \~ NU \ \'" . \' '-u U\W~' . \nr\i\'~Q fOR ,-\\,f\ \-\OR Ll- OR \S t:\BSitlewalk Type: I E\'~CED CONI\\!\ (, QI\'{ PERIOD. Downspouts/Drains hN'< '\ Bv Street Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction 1 of 2 Value Date Calculated Status: Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01220 ISSUED: 09/07/2005 APPLIED: 09/0712005 EXPIRES: 03/07/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' . Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $15.00 $4.00 $26.00 9/7/05 9/7/05 9/7/05 9/7/05 9/7/05 9/7/05 Receipt Number 1200500000000001313 1200500000000001313 1200500000000001313 1200500000000001313 1200500000000001313 1200500000000001313 Total Amount $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. 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. 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 of the property, and the approved set of plans will remain on the site at all times during construction. ,g~. ~~ r--- /-0 ":J" Owner or Contractors Signature Date 2 of 2 2~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "ity of Springfield Official Receipt ,evelopment Services Department Public Works Department Job/Journal Number COM2005-01220 COM2005-01220 COM2005-01220 COM2005-0 1220 COM2005-0 1220 COM2005-01220 Payments: Type of Payment Check Ii , ~ j Of 9/7/2005 RECEIPT #: 1200500000000001313 Date: 09/07/2005 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALLS INe Item Total: Check Number Authorization Received By Batch Number Number How Received djb 18815 In Person Payment Total: I of 1 2:10:37PM Amount Due 3.15 4.50 4.00 15.00 26.00 10.00 $62.65 Amount Paid $62.65 $62.65