HomeMy WebLinkAboutPermit Mechanical 2003-3-18
'-
- CITY OF SPRINGFIELD -
.L-.. _
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00182
ISSUED: 03/18/2003
APPLIED: 03/18/2003
EXPIRES: 09/18/2003
VALUE:
i;
SITE ADDRESS: 2388 SHADYLANE DR
ASSESSOR'S PARCEL NO.: 1703271000500
Springfield TYPE OF
Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install wood insert and lines -log starter
Owner: EASON WALLACE F & FLORENCE E
Address: 2388 SHADY LANE DR SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
EASON WALLACE F & FLORENCE E
BUILDING INFORMATION.
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
I DEVELOPMENT INFORMATION.
~~~ REQUIRED PARKING
~ -$ ~~lay Dist: Total:
~ '\~ ~ {O#~treet Trees Handicapped:
~~ r.v~~ ~ ~~ved Drive Rqd: Compact:
Rearyard Setback: \" 0;.~S <V.~\::)~~ % of Lot Coverage:, \ \N "eo.UW8S \}OU.~~)'
Solar Setbacks: ~~\; ~"\ ~ . .. ~'.U\ ego,. a oregon ut\ \ . \ .
r ,-< S 0<<; ~ _,-n,\'-it \Vi _ _>",r\ h\l the _ ",... c:.P.t tort
~'\''V-:'X.,~~~~'VJ ~'~~ '\~ ':f:>~' IPUBLIc;iMFROVE~M'i~~~ {hOSe \"U;O~R 952*{)O~'
~ S' ~'" x,'VJ o'X.,~ "C~~IV" oloth~oUg. t....~ ru\es \
Street '\~ ~\S ~\) ~' Not\ \ 95Z"OO~ -0 . Sid~'-Yalk Typ.e:One
~~ ~~ 'VJ~ on Ot\f\ " obtaIn CUP' ~ne te\apn
Storm Sewer Aval'l':-~~ ,~~ \ Q90. '(aU O'Ia, ter. \ND'6W!,.sp'o~LS{1?tati.'S'n
Special Instruction~ ~ 0 ca\\ing the cen oregon Ut\\\'(; \ 44).
~ mbedortne. ~_800*332*2.3
nu center \s
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Foota2:e
Value
Date Calculated
1 of 2
CITY OF SPRINGFIELD.
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-00182
ISSUED: 03/18/2003
APPLIED: 03/18/2003
EXPIRES: 09/18/2003
VALUE:
Total Value of Project
I Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Not Listed
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid Date Receipt Number
$10.00 3/18/03 2200200000000000611
$4.50 3/18/03 2200200000000000611
$3.15 3/18/03 2200200000000000611
$9.00 3/18/03 2200200000000000611
$4.00 3/18/03 2200200000000000611
$32.00 3/18/03 2200200000000000611
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.
I Reouired Insnections .
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 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.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certity 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 certity 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 pi aDS will remain on the site
at all times du in 'construction.
a~
Y- '/ //?-~
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Dat
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Owner ortt::ontractors Signature
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00 182
COM2003-00 182
COM2003-00 182
COM2003-00182
COM2003-00 182
COM2003-00 182
Payments:
Type of Payment
Check
Paid By
Description
Gas Outlets 1-4
Appliance Not Listed
-Mechanical Issuance Fee-
Receipt #: 2200200000000000611
Date: 03/18/2003
Minimum! Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
MARS HALLS INC
Received By
Check Number Confirm No
djb
Page 1 of 1
3/18/2003
I :26:24PM _
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
4.00
9.00
10.00
32.00
3.15
4.50
Line Item Total:
$62.65
How Received
Amount Paid
In Person
62.65
$62.65
Payment Total:
cReceipl.rpt