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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- '/ //?-~ v ( Dat ,(~/ ' / 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