HomeMy WebLinkAboutPermit Mechanical 2007-5-22
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00737
ISSUED: OS/22/2007
APPLIED: 05/22/2007
EXPIRES: 11/22/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7085 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702352100600
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Gas insert
Owner: THOMPSON IDA JEANINE & ROBERT D
Address: 7085 THURSTON RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMA nON I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size: .
R-3 Height of Structure: Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
SprinkledJlpiWi~~bN:Ore!;fbilllaW nID~\jil~Ve~\p'
AI ,t;.:N . aJ. j .~ - ""~^rPr:' lltihtv
I DEVELOPMOOqNPtj~XY6'.N=.,';;s~ 'r-ul~~ are set fori
'1ULLlly~.I~ ^Q1-QQ10 through OAR eB~ED PARKING
'nl^-R 952'"\1 . . f th~=J1AS I
Overlax . : y"'ou may obtam copies 0 , tar:
# Stree't' ~ee.' ,~g,%e center. (Note: the tel~ .~pped:
Paved Dri(fP I a~ for the Oregon Utility Nott!\rd1~&llf:
% ofLot~ ~le: . ~ ,.......,", ,,??-?~44).
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
N OTIC E: Downspouts/Drains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS r~OI
COMMENCED OR IS ABANDONED FOR
,'\NY ~ OD Oh PERIOD.
Valuation Descri tion
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00737
ISSUED: OS/22/2007
APPLIED: OS/22/2007
EXPIRES: 11122/2007
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 J
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fireplace (Listed)
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$2.25
$3.60
$15.00
$30.00
5/22/07
5/22/07
5/22/07
5/22/07
5/22/07
5/22/07
. 1200700000000000607
1200700000000000607
1200700000000000607
1200700000000000607
1200700000000000607
1200700000000000607
Total Amount Paid
$65.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reauired Insnections I
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.
~ f)QCJ)l/rwv-
~ - 2-2_ 07
.
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Cjfv of Springfield Official Receipt
1 :lopment Services Department
Public Works Department
Job/Journal Number
COM2007-00737
COM2007-00737
COM2007-00737
COM2007-00737
COM2007 -00737
COM2007-00737
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000607
Date: OS/22/2007
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Fireplace (Listed)
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
Paid By
MARSHALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
19810
In Person
Payment Total:
Page 1 of 1
2:17:17PM
Amount Due
2.25
3.60
4.50
15.00
30.00
10.00
$65.35
Amount Paid
$65.35
$65.35
5/22/2007