HomeMy WebLinkAboutPermit Miscellaneous 2005-7-7
Status: Issued
225 Flftb Street, Springfield, OR
541..726-3753 Phone
541..726-3676 Fax
541-726-3769 Inspection Une
.
. CITY VJ< ~rKl1'\juJ<lJi,L1J
Building/Combination Permit
PERMIT NO: COM2005-00864
ISSUED: 07/07/2005
APPLIED: 07/07/2005
EXPIRES: 01/07/2006
VALUE:
SITE ADDRESS: 553 EDGEMONT WAY
ASSESSOR'S PARCEL NO.: 1703341300500
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install gas furnace
TYPE OF USE: New
Residential
,. Owner: SUZANNE BROWN
Address: 553 EDGEMONT WAY
SPRINGFIELD OR 97477
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Constrnction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
I CONTRACTOR INFORMATION I
Contractor \~icense
MARSHALLS INC ._... ,p.Qulles '/~~,,;~790
Ni\ON: ~til1~m~hMimmN
~-rre f\l\esa~.'..~ 1nos~'W~4 95Z.'uUrJ
10\~oW \Ion centef. tlrt>Ml~,op..R IU1es b'l
No\.\f\~-95Z_00'..oo tt;~ll!!!~s 01 t\"le \1on6
\n O~ '{ou (tIa'l ob~'1.f~~,peiitl tel~~catiOl\
009"VN. t\'l6 cent~~!Mn~'eW No I
callIng 10f t\"le ~t\iuTp:t:2344).
l\U{tlOelCen\61 llE1.~ Patb:
Sprinkled
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-726-0605
Expiration Date
12/23/2005
Phone
541-747..7445
nfa
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQillRED PARKING
Total:
Handicapped:
Compact:
!pUBLIC IMPROVEMENTS I
~'" YICV:' WOSldewalk Type:
"J I !;;. P\RE IF 1HE t'I"
1HIS PtRM\1 SHflll EX S PERM\1 IS tpy,wnspouts/Drains
flU1~ORIZEEDOU~~~; ::~NDONED FOR
COi'i,I\IENC
ANY 18C! DAY PtRIOD.
I Valuation Descrintion I
$PerSqFt
or multipHer
Square Footage
or Bid Amount
Type of Construction
1 of 2
Value
Date Calculated
A
.
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CITY OF SPRINGFIELD
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: COM2005-00864
ISSUED: 07/07/2005
APPLIED: 07/07/2005
EXPIRES: 01/07/2006
VALUE:
Total Value of Project
Fees P,~jd I
Fee Description
-Mechanieal Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$6.00
$12.00
$4.00
$23.00
7/7/05
7n/05
7/7/05
7/7/05
7/7/05
7/7/05
7n/05
Receipt Number
1200500000000000960
1200500000000000960
1200500000000000960
1200500000000000960
1200500000000000960
1200500000000000960
1200500000000000960
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 m accordance
wIth the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,
and that NO OCCUPANCY wID be made oiany structure without permissinn of the CommunIty Services Division,
BuIlding Safety. I further certifY that only contractol'll 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 iocated at the front of the property, and the approved set of plans wiD remain on the site
at all time~W19ng construction.
~?~~~~-~ 7~?-0'7
~
Owner or Contractors Signature
Date
2 of 2
225 Fifth Street
Sptjpgfield, Oregon 97477
541-726-3759 Phone
.
~
Job/Joornal Number
COM200S-00864
COM200S-00864
COM200S.00864
COM200S-00864
COM200S.00864
COM200S-00864
COM200S.00864
Payments:
T)1le of Payment
Check
"
:,
7/7/200S
"
RECEIPT #:
1200500000000000960
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace. up to 100,000 btu
Gas Outlets 1-4
Appliance Vent
Minimum! Adjustment Mechanical
-Mechanical Issuance F ee-
""S5.ity of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 07/0712005
Item Total:
Paid By
MARSHALLS INC
Received By
djb
LneCK ~umDer Aumonzation
Batcb Number Number How Reeelved
18702 In Person
Payment Total:
1 of I
1 :51 :30PM
Amooot Due
3.1S
4.S0
12.00
4.00
6.00
23.00
10.00
$62.65
Amount Paid
$62.6S
$62.65