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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 . . 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