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Home My WebLink AboutPermit Mechanical 2004-6-10 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 7' ./: ..' '1~!! ':, to' ",~'~ ,'" .. . CITY OF SPRINGFIELD' Building/Combination' Permit PERMIT NO: COM2004-00680 ISSUED: 06/10/2004 APPLIED: 06/10/2004 EXPIRES: 12/10/2004 VALUE: SITE ADDRESS: 512 C ST ASSESSOR'S PARCEL NO.: 1703352410900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install rinnai gas water heater and insert Owner: BROWN EDWIN B & JEANNE A Address: 12941-2 HORN LN EUGENE OR 97404 I CONTRACTOR INFORMATION. Contractor Type Mechanical Contractor MARSHALLS INC Phone 541-747-7445 # of Units: Primary Occupancy Group: . Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License 25790 Expiration Date 12/23/2005 I BUILDING INFORMATION. ~Ol\CE: # of Stprie~~P\RE \f ,.HE W~~~ R:(\-\\S PERN\9tefdft~j~~~flERM\1 \S v~U1HOR\lro=AB~NDONEO fOR COMN\EN~Pt.l\tOO. AN'I 180 Qh.1rgy fath: Sprinkled Building: n/a Lot Size: Sq Ft. 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Tre'es Rqd: Paved Drive Rqd: % of Lot Coverage: . au '\v I PUBLIC IMPROVEMENTS I ' ~t8QU'f9$'1U~~\ht ~~Ot\ \8: 0 ~Ot\ tU '~J ~'t\O"t ~urewJJ~. f~ e 6et wrtl\ . ~11e 'S a~?teu ~~n1'~ at ~2..oo'\. ~\O~ f\l\e ~<<&~n1'pom:s'/Di a~~ V"" 10 'f cat\on ce ^^'\O thfoUglfl ... \lle CU'e6 b'f NO\\ \ 9S2-Q{)'\ -uu COP\e6 v' none \n 09~()R ~ou f(\a'l ~~n \Note~ \he ~~~~\~on 00 . . ......e C8","V" \)\\\\\'1 \' , - _,"nO ",. "r/:)non, ,~",A.4.'_ --' .Of \I ,... ,-'" " n_....~-iIOll ' I ~el' , . \S ,\-60\T'" Valuation Descripti9\I ceotet $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type of Construction, Value Date Calculated Total Value of Project. Pal!e 1 of 2 ~~~,~f1~~lc~~.... . I{. .. { Status 'Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00680 ISSUED: 06/10/2004 APPLIED: 06/10/2004 EXPIRES: 12110/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726~3676 Fax 541-726-3769 Inspection Line Total Amount Paid I ,Fees Paid I Amount Paid Date Paid $10.00 6/10/04 $4.50 6/10/04 $3.15 6/10/04 $9.00 6/10/04 $15.00 6/10/04 $4.00 6/10/04 $17.00 6/10/04 $62.65 '.:: I Plan Reviews I Receipt Number 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 1200400000000000878 Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Not Listed Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical To Request an inspection c~ll 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. LReouired Insoections I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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 ofthe property, and the approved set I,)f plans will remain on the site at all um~d::LS~[)d h-/~-Ol ~er or Contractors Signature Date Paee 2 of 2 225 Fifth Street Sp'ringtield, Oregon 97477 . 1541-726-3759 Phone Job/Journal Number COM2004-00680 COM2004-00680 COM2004-00680 COM2004-00680 COM2004-00680 COM2004-00680 COM2004-00680 Payments: Type of Payment Check 6/1 0/2004 RECEIPT #: ~'ty of Springfield Official Receipt .;velopment Services Department Public Works Department 1200400000000000878 Date: 06/10/2004 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace Appliance Not Listed Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 18013 In Person Payment Total: Page I of 1 lO:24:45AM Amount Due 3.15 4.50 4.00 15.00 9.00 17.00 10.00 $62.65 Amount Paid $62.65 $62.65