HomeMy WebLinkAboutPermit Mechanical 2003-11-22
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. CITY OF SPR.J.l'i\JI'lJ<.LlJ
Building/Combination Permit
PERMIT NO: COM2003-01274
ISSUED: 12/22/2003
APPLIED: 12/22/2003
EXPIRES: 06/22/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2329 RODNEY CT
ASSESSOR'S PARCEL NO.: 1703272203400
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install gas water heater
Owner: GARY NOBLE
Address: 2329 RODNEY COURT SPRINGFIELD OR 97477
Phone Number: 541-726-7306
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2003
Phone
541-747-7445
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water_I_ \?
Secondary Construction Type: ~er~~~~\\\~ (\
# of Bedrooms: 0(\ \~'ofllqy~}$~t~:)\Jl~.
~\.O(eg ... 'O~ \~ ~Ii'lS $t ^<:.,9.~
....<'10\'. . _^\eU -"" (\) r~~ - ....-.A \
p..'\\ -: ;u\es;;"e~'I>.E~E6~ME>N'r'iNE6RMATION I
SETBACKS \O:ce.\\o;Z.,al)'\ ~\~~'~:~~" \~~.~~\\~cl(.~
.\0 Oil'~ g (\Ie.~ 0 :let. ~"O~I!Ji.Y\D~*,\,\.
(I O. -(OU \~e ce{\ O(6~qfs~~~.'i'rees Rqd:
".ffl ~\\\(\QJ \O( \~e 'e. \ .I'>~ved Drive Rqd:
~e( ,0'"
(\U~ ' ('p.... % of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Front yard Setback:
Side I Sctback:
Side 2 Setback:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
Mnllr.F: __ ,..M"
, - SHALL tM'Il'\t: or ",,- .. v,,,,
I rUDLIL IMPRfi),ViElMEN'FS. lHIS PER. MillS NOl
AU I nunlLLJ UND~R , _
COMMENCED OR~.g'i\"JJlH1)(p.lltD FOR
ANY 1 60 DAY PEIQ.OO1spouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paeelof2
.
.' CITY OF SPRINut<U,LlJ
Building/Combination Permit
PERMIT NO: COM2003-0I274
ISSUED: 12/22/2003
APPLIED: 12/2212003
EXPIRES: 06/22/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Ff'f's Pailll
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Gas OutIets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10,00
$4,50
$3,15
$6,00
$4.00
$35.00
12/22/03
12/22/03
12/22/03
12/22/03
12/22/03
12/22/03
1200200000000002643
1200200000000002643
1200200000000002643
1200200000000002643
1200200000000002643
1200200000000002643
Total Amount Paid
$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 ~m\;;rf'lIln~rlf'ctionsJ
I Rough Mechanical: Prior to Cover
2 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 tbe work described herein, and
that NO OCCUPANCY will be made ohny 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
:~rstr~ /2.-7-2-0?')
~~::;r Contra~o;; Signature Date
Pa~e 2 of2
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01274
COM2003-01274
COM2003-01274
COM2003-01274
COM2003-01274
COM2003-01274
Payments:
Type of Payment
Check
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. ';<"..1
, ,
Receipt #: 1200200000000002643
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Appliance Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
Paid By
MARSHALLS INC
Received By
djb
Check Number
Batch Number Authorization Number
6ty of Springfield Official Receipt
Development Services Department I.
Public Works Department
Date: 12/22/2003
~;
Il:13:34AM
Amount Paid'
Item Total:
3.15
4,50
6.00
4.00
10.00
35,00
$62.65 .
How Received
In Person
Payment Total:
Amount Paid
.
$62,65
$62.65 .
.