HomeMy WebLinkAboutPermit Mechanical 2005-10-13
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY OF /)rK.ll~GFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I433
ISSUED: 10/13/2005
APPLIED: 10/12/2005
EXPIRES: 04113/2006
VALUE:
SITE ADDRESS: 598 POL T A VAST
ASSESSOR'S PARCEL NO.: 1703342301120
PROJECT DESCRIPTION: Gas Curnace
Owner: AL ADAMS
Address: 598 POL T A VAST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
MARS HALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# oC Bedrooms:
Frontyard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vanable:
Special Instruction:
Notes:
Description
Type oC Construction
Springfield TYPE OF WORK: Heating System
TYPE OF USE:, Repahi'es you to Residential
I\TTC'.NTION: Oregon a~h~"'o~~gon Utility
fnllow rule~ adopte~, by _ .. .l^~ ~rP set 10rth
Notilicali05n2 ~~;':~~1 o' t;,ibo'!e)N....~b~:F-~~i:726-3946
in OAR 9 - . 0 ies 01 the rules oy
0090. You may obtain ~oie: the telephone
_ll:~,.. tho r.p.nter. ( ". ..,.__.......n.
--. _._:.. f....r thp Oregon UlIm)' . ~....~..
, CONTRACTOR INFORMATION.'ls 1_800-332-2344).
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2005
Phone
541-747-7445
R-3
# of Stories:
Height oC Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bunding:
~ . ... II' t: .
I DEVELOPMENTr~iriFQRM~ON-f.XPIHt: I~ 1M!: nVI\I;
AUTHORIZtU UI{Jr:'n rHIS PERMIT ~IRED PARKING
Overla)(W~"-AENCED OR IS ABANDONED F Total:
# street~~S\6ijd,;)AY PERIOD. Handicapped:
Paved Drive Rqd: Compact:
% oC Lot Coverage:
,
VN
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDralns:
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e1oC2
.
. Lll r OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01433
ISSUED: 10/13/2005
APPLIED: 10/12/2005
EXPIRES: 04/13/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
t...J;us Pllid.l
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
MinlmuffiJAdjustment Mechanical
Amount Paid
Date Paid
$10.00
54.50
$3.15
$6.00
$12.00
$27.00
10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
10/13/05
Receipt Number
2200500000000001421
2200500000000001421
2200500000000001421
2200500000000001421
2200500000000001421
2200500000000001421
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.
~uirf'd Tnsn~
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 Springfieid and the Laws of the State of Oregon pertaining to the work described herein, and
. that NO OCCUPANCY wlII be made ofany 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 wlII remain on the site at all
times during construction.
A~~_,-~.
ICl-/'j-o,,-
Owner or Contractors Signature
Date
Pa~e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
i;:~~~
~-._I
Job/Journal Number
COM2005-0 1433
COM2005-0 1433
COM2005-0 1433
COM2005-0 I 433
COM2005-0 1433
COM2005-01433
Payments:
Type of Payment
Check
'.
)
"
:1
.,
10/1312005
RECEIPT #:
2200500000000001421
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALL'S INC.
Check Number
Batcb Number
Received By
njm
Page I of I
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 10/13/2005
Item Total:
Authorization
Number How Received
18878
In Person
Payment Total:
11:34:28AM
Amount Due
3.15
4.50
12.00
6.00
27.00
10.00
$62.65
Amount Paid
$62.65
$62.65