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Home My WebLink AboutPermit Mechanical 2003-7-3 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00583 ISSUED: 07/03/2003 APPLIED: 07/03/2003 EXPIRES: 0110312004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 844 PRESCOTT LN ASSESSOR'S PARCEL NO.: 1703341215000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas insert Owner: PESUN STEPHAN & GILDA U Address: 844 PRESCOTT LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor MARS HALLS INC PESUN STEPHAN & GILDA U I BUILDING INFORMATION I License 25790 Expiration Date 1212312003 Phone 541-747-7445 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS , DEVELOPMENTINFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: ~,,~ ~H 1; ; .~m~U>IMPROVEMENTSI . '\W-~ Street Improvements: ~~~ ~~~'\ ~~ Storm Sewer Available: \,.~"fl ~C;, ~ f:j~~'V Special Instruction: C;,~~~ [(,~ "\ 'X-~'V !V~. ~ ~'\S ~~ Notes: ~~'\" ~<t.~~<t.'V ~ \;)~ ~\\;)'V. '\~C;, ~\;)~ ~~~'V~ ~~~ ~~"\~~~ ~ 'V~ d~ ~ '\~ ~~ Sidewalk Type: , .'1' " ".' \ , Downspouts/Drains: .. ,- .. , . .\ ~ .' \' Paee I 012 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid I Valuation Descrintion , $ Per Sq Ft or multiplier Square Footage or Bid Amount . CITY OF SPKll'\iul'l~LU . Building/Combination Permit PERMIT NO: COM2003-00583 ISSUED: 07/03/2003 APPLIED: 07/03/2003 EXPIRES: 0110312004 VALUE: Value Date Calculated Total Value of Project ~ , Amount Paid Date Paid Receipt Number 1200200000000001706 1200200000000001706 1200200000000001706 1200200000000001706 1200200000000001706 1200200000000001706 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. $10.00 $4.50 $3.15 $15.00 $4.00 $26.00 713103 713103 713103 713103 713103 713103 $62.65 I Plan Reviews I 1 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 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 of the property, and the approved set of plans will remain on the site at all times during construction. ~~~ /v ,,- Owner or Contractors Signature Palle 2 of2 Date 7/Y;y / 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00583 COM2003-00583 COM2003-00583 COM2003-00583 C0M2003-00583 C0M2003-00583 Payments: Type of Payment Check ~.;~,.".,;._~~ "'.!.'. . --... < , . , .." -,.,"----"..-. - '--..- Receipt #: 1200200000000001706 Description + 7% State Surcharge + 10% Administrative Fee Gas Outlets 1-4 Gas Fireplace MinimumlAdjUSbnent Mechanical -Mechanical Issuance Fe..... Paid By MARSHALLS INC Received By djb Check Number Batch Number Authorization Number '""'l City of Springfield Official Receipt Development Services Department Public Works Department'> Date: 07/03/2003 11:23:41AM I Amount Paid 3.15 4.50 4.00 15,00 26.00 10.00 $62.65 Item Total: How Received In Person Payment Total: . Amount Paid $62.65 $62.65 .