HomeMy WebLinkAboutPermit Mechanical 2004-8-11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00994
ISSUED: 08/11/2004
APPLIED: 08/11/2004
EXPIRES: 02/11/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 477 BROOKDALE AVE
ASSESSOR'S PARCEL NO.: 1703224204100
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: HARP FRED B & RHONDA K
Address: 477 BROOKDALE AVE SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor License
MARSHALLS INC~\. +,.., 25790
AT1EN1\ON: Oreg"'n~j*Dlij6:~@~~TION I
:IN ru\es adopteu uy ~.- s ~re set for n
# of Units: fo\~O ation center. lho~ ~5g :952-00~-
Primary Occupancy GroliP.tlflCR 95~1-001 0 th~ t l~Pfft\5ft1!tbV
Secondary Occupancy G~A y< Y obtain cc:ny~Oq.~~tphone
Primary Construction Ty}ilO90.. oU'Wcenter. (N~t~~Efm~\fication
Secondary Construction TypGZl\\lnQ \ the OregoJlaJij!~'t A\
# of Bedrooms: number or it: is 1-80(J(i&4D2P fIt~
Cen sr Sprinkled Building:
Contractor Type
Mechanical
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
New
Residential
Expiration Date
12/23/2005
Phone
541-747-7445
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROV~~TS I XP\Rt \f 1\1c WOR~
NJ\ 1 RM\\ S\1f\\::\a~aJk ~jM{\\1 \S NO
1\-\\S PE D DNDt\i -\TiT" ('INEQ fOR
f\Dl\-\OR\IE D OR V9~pm1SIDraIDs:
CO~MEN~tf\,{ PER\OD.
MN '\80 u
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Pal!e 1 of 2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
I Fees Paid I
Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
$62.65
I Plan Reviews I
Date Paid
8/11/04
8/11/04
8/11/04
8/11/04
8/11/04
8/11/04
. ,
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00994
ISSUED: 08/11/2004
APPLIED: 08/11/2004
EXPIRES: 02/11/2005
VALUE:
Receipt Number
2200400000000001037
2200400000000001037
2200400000000001037 .
2200400000000001037
2200400000000001037
2200400000000001037
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 Reouired Insnections I
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 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 aU
CJ?ih~
/~f/ - ./
IOWner or Contractors Signature
Pae;e 2 of2
B- /r-() L(
I
Date
225 Fifth Street
Sprhigffeld, Oregon 97477
541-726-3759 Phone
r;ty of Springfield Official Receipt
lelopment Services Department
Public Works Department
Job/Journal Number
COM2004-00994
COM2004-00994
COM2004-00994
COM2004-00994
COM2004-00994
COM2004-00994
Payments:
Type of Payment
Check
8/11/2004
RECEIPT #:
2200400000000001037
Date: 08/11/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
Paid By
MARSHALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 18132 In Person
Payment Total:
Page 1 of 1
2:24:05PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65