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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