HomeMy WebLinkAboutPermit Mechanical 2005-3-23
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CITY OF SPRINGFIELD'
Building/Combination P.ermit
t,
Status
Issued
PERl\1T:r..NO:,. COM2005-00327
ISSUED:' 03/23/2005
APPLIED: 03/23/2005
EXPIRES: 0942d{~q~~u to
N-N"nh', OR:9on law r q v U 'I't
ATTE n~~ · b the Oregon tlll.V
iJ.1-'" ~IIIQC: ~dooted Y - _~. fN'rh
'..-:_~.._~ ("Qnt~r Those IUlv"'u~v _-,~~ ""1_
spring~iAi-fiv2GJ0~!~~i~~~~~%ie~ by
0090, You may obtain P: the telephone. .
Ca1i~\Q1ctJSl!i:r. (tmW ., N tificati~tSldentIal
h Oregon Utility 0
number for t e, 0-332-2344).
r.p.nter IS 1-80
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 512 CARDINAL WAY
ASSESSOR'S PARCEL NO.: 1703221203700
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: KATHLEEN RINESS
Address: 512 CARDINAL WAY
SPRINGFIELD OR 97477
Phone Number: 541-988-4352
.:(....{..
.' .,-- ...
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I . \'d3d )..';;JO 09 ~ !,t-N
GO n a~'JN3v\I\NO'J
Contractor License, OGNEx'Pi~~tion DatejO~Pllfone
't'.f);=I \J:J · . ,\,nl\\1 \ II:1LIU ,_.
MARSHALLS INC _; .2~1~9tM\..\4r\ S\\--\l12123/~,QO:5,11\I\..\1r\5j\Ht47-7445
I BUILDING INFO~ABONln j\ 3'd\dX:i \ \\1 \ 'v -" :~~\lON
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Priniary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
. n/a
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
, I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00327
ISSUED: 03/23/2005
APPLIED: 03/23/2005
EXPIRES: 09/23/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/ Adj ustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
3/23/05
3/23/05
3/23/05
3/23/05
3/23/05
3/23/05
Receipt Number
2200500000000000330
2200500000000000330
2200500000000000330
2200500000000000330
2200500000000000330
2200500000000000330
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.
LReouired Insoections 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 herehy 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.
c:::3:~ R~~_~~
Owner or Contractors Signature
3 r-, 2.3'-'0 ~
Date
Page 2 of2
SITE ADDRESS: 673 68TH PL Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1702352308800 .
, ATTENTITY.PF~F<us1ElN reN~~es yo~ ~o
PROJECT DESCRIPTION: Install heat pump and air handlefollow rules adopted by the Oregon Utility
Notification Center. Tt10se rules are set forth :
In UAH ~o~-uu I-VU I V 1I11 UUI..j; I 0A;-; :;::;~ 331 J
0090. You may obtain cop16",,o8FtlN@JPJw,JS bf41-746-3140
calling the center: (Note: the tel~~ho~e
r\llmhAr fm thA nrl~aon Utilitv Notification
rP.ntAr l, \:.800-332-2344).
I CONTRACTOR INFORMATION..
Status
Issued
225 Fifth Street, Springfield, OR
541-726.;.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
:1 Owner:
: Address:
DON SHUTT
673 68TH PL
SPRINGFIELD OR 97478
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
"
.-
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
..
,"
, Description
Type of Construction
CITY OF SPRINGFIELD'
Building/Combin~tion Permit
PERMIT NO: COM2005-00328
ISSUED: 03/23/2005
APPLIED: 03/23/2005
EXPIRES: ' 09/23/2005
VALUE:
Residential
"
,,'
License 'Expiration Date ~" Phone
2.5.190 '" , ,.--,12/23/2005,,- 541-747-7445
R-3
BUILDING INFORMATION I 'OOltEld ^IiO mn ^NIi
# o~Stories: }-IO:! 03NOONlifW SLojrSi2e1~~,~~V~O~
Height of Structure lllNB3d SIHl B~9!~~)lIjtjFloor.:-Unli
Type of Heat:.LON S\ ~tl\dX3 1~q~t2p,~\FJi!o..r:S\Hl
Water Type: )ltlOM 3Hl :H -' Sq Ft Basement:! nl\l
';;)J .,H.!.\.1lJ l'il
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
VN
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist: '
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: '
I PUBLIC IMPROVEMENTS.
:-).":(',
Sidewalk Type:
Downspouts/Drains:
l
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 10f2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00328
ISSUED: 03/23/2005
APPLIED: 03/23/2005
EXPIRES: 09/23/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees'Paid-l
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$10.00 3/23/05 2200500000000000330
$4.50 3/23/05 2200500000000000330
$3.15 3/23/05 2200500000000000330
$8.00 3/23/05 2200500000000000330
$12.00 3/23/05 2200500000000000330
$25.00 3/23/05 2200500000000000330
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. .
L Re01iired Insoections 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 all
times during construction.
~~~ r7~
r--..
3-;}' '3-0 /
Owner or Contractors Signature
Date
Page 2 of2
2'25 Fifth Street
~~
~prj.ngfield, Oregon 97477
'541-726-3759 Phon_e
Job/Journal Number
COM2005-00327
COM2005-00327
qOM2005-00327
COM2005-00327
COM2005-00327'
;, COM2005-00327
w" COM2005-00328
COM2005-00328
. COM2005-00328
GOM2005-00328
QOM2005-00328
COM2005-00328
Payments:
Type of Payment
Check
Check
Job/Journal Number
COM2005-00327
COM2005-00327
COM2005-00327
,,:: COM2005-00327
. COM2005-00327
;
COM2005-00327
c;OM2005-00328
CpM2005-00328
COM2005-00328
,
COM2005-00328
COM2Q05-00328
COM2005-00328
RECEIPT #:
2200500000000000330
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Check Number
Batch Number
Paid By
MARSHALLS, INC
MARSHALLS, INC
Received By
nJm
nJm
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
18516
18516
City of Springfield Official Receipt
/elopment Services Department
Public Works Department
Date: 03/23/2005
Item Total:
Authorization
Number How Received
In Person
In Person
Payment Total:
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Check
qheck
I
......
;!
,
,
I
~J
3/23/2005
MARSHALLS, INC
MARSHALLS, INC
nJm
nJm
Page 1 of 1
18516
18516
In Person
In Person '
Payment Total:
2:17:23PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00 :
3.15
4.50
8.00
12.00
25.00
10.00
$125.30
Amount Paid
$62.65
$62.65
$125.30
Amount Due
3.15
4.50
8.00,
12.00
25.00
10.00
3.15
4.50
8.00
12.00
25.00
10.00
, $125.30
Amount Paid
$62.65
$62.65
$125.30