HomeMy WebLinkAboutPermit Mechanical 2005-10-20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I434
ISSUED: 10/20/2005
APPLIED: 10/12/2005
EXPIRES: 04/20/2006
VALUE:
Springfield TYPE OF WORK: Heating System
SITE ADDRESS: 236 74TH PL
ASSESSOR'S PARCEL NO.: 1702354200120
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Phone,l'\l::J umber: 541-747-4635
8'. 51 J<J\Ua
'(\1'786'688'006 'aL\\ JOI JaqUJnu
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I CONTRACTOR INFORMATION'I' U\E\6_100'6961:1'v'O U!
_ .00'6961:1';/U 4U"w~\ 0 '~a\lla~ UO!\EO\I!\ON
L\\JOI \a5 aJllJice1iseSOL\l~~e!rJl~\9,"Jllal;!!l1 Phone
Al111ln uof25'1901L\\!\q ,~,L".\2(~~(~P.~ll'v' 541-747-7445
. -~ .,." '-~ '.....1 -.-
BUILDING INF8RM:.\ TION I
., Owner: MICHAEL DAVIS
Address: 236 74TH 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 Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled BuildbQTlCE: nla Occupant Load:
~1 ::g :'Z11,n ':.IJ,^,'L ~VDIOI: ,I: T~I: wnpl(
I DEVELOPMENT IN~NDER THIS PERMIT IS NOT
COMMENCED OR IS ABANOoM9'1UWD PARKING
Overlay ~ist: ANY 180 DAV PERIOD. Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage .
or Bid Amount
Value
Date Calculated
Type of Construction
Paee 1 of2
.
.
CITY OF SPRINGFIELD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
- 541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2005-01434
ISSUED: 10/20/2005
APPLIED: 10/12/2005
EXPIRES: 04/20/2006
VALUE:
Total Value of Project
Ff'f" P'\i.IIJ
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
$4.50
$3.15
$8.00
$12.00
$25.00
10/20/05
10/20/05
10/20/05
10/20/05
10/20/05
10/20/05
2200500000000001464
2200500000000001464
2200500000000001464
2200500000000001464
2200500000000001464
2200500000000001464
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.
I Rf',mirf'd Tn.nf'dions,J
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.
~?q:=- /r./L-C--" . / cJ ';;Z 0- 0 <S -
Owner or Contractors Signature
Date
Pal!e 2 of2
225 Fifth Street
SIl\ingfi~I'd, Oregon 97477
541-726-3759 Phone
.
~
....&;;,ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Job/Journal Number
eOM2005-01434
eOM2005-01434
eOM2005-0 1434
COM2005-0 1434
eOM2005-01434
eOM2005-01434
Payments:
Type of Payment
Check
:.
.'
10/20/2005
RECEIPT #:
2200500000000001464
Date: 10/20/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALL'S OINe,
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 18889 In Person
Payment Total:
Page 1 of 1
11:20:04AM
Amount Due
3,15
4.50
8,00
12,00
25,00
10,00
$62.65
Amount Paid
$62,65
$62.65