HomeMy WebLinkAboutPermit Mechanical 2003-7-3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00581
ISSUED: 07/03/2003
APPLIED: 07/03/2003
EXPIRES: 01103/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 655 CASCADE DR
ASSESSOR'S PARCEL NO.: 1702353303300
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install air conditioner
Owner: . DIETERICH JAN M .
Address: 1335 DEBRICK RD EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
DIETERICH JAN M
I BUILDING INFORMATION'
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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 Garage/Carport
Sq Ft Other:
I~pervious Surface Area:
R-3
SETBACKS
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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I
.~\C\~'*" Sidewalk Type: _ "'~l' ';'3 \iOU ~,!), .
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Storm Sewer Available:
Special Instruction:
Notes:
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00581
ISSUED: ' 07/03/2003
APPLIED: 07/03/2003
EXPIRES: 01103/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
L..Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Not Listed
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$10.00 7/3/03 1200200000000001708
$4.50 7/3/03 1200200000000001708
$3.15 7/3/03 1200200000000001708
$9.00 7/3/03 1200200000000001708
$36.00 7/3/03 1200200000000001708
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 Reauired Insoections 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.
/~#/ $~
/fJ /
Owner or Contractors Signature
7~4J
Date / r
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00581
COM2003-00581
COM2003-00581
COM2003-00581
COM2003-00581
Payments:
Type of Payment
Check
Receipt #: 1200200000000001708
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Appliance Not Listed
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department.
Public Works Department
Date: 07/03/2003
11:24:24AM
Amount Paid
3.15
4.50
9.00
36.00
10.00
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65