HomeMy WebLinkAboutPermit Mechanical 2004-5-28
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: COM2004-00636
ISSUED: OS/2812004
APPLIED: OS/28/2004
EXPIRES: 11/28/2004
VALUE:
SITE ADDRESS: 1160 DONDEA ST
ASSESSOR'S PARCEL NO.: 1802061312300
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: ALBER RODNEY P & CYNTHIA
Address: 1160 DONDEA ST SPRINGFIELD OR 97478
\~.co<W5
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor
MARSHALLS INC
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Set hack:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vanable:
Special Instruction:
Notes:
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2005
# of Stories: Lot Size:
R-3 Height of Structure Sq Ftlst Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy pliOOTICE: ~II flt ~!,I/eW~RK
SprinkIed1\oi!l'lilgRMIT SHfn'L!. EXPI~c!ipl1gfI.;o : T
II _ _ ._........ 'lltolnrn TUIC D~Q1\^1T IS U
'I'" \'-1.' .;...... lI.' .......---
I DEVELOPMENtINFORMA-TI0~ .' ABANDONED FOR
, ANY 180 DAY PERIOD, REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROY-EMl!:lSl'.s I
- . Oregon lal'l re~re
follow rules adopM~lUYJlmeT' . s YUo~ !o
N t"f' , uy regon lility
" 0 IlcatlOn Center.DD\oaupc/IlIPmlil'8'!etfOrfh
In OAR 952-001-0010 through OAR 952-001-
0090., You may obtain copies of the rules b
calling the center. (Note: the telephone y
number for th" n"",^^ I ,..o:~,.,. ..~ "
o - ~ ._L.\__.......,.
I ....,,, 'fr Is 1-800-332-2344)
Valuation Descriotion .
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Type of Construction
Value
Date Calculated
Total Value of Project
Paee I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00636
ISSUED: OS/2812004
APPLIED: OS/28/2004
EXPIRES: 11/28/2004
VALUE:
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
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
5/28/04
5/28/04
5/28/04
5/28/04
5/28/04
5/28/04
1200400000000000827
1200400000000000827
1200400000000000827
1200400000000000827
1200400000000000827
1200400000000000827
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'ouirerl ~tions ,
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,
Cff\~' -r~
Owner or Contractors Signature
S/'U/oL./
Date
Paee 2 of2
225 Fifth"Street
Springfield, Oregon 97477
541-726-3759 Phone
.
......~.._NQFlIlLD.. _ _'__ ".'
Wir.. !
',.i
.Jiiily of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Job/Journal Number
COM2004-00636
COM2004-00636
COM2004-00636
COM2004-00636
COM2004-00636
COM2004-00636
Payments:
Type of Payment
Check
5/28/2004
RECEIPT #:
1200400000000000827
Date: OS/28/2004
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 17739 In Person
Payment Total:
Page 1 of I
1I:30:49AM
Amount Due
3,15
4.50
8,00
12.00
25.00
10.00
$62.65
Amount Paid
$62,65
$62.65