Loading...
HomeMy WebLinkAboutPermit Mechanical 2004-6-28 . CITY OF ~1"K11~ljl'1J<.;LU Building/Combination Permit PERMIT NO: cOM2004-00784 ISSUED: 06/28/2004 APPLIED: 06/28/2004 EXPIRES: 12/28/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: H20 FAIRVIEW DR SPACE 18 Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1703273100600 PROJECT DESCRIPTION: Install heat pump TYPE OF USE: Residential Owner: JIM CHRISTIAN Address: H20 FAlRVIEW DR SP 18 SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor License MARSHJ\."\<!Hl'i.~nn law requires y?~,~?. 25790 Al \,;..11_. ,.~- ...-...... -.. . t II w rules adopter ~YILDlNGJNFORMJ\ifION I o 0 C ter I ,,[,~- ' . 001 N titication en. . "h OAR 952- - # of Units: 0 952-001-001 0 thrqj.~f"St~~\~~: rules by Primary Occupancy Gro\lp9AR" U R.3. obtain COlflighq of Structure .no..Q..O ,0 nrc:ry . . Tl'1P t'Cl\lo'PIIVl.... Secondary Occupancy G"'"'P' . . \M.center. (NeJllJ'pe of Heat:'Q\'\rtn . . \\\ng ....,,\'...,{~n\lll"".. 'd PrImary Construction TypeC8 f ~he OregonWa(erJ:r~pe: Secondary Construction T)1Illfl\ber or ter is 1-BOOrourg.?:ry~t: # of Bedrooms: Cen Energy Path: Sprinkled Building: Contractor Type Mechanical I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: New Phone Number: 541-726-5054 Expiration Date 12I23/2005 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 IJW!tlC;liMPRQV~E If 1HE WOH~ lHIS Pt"'I\V~ID' UNDER lHIS PE~~JJ~.NRpe: AlHHOR\ " "BANDONtD t~\!{ OMMENCED OR IS " "Oownspouts/Drains: ~N'< '\80 DA'< PERIOD. Notes: I Valuation Descriotion , Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Paeelof2 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 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid I Fees Paid I Amount Paid Date Paid . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00784 ISSUED: 06/28/2004 APPLIED: 06/28/2004 EXPIRES: 12/28/2004 VALUE: Receipt Number 1200400000000000991 1200400000000000991 1200400000000000991 1200400000000000991 1200400000000000991 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. $10.00 $4.50 $3.15 $12.00 $33.00 6/28/04 6/28/04 6/28/04 6/28/04 6/28/04 $62.65 I Plan Reviews 1 I Reouired I nsnectionsJ Rougb 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 :~:l:jy~ft Owner or Contractors Signature Paee 2 of2 6 - 2fJ ~()(/ t' Date 225 Fifth Sit,eet Springfield, Oregon 97477 541-726-3759 Phone . ~ jjiitY of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000000991 Date: 06/28/2004 H:26:37AM Job/Journal Number COM2004-00784 COM2004-00784 COM2004-00784 COM2004-00784 COM2004-00784 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid Check MARSHALLS INC djb 18042 In Person Payment Total: $62.65 $62.65 6/28/2004 Page I of I