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Home My WebLink AboutPermit Mechanical 2004-8-5 ;,~7~-C?~~' - , " . . . Ltl t' OF ~t'K1NGFIELD Building/Combination Permit PERMIT NO: COM2004-00971 ISSUED: 08/05/2004 APPLIED: 08/0512004 EXPIRES: 02/05/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4018 FORSYTHIA ST ASSESSOR'S PARCEL NO.: 1702314407900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: InstaU ac Owner: MAEPA ROSEMARY Z Address: 4018 FORSYTHIA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARS HALLS INC License 25790 Expiration Date 12123/2005 Phone 541-747-7445 VN BUILDING INFORMATION I .t ~~" # of Stories: \~ \\\~ e: Height of Structure ~i-'?\'r.~ ~'r.~\\ Fftft 1st Floor: TIl\l\liat~ ~\\t>-\.\. \\\\~ '? rJ~~\) ~'tt 2nd Floor: \~te~ ~\ \j~\)~'r. l'>t>-~\) Sq Ft Basement: '\l\~ 't.\) O'r. \~ ~ Sq Ft Garage/Carport E~~~ !\I~~\) ~'r.\O\)' Sq Ft Other: SP'i!J~Jl.te"d\'B"i~~\> nla Occupant Load: 'J ~\\\l I DEVELOpMENT INFORMATION I REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: __you- ON' oregon - A__ Utilitf ,~N'f! . u ~t"': tN!l Ul"lr"'"-: tY'" I PUBLIC IMP~tJ.\CHMi~:f. 1l\C)S8~:W:952.oo'. Nom'......r. 2.o0'.()O~~~4.h8 tu\8S bY \n OAR 95 obtali\~~ ttlI~ 0090, YoU may nteeo\I"o:l.",.1b~~ calling the :e oregon Utll\!.AA\. number'or ... ,~~ centef ... Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e I of2 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 Vnit Vp to 10,000 Minimum/Adjustment Mechanical Total Amount Paid . I Fp.p.s P3id I Amount Paid Date Paid . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00971 ISSUED: 08/05/2004 APPLIED: 08/05/2004 EXPIRES: 02/05/2005 VALUE: Receipt Number 1200400000000001190 1200400000000001190 1200400000000001190 1200400000000001190 1200400000000001190 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 $8.00 $37.00 8/5/04 8/5/04 8/5/04 8/5/04 8/5/04 $62.65 I Plan Reviews I I Rp'olJirp.rl \lwlp.~tion\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 OCCVP ANCY 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:'iztr1tio"j-1/ ft) -S -0<-/ t!:3c.",,;;;~{!~ Paee 2 012 Date . ~ i 225 Fi~th Street - . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004.0097I COM2004-00971 COM2004-00971 COM2004-0097I COM2004,0097I Payments: Type of Payment Check 8/5/2004 RECEIPT #: _ of Springfield Official Receipt WVelopment Services Department Public Works Department 1200400000000001190 Date: 08/05/2004 Description + 10% Administrative Fee Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fe..... + 7% State Surcharge Paid By MARSHALLS INC Received By djb PaRc 1 of I Item Total: Check Number Authorization Batch Numher Numher How Received 18122 In Person Payment Total: 2:57:42PM Amount Due 4,50 8.00 37.00 10.00 3,15 $62.65 Amount Paid $62.65 $62.65