HomeMy WebLinkAboutPermit Mechanical 2003-8-6
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.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00706
ISSUED: 08/0612003
APPLIED: 08/0612003
EXPIRES: 02/06/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4216 COLE WAY
ASSESSOR'S PARCEL NO.: 1802052408400
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: SHARLOW JOHN S
Address: 4216 COLE WAY SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2003
Phone
541-747-7445
# of Buildings: # of Stories: ~
Primary Occupancy Group: R-3 Height of Str~tq~~~\
Secondary Occupancy Group: Type Of' \<':l ~
Primary Construction Type VN WI ~\ ~'V~
Secondary Construction Type: ' ~~il ~~~
# of Bedrooms: ~ <':l~~ ~ ~.
~~,\\~<;-~~~ \'l~~ \<':l ~~
\~~-?'V~ ~~tr,0i>~iENT INFORMATION I
~ ~~'?'n. ~~\ 0 REQUIRED PARKING
c,(S \'0" ,'01) \
~" Overlay Dist: 1)\~0S 1 u\i\i\<f~tal:
~ # Street Trees Rqd: \a.'I'lleb~a~O(\, \.p8ndicappcd:
Paved Drive Rqd.\)~a~O(\ '0'1 \"a S a.~a Sa Z..@oinpact:
':nO\~' ,e6 ll)\e p. g<;) \
% o~~q!.160verageil9 ""ose ",,0'" e ~1)\eS
II- ~I)\e" (\\e1. \,,~oU" 0\ \" 0(\0
,,,\\o'l'l .'^" Ce ,"0,\0 _^,,\eS .0.\a9".,.,,(\
I PUBLI<NMPRQ\lIDME'~isl,\a.;\~o\a'. ~~~~ ~o\l'l"-
.~ - ~Ov . e,,\e' -n u\ _'\44'.
\ o90, \"a c O~e~ldewa~ :rype:
Cl ~\~~ \"e ~OQ';;)
c~ 1Oe1 \o~ ,e~ is '\ Downspoutsmrains:
(\I)~ C0(\
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Pe~ Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Page 1 of2
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
I Fees tiWU
Amount Paid
$10.00
$4.50
$3.15
$12.00
$33.00
$62.65
I Plan Reviews I
Date Paid
8/6/03
8/6/03
8/6/03
8/6/03
8/6/03
. Lll}' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00706
ISSUED: 08/0612003
APPLIED: 08/0612003
EXPIRES: 02/06/2004
VALUE:
Receipt Number
1200200000000001905
1200200000000001905
1200200000000001905
1200200000000001905
1200200000000001905
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.
[..Reouired Insnections ,
I 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 witbout 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 projcct.
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.
It/ /A~
Ownel.(. Contractors Signfture
Pa~e 2 of2
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