HomeMy WebLinkAboutPermit Mechanical 2003-6-10
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00477
ISSUED: 06/10/2003
APPLIED: 06/10/2003
EXPIRES: 12/10/2003
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4252 COLE WAY
ASSESSOR'S PARCEL NO.: 1802052408700
Springfield TYPE OF WORK: Heating System
Sidewalk Type: ~\J'?-'f..
Down~~~U!.s[n~~S\~ ~\J\
~\. 't.~ ~ '?'t.'r\ 't\J'?-
\\\)'\\t~~\SI\\ ~~:\)'t.'?- \~~~\)\J~'t.\)
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~..:..'~; '., \J{...... t..'t\,,J-
I Valuation DescITi6ii'dt~t \)l>-'{ '?
l>-W'
Square Foota!!e
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pump
Owner: CISNEROS RAFAEL P & LUZ M
Address: 4252 COLE WAY SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
CISNEROS RAFAEL P & LUZ M
BUILDING INFORMATION I
License
25790
# of Buildings: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupaucy Group: Type of Heat:
Primary Construction Type VN o,):"iiter Type:
Secondary Construction Type: ~~eS 'I \~,!i'n~'i\Type:
# of Bedrooms: >tl ~eo.'V e~o~ Energy Path:
,,\'If. e ot te S"'iz:<:)i) \ ,
no.o . .,\'(Ii \oS'lf.~OIo::l .",'0.
",,\ \0~'6~~\ei;oSe ~linEVELOPMENT INFORMATION I
SETBAGKS\}\eS'lf. <c-\et, <:)~o \e~- \e\'()'<'c:l>\\v'
1>>\ ',,--l ~ G0 r:F/\. co~ \'(\0 .,,'i.\\~
Frontyard Setback: .:\\00 <'\0" .....''i)\~ O~0" (,,,,Overlay Dist:
,- ~ C" ~" O~' ~ :i.\\\'" "",
SideISetbac~O"\ !?-'do::l ~\0-'l ~0~' 0~0 z,!g:StreetTreesRqd:
Side 2 Setbacl<: <c- 01" -{ o\} e C0~ oteg 'U-~'O Paved Drive Rqd:
~ BO.. O\'(\:\Ie -'00
Rearyard Sctback':l c'8:0\\(\ ~ t \O~" et \S '\ % of Lot Coverage:
Solar Setbacks: (\'\)\'C:00 G00"1
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
Pa!!e I of 2
New
Residential
Expiration Date
12123/2003
Phone
541-747-7445
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
.
. LIlt' OF SPRll~ul'mLD
Building/Combination Permit
PERMIT NO: COM2003-00477
ISSUED: 06/10/2003
APPLIED: 06/10/2003
EXPIRES: 12/10/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fl'l's P,~id I
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
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
Date Paid
6/10/03
6/10/03
6/10/03
6/10/03
6/10/03
6/10/03
Receipt Number
1200200000000001482
1200200000000001482
1200200000000001482
1200200000000001482
1200200000000001482
1200200000000001482
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.
[,.Rl'nuirl'd Ins?l'rtioil\l
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 readahle 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.
~1:/~
Owner or Contractors Signature
~&/c;.J.
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00477
COM2003-00477
COM2003-00477
COM2003-00477
COM2003-00477
COM2003-00477
Payments:
Type of Payment
Check
6/1 0/2003
City of Springfield.
Development Services Department "-
Public Works Department ;,:..
Official Receipt
Receipt#: 1200200000000001482
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10.000
Heat Pump
Minimwn/ Adjustment Mechanical
-Mechanical Issuance Fee-
Paid 8y
MARSHALLS INC
Received By
djb
II :22:00AM
Date: 06/10/2003
Amount Paid
Item Total:
3,15
4.50
8.00
12.00
25.00
10,00
$62.65
L'heck Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
62,65
$62.65
Page I of I
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cReceipt.rpt