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Home My WebLink AboutPermit Mechanical 2005-2-10 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .~ CITY OF SPRINGFI~LD Building/Combination Permit PERMIT NO: COM2005-00164 ISSUED: 02/10/2005 APPLIED: 02/10/2005 EXPIRES: 08/10/2005 VALUE: SITE ADDRESS: 4957 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042203300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and coil Owner: Address: SHARON BONINE 4957 FORSYTHIA DR SPRINGFIELD OR 97478 Phone Number: 541- _., \0 .\'(e':l '1-, \,,\\\"1 I CONTRACTORINF0RMAU'ION I "d~J," 'o'l \'(I" - S '(J.\" - ?_QIJ' Contractor. ,",' Ot.'-'O'?wcj ose I,,\e Or-?- '2fic~ris't MARSHALL'S I~~,e" :;O~\e\. \~,,,,\o"~~ ,,\ \,\\ei~7~e \1..' . -, ,- -........ .......~.- \"'\'.~ ,",0" , ,\,(;'(J.\\" .BtlII;DINGIlNFORW,A TI@Nf ~()~r-?- 9'-" ~'3-'l v~~' ~~; \),}}..~ ~......). \1'1 9()'~O 'I\\,#(Jlf'S fi~ ';,'1':/:1 1M' '3-\'i\I'~~~~, "of~~ure C ,,~'Oe\ ~c\'hieat: VN ~ ater,Type: Range Type: Energy Path: Sprinkled Building: Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronlyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Expiration Date 12/23/2005 Phone 541-747-7445 nla Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I P,UIlbI€',IMPROVEMEN'E5.I,E \1' I\-\E VVU~~ , CD'~\ \ "'" .-- nCIl'~n IS N 1\-\\S 1'0."" \J"OER "I\-\\S r L Sidewi1lk Type: OR\7.EO " NOONE\) tun l\\Jl\-\ ENCEO OR IS 1\'01\ DownspoutslDrains: CO\'JI\'JI 0 Ol\'{ PERIOO, I\N'{ '\8 I Valuation Descriotion I I I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 . . CITY 01< ~rKll'lunELD Building/Combination Permit PERMIT NO: COM2005-00164 ISSUED: 02/10/2005 APPLIED: 02/10/2005 EXPIRES: 08/10/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fp.p.~ P,\lirl' Fee Description -Mecbanicallssuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 htu Heat Pump Minimum/Adjustment Mechanical Amount Paid $10.00 $4.50 $3.15 $12.00 $12.00 $21.00 Date Paid 2/1 0/05 2/10/05 2/1 0/05 2/10/05 2/10/05 2110105 Receipt Number 3200500000000000053 3200500000000000053 3200500000000000053 3200500000000000053 3200500000000000053 3200500000000000053 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. 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 herehy 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 descrihed 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 he 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. ~/Z~ .d~-- :z -/O-cJc~ Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfiel~ Oregon 97477 541-726-3759 Phone . ~r~I!!!!!!.F1,',~._-'--~_.-- " IIiL ;, ". i ,,__~~ _"'-.,' ....f City of Springfield Official Receipt eeIopment Services Department Public Works Department Job/Journal Number COM2005-00164 COM2005-00l64 . COM2005-00 164 COM2005-00 164 COM2005-00 164 COM2005-00164 Payments: Type of Payment Check 2/10/2005 RECEIPT #: 3200500000000000053 Date: 02/10/2005 Description + 7% State Surcharge + 10% Administrative Fee Boiler/Comp Up To 100,000 btu Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARS HALLS INC Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 18453 In Person Payment Total: Page I ofl 2:28:42PM Amount Due 3,15 4.50 12.00 12,00 21.00 10.00 $62.65 Amount Paid $62,65 $62.65