HomeMy WebLinkAboutPermit Mechanical 2003-7-18
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CITY OF ~rKll~uNj<,LU
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00641
ISSUED: 07/18/2003
APPLIED: 07/18/2003
EXPIRES: 0111812004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5007 FORSYTHIA DR
ASSESSOR'S PARCEL NO.: 1802042202600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler.
Owner: KING DAVID H & DIANE J
Address: 5007 FORSYTHIA DR SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2003
Phone
541-747-7445
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
~Energy Path: Sq Ft Other:
,~()~ ",\ Impervious Surface Area:
sy, ...\'u ..0
~Y" ~ ~1l\l)~\(ELOPMENT INFORMATION I ~0<:J ~V~\~~'\ ~
SETBACKS Y,,-{S'I. ~~ f:l~' ~0o..-'>~ ~O~Wr~D PARKING
~\.. ~S ~~ ~ O~e ~0 l)~tJ 'Q
Front yard Setbac.k: S-?-~ ~ ~ ~~\) Overlay Dist: O~ \0' ~0 ~0<:J 0'~<\l~I: ~0'" ,
Side I Setba.s~~' *-' '\:)~'V~ S ~<Q # Street Trees Rqd: .I.j\0QJ 0 'O~ 0 \oJ O':;Wlai~~d:
Side 2 Se,tIjjlJ''I1: ~Y,,~ ~y"'V ()~ '\ ,()'V' Paved Drive Rqd: . '\O~' OO~\0 -(.~o'i:i o-'>~~ r:JCom~t3.~O~
"v.~S fJ~ x.-'V f'{,~\ .~\ 0' e\', O~\ '~0<:J 0\0' .~\C
Rearyard setlia!llC &.~\J ~ ~ % of Lot Coveq.ge:~e'b Ce~ J:P" CO~. ~ ~o~
Solar Setbacl;~~~~" 'O~ \) ~:~o~:"O~n.cO', o'O\~~ ~o:~~~~",
~~' 'PUBLIC IMPRO~~~\) ~~'cP"O\~:O(y~",.
, p ~ 'fS'o0 ,_u
Street Improvements: . \\~l;;)91Q' ~'(:-~ ~~'\Je~Il1>Type:
C0' '!)0 lA~
Storm Sewer Available: <:-.-'>~ Downspoutsillrains:
Special Instruction:
R-3
VN
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
Paee] 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
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
L.F....s Paid I
Amount Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25,00
$62.65
I Plan Reviews I
Date Paid
7/18/03
7/18/03
7/18/03
7/18/03
7/18/03
7/18/03
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00641
ISSUED: 07/18/2003
APPLIED: 07/18/2003
EXPIRES: 01/18/2004
VALUE:
Receipt Number
1200200000000001792
1200200000000001792
1200200000000001792
1200200000000001792
1200200000000001792
1200200000000001792
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.
I U"nnt\rf>d l1snectinns I
~lIlllllll'f
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 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
tim~~tWb
, .
Owner or Contractors Signature
Page 2 of2
Y-/R-OS
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00641
COM2003-00641
COM2003-00641
COM2003-00641
COM2003-00641
COM2003-00641
Payments:
Type or Payment
Check
Wi'P.'~'~~,-'~="",'.,~" ',1
~ '.. i
,eM i
.. ,.- . .._ >_..,~ ,,,"~:c;:J ',-,'
Receipt #: 1200200000000001792
Description
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
l.:heck Number
Batch Number Authorization Number
Paid By
MARSHALL'S, INC
Jrnp
17386
-"
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/18/2003 1l:28:37AM
Amount Paid
Item Total:
8.00
12.00
10.00
25.00
3.15
4.50
$62,65
How Received
In Person
Payment Total:
.
Amount Paid
$62.65
$62.65
.
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itif~
LOCATION OF PROPOSEO WORK: P'rY'lJ_ ~'I.Q..I_ ('i.h'I~, y,
ASSESSORS MAP' \ 'R t:."t.. 0 IS,.. -z.. 'Z-O \ I - TAX LOT
OWNER: IJrt'Jf' 3 \)~o...r\~ ~n..
ADORm.' ,C'1'Ir--. 'I t:::rv-.<:::"Ij~ i r:.ht ,
CITY: ,~ri (lor- . STATC. t\ K
OESCR'B'Y"ORK:~ _ ~ \'Y",,-A t ~ {...\ l r "5 fA I +4
NEW~ REMODEL_ ADDITION_ DEMOLlSH__ OTHER
.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOT'
CONTRACTOR'S NAME
JOB NUMBERCOf'I\ ~001--
225 FHlh S,,.el QO b4-,
Sprlngrteld, Oregon 97417
C:~lbO
BLOCK:
SUBDIVISION:
PHONE: _~ i': (. - fjC). \ 9
ZIP:
Cl/Jd)~
ADDRESS
CQNST.
CONTRACTOR II
EXPIRES ::- PHONE
GENERAl.
PWMBING:
MECHANICAL:J\)\(~.h(\l .1. 1 ..<:\
ELECTRICAl.
,~C)Jqn
- OFFICE USE -
OUAD ARE/" LAND US,:. FLOOD PLAIN:
II OF BLDGl:'. II OF UNITS: ZONING CODE:
OCCY GROUP. CONSTR. TYPE: " OF BDRMS:
II OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
To r~QII"'ot e!1lr\sp~ct!on. you nl:Jst -: III 725 3?f,9. Ttl:::::<: ;.a'::~ :;.:.;;~ r.:...:.o:dilly. A:ll;,~pc':'iivr,:. '~4oJl;l:;il::u uCloro l:uu a.m. will DC
made the same workIng day. Inspecllons rcquested ofler 7:00 a.m. will be made the following work day.
o Temporary Electric
o SlIe Inspection - To be mado
after excave:tJon, but prIor to
setting forms.
o Undersle:b Plumblng/Electrlcell
Meche:nlcal - Prior to cover.
o Footing - After trenches are
excavated.
o Me:sonry - Steel location, bond
beams, grouttng.
o Founde:t1on - After forms e:re
erected but prior to concrete
ple:cemonl.
o Underground Plumbing - Prior
to filling trench.
O Underlloor Plumblng/Mechanlce:1
- Prior to Insulation or deckIng.
o Post and Beam - PrIor 10 floor
Insule:t1on or decking.
D Floor Insulation - Prior to
deckIng.
O Sanlte:ry Se:wer - Prior to filling
trench.
O Storm Sewer - Prior 10 filling
trench.
D We:ler line - Prior to filling
trench.
O Rough Plumbing - Prior to
COYer.
REQUIRED INSPECTIONS
o Rough MechanlcDI - Prior 10
cover.
o Final Plumbing - When all
plumbing w()rk Is complel.e.
D Rough Electrlc..1 - Prior 10
cover.
o Final Electrical - When all
electrical work Is complete.
o Electrical Service - Must be
approved 10 obtain permanent
oleclrlcoJ power.
o Final Mechanlce:1 - When alt
mechanical work 15 complete.
o Fireplace - Prior to faCing
malerlal~ and framIng lnsp.
o Final BUilding - When all
required Inspections have been
approved and bul1dlng Is
completed.
o FramIng - Prior to cover.
o Other
o WallfColUng Insulation - Prior to
cover.
o Drywall - Prior 10 taping.
MOBILE HOME INSPECTIONS
o Wood Stovo - After Installation.
o Insert - Alter fireplace: approval
and In9te:lle:tlon 01 unIt.
. 0 Blocking and Set.Up - When e:1I
blocking Is complete.
o Curbcut & Approach - Alter
lorms are erecled bur prior to
placement of concrete.
o Plumbing ConnecUons - When
home has been connected to
water and sewer;
O Sidewalk & Dtlvew3V - After
excavation Is complete, lorms
and sub.basCll ml'llerlal In placo.
o Eleclrlce:1 Connecllon - When
blocking, set.up, and plumbing
Inspections have been approved
and tho home Is connecled to
the service panel.
D Fence - When co;,lpleted.
o Final - Alter all required
Inspections e:re e:pproved and
porchos, skirting, decks, and
venting heve been Installed.
O Str..t Tto.. - When all roqulred
trees e:re ple:nled.
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