HomeMy WebLinkAboutPermit Mechanical 2004-6-28
. CITY 01< ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00786
ISSUED: 06/28/2004
APPLIED: 06/28/2004
EXPIRES: 12/28/2004
VALUE:
.
-'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6942 IVY ST
ASSESSOR'S PARCEL NO.: 1802022306700
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pump
Owner: MCBRIDE JIMMIE J & JULIA A
Address: 6942 IVY ST SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION'
"~\l.to
# of Units: ~~"i!!'1... \\\\\~
Primary Occupancy Group: !{TIO*'{l)1990l\ \\l.~~~~ p~c~~r~
Secondary Occupancy G~ dOpte<1 QV R~'W~n~t: \ ,
Primary Construction T~D\lO'lf rules~ef. 'l\{l~~ r-l!1il!l/fY.~~~:~( t
Secondary Constructio~D'4:a'iOn ,.001.0010 \hf!!lt\ihfiSj'(ype:~~s J-Y
# of Bedrooms: In oAR 9S2 ob1Bln !i@1E~~~ ~~~~8.~n
0090..~OU !:.~emer. ~~~{~\\W,~;'\~~I~~,~gi nla
\i.':';~;l \ot~:[.DE~giMENT'iNFORMATION I
{t..." centet. I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
New
Residential
Expiration Date
12123/2005
Phone
541-747-7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Side'{~ If~~~
"01\C~:. ~tlt>.\..\.. ~.'f,?\~~t~'1~ii'i1l\'is~9Jins:
itl\~ ?t\\~~6 \.I~\)t\\ i~~\)O~tQ rOp.
\.IitlO\\\L. 0\\ \~ t>:
~.aW\W\t~~~ ?t\\\O\)'
\~'i ...~ -
I Valuali'on DescriDtion I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Pa!!e 1 of2
Value
Date Calculated
.
. CITY OF SPRIl'IunELD
Building/Combination Permit
PERMIT NO: COM2004-00786
ISSUED: 06/28/2004
APPLIED: 06/28/2004
EXPIRES: 12/28/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F..... Paid'
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
6/28/04
6/28/04
6/28/04
6/28/04
6/28/04
1200400000000000989
1200400000000000989
1200400000000000989
1200400000000000989
1200400000000000989
Total Amount Paid
$62.65
I Plan Reviews ,
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 R..ouir..d In.n..ction..
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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
timeSduringCO=iO~ 0-::?A-OG/
~ -
Owner or Contractors Signature Date
Pa2e 2 of2
225 Fifth Street
SpringfielJ, Oregon 97477
541-726-3759 Phone
.
~p.~~f!'a...p.!~",,,",~,_ ;,:
Wit,
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ay of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
1200400000000000989
Date: 06/28/2004
11:24:42AM
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Job/Journal Number
COM2004-00786
COM2004.00786
COM2004-00786
COM2004-00786
COM2004-00786
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heal Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Paid
Check
MARS HALLS INC
djb
18042
In Person
Payment Total:
$62.65
$62.65
6/28/2004
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