Loading...
HomeMy WebLinkAboutPermit Mechanical 2004-4-28 Building/Combination Permit PERMIT NO: COM2004-00476 ISSUED: 04/28/2004 APPLIED: 04/28/2004 EXPIRES: 10/28/2004 VALUE: . Status * Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1377 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703252205700 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Replace ai handler add heat pump Owner: ALSTON T BURKE & SHEILA Address: 1377 LA WRIDGE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN Water Type: Secondary Construction Type: ' 'Oregon lavJ'taogelllYpeYou. ~o # of Bedrooms: ATTENTION. ed by t"'!letgy~at1i:Utlhty . follow rules adopt Those rules are set fort' ." __ r"ontAr. _ .. _ t"\1:.,,_nn" -. \IULlIl...........- ......_....-.......~... 10 OAR 952-001-1I'1' uJ'. Y J'.LOEMEN'fEINFORMA TION I SETBACKS 0090. You may oew..' t". the telepnon" . the center. (No e.... " ':"cation Front yard Setback' calling nOverbi"~D1st.1 . h Orego ~..J' ' Side I Setback: number tor ~ _~:" 1_R(\n_~,~.tre~tl:r~~es Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: Solar Setbacks: % of Lot Coyerage: Street Improyements: Storm Sewer Available: Special Instruction: l1ul;~L ". THIS PERMIT fl~.\.lQ~6;IlNI,".1~~)vElMENJfS I AUTHORIZED UNDER lHI~ ~tt\IV\l1 I;) I'U I COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . \...11 r OF ~rK11~ul'l~LD New Residential Expiration Date 12/23/2005 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspoutsffirains: Notes: I Valuation Descriotion , Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa2elof2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection 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 . I Fl'l's PfclirlJ Amount Paid Date Paid . CITY OF ~rKll'\jGFIELD . Building/Combination Permit PERMIT NO: COM2004-00476 ISSUED: 04/28/2004 APPLIED: 04/28/2004 EXPIRES: 10/28/2004 VALUE: Receipt Numher 1200400000000000556 1200400000000000556 1200400000000000556 1200400000000000556 1200400000000000556 1200400000000000556 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. $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 4/28/04 $62.65 I Plan Reviews I l..Rl'lJuirl'd InsnectionsJ 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 tbe work described herein, and that NO OCCUPANCY will be made ofany 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. ~{~/f1! Paee 2 of2 Aj. -2.F.- (y..( r Date 225 Fifth Street Sprtngfierd, Oregon 97477 541-726-3759 Phone . .I!~'I!I_"'.. Wit, . - , , , ' "-.- Jiiily of Springfield Official Receipt, "elopment Services Department Public Works Department Job/Journal Number COM2004-00476 COM2004-00476 COM2004-00476 COM2004-00476 COM2004-00476 COM2004-00476 Payments: Type of Payment Check 4/28/2004 RECEIPT #: 1200400000000000556 Date: 04/28/2004 Description Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By MARS HALLS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 17969 In Person Payment Total: Page I of 1 10:08:16AM Amount Due 8.00 12.00 25.00 10.00 3.15 4.50 $62,65 Amount Paid $62.65 $62.65