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