HomeMy WebLinkAboutPermit Mechanical 2005-4-6
-.~
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00365
ISSUED: 04/06/2005
APPLIED: 03/31/2005
EXPIRES: 10/06/2005
VALUE:
}i~
"
Status
Issued
225 Finh Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
srn: AlllJllESS:'502 LOCHAVEN AVE
ASSESSOI{'S 1'''\ RCEL NO.: 1703271301200
. '
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRWTlON: Install heat pump
I
I
OWIIl'r: IJOYLE RUSSELL
A("lrl'SS: 502 LOCHAVEN AVE
SPRINGFIELD OR 97477
Phone Number: 541-746-0188
I CONTRACTOR INFOHMATION I
Contractor Type "
l\lcrhankal J
Contractor
MARSHALLS INC
License
25790
Expiration Date
12123/2005
Phone
541-747-7445
",' , I BUILDING INFORMATION I
I:" [, Oregon fa
# of Units: .. ,.;, . -'fOi-'ted b W re"IOfli!<lf~' :
Primal')' O"l'nl",n(')' ~roup: ' . '~~1~~3 ThoY the <Heij~fJo I~cture
Sl'condar)' Occnpancl.' Group: -I. Cl-001Q th se rU/E!I;J:p.'I:<<J!,1 ~~~
I'rimar\' Construction Type' n::;. /VN rOUgh o.\!<rler. -" Q[f/J
, . O)""n c' .,..", <J " 1\
SI'CfJlHlar)' Constrnction Type:. Gent"r OPles O~~,~'U)' e:1.
# of Bcdrooms: '''II' ~, Ine O~' (Note: the Ener~~litfiy
, reg <CIt:iJ.Jl
!.~';,I'er is 1 On Utility tSpnn uilding:
". ' -Bnn."..,.... _ ~"'LJTlcatj"...
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
-_ C-.-'L/"'\"
I DE'vEL9,P~,~ENT INFORMATION I
I Frolll~':tnr Sl'thnrk:
Side I Set hack:
Silk 1 Sl'lhill'k:
Hl'ar)'ard Sl'thack:
Sola!' Scthad:s:
Overlay Dist:
# Street Trees Hqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUlHED PARKING
Total:
Handicapped:
Compact:
, .,
" I PUBLIC II\Il'ROVEMENTS I
NOTICE: '---
Stn"'lllIIl'ro\'emlrN~ PERMIT SHALL EXPIRE IF THE WORK
Slnnn Sewer A\'~le~.\e':JRIZED UNDER THIS PERMIT IS NOT
Sl'eciallnstrlll'li<~bMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Sidewalk Type:
DownspoutslDrains:
Noh's:
I ValuatiOl~_ Dcscriotion I
Ol'SlTinlioll
Type of Construction
$ Per Sq 1'1
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00365
ISSUED: 04/06/2005
APPLIED: 03/31/2005
EXPIRES: 10/06/2005
VALUE:
Status Issued ,[
225 Fifth Street, Springfield, OR
541-726-3753 Phone "
541-726-3676 Fax
541-726-3769 Inspeeti,on Line
Total Value of Project
Fees I'aill I
Fl'(' Dt'srrilllion
-Ml'l'h:lIIkallssunnce Fee-
+ tOI:.{1 "dll\il1islrati\J~ Fee
+ 7'X, StHlc Surl'lHlrge
Ileal Pump
1\'Iiuimum/AdjusfmCli,t 1\1cchanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
4/6/05
4/6/05
4/6/05
4/6/05
4/6/05
2200500000000000391
2200500000000000391
2200500000000000391
2200500000000000391
2200500000000000391
Total Amo'hnt Paid
$62.65
I Plan Rcviews I
To RCC]UI'st an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will he made the sa'mc working day, inspections requested after 7:00 a.m. will be made the following work
day. :;
I Rennir"" III'l"'l'Iions I
Rough l\lechanical: Prior to Cover
Final M,'chanical: When all mechanical work is complete.
"
lIy' signal'''''', I slale and agree, that 1 have carefully cxamined the completed application and do hereby cerlify that all
infon"ati"n 1]('I"<'lIn is irlle and correct, and 1 further eerlify that any and all work performed shall be done in accordance with
Ihe Ordi"ances of Ihe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
Ihat NO OCCU I' ANCY will be made of any struclure wilholll permission of the Community Services Division, Building Safety.'
1 flirt her eerlify that ohly contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to cnsu~e that all required inspections arc requested at the proper time, that each address is readable from the
street, Ihat Ihe permit brd is located at the front of the property, and the approved set of plans will remain on the site at all
tiIlH.'S during l'ollslruction.
~,~.:.- :, .~~~----
7"--6-0";-
OWlH.'r or COlllnlctors Signature
Date
Page 2 of2
225 Fifth Street
Springfield, O,regon 97477
541-726:.J'759 Phone
.
8~~'~"~~FI~.__,.._ \.
Wir'
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City of Springfield Official Receipt
eelopment Services Department
Public Works Department
RECEIPT #:
2200500000000000391
Date: 04/06/2005
11:45:55AM
Job/Journal Number
COM2005-00365
COM2005-00365
COM2005-00365
COM2005-00365
COM2005-00365
Description
+i7% State Surcharge
+: 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
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
Amount Paid
Check
MARSHALLS INC
djb
18541
In Person
Payment Total:
$62,65
$62.65
4/6/2005
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