HomeMy WebLinkAboutPermit Mechanical 2003-8-7
..
. CITY OF SPRINGFI~LD
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
PERMIT NO: COM2003-00713
ISSUED: 08/07/2003
APPLIED: 08/07/2003
EXPIRES: 02/07/2004
VALUE:
SITE ADDRESS: 2278 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251302300
Springfield
TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install AC
Owner: MAXINE SCOTT
Address: 1264 ADELMAN EUGENE OR 97402
Phone Number: 541-461-3967
VN
I CONTRACTOR INFORMATION I
LiS~~~ Expiration Date
"c~519..6f~\'n~ 12/23/2003
I BUlLDl"G INFORMrTIf)N'I,,:>0""~Q \.
I " S"~'
-;,t>' 0- ,,:>" ~q, 1\07
# of Stor~'? 'Q~ >IS' \.s.0 O~ ~0 \~o<'~ kot Size:
H~' Iif~f.Stl-uctu~e.\1f 0' 'I '0~ . ,~'Sq Ft 1st Floor:
-,,- ... \ ,- OV !!> ,0' '1I.\V
:\1-1 ~OfJ8e.at: (:);s-\ ~\0 ~0 o~ Sq Ft 2nd Floor:
A~~ .water",~e:)" .^c,o ~0'\'\'~~ .~. Sq Ft Basement:
~" " l, It. N ~,~ 0 ~, loll
~ O-tl \~t!,',g~(Iype~p'~ .~ ~ \)'1. 'J:'1-~ Sq Ft Garage/Carport
\o'\ol''i..\C:.E~51!.Y '\!tb: ~,0\ 0~0 ~.~'5 Sq Ft Otber:
_\0" ~<?-_IO\> ~ 0 c.0 00\,.'Or:s Impervious Surface Area:
"...... f' ""\ ,'('\ ..~ .;
.~" -:;." -~... ";"~ ,.
I DEv;Ef,OP.MENTlNFORMATION ,
. ~~...'-
~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Phone
541-747-7445
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
SETBACKS
~QUlRED PARKING
~I;)~t;ll:
'\~~ ~~ndicapped:
~~ #' \~pact:
~~ ~~~ ~<$>
_,'Y~,\~:~'V
I PUBLIC IMPROVEM~NTS."''':)'<'~'\)\>~ ~'Q'
'-v' ().~. ,,-.:l ~ '" <'\c'\)'
^-'\, 0<<)- '1~'V "Slli~tk Type:
~" ,~'v \.'V ~'<,;
,\~~.\:~'V ~"",,\.J '\)~wnspoutS/Drains:
~ ~~ <01;)
,,'V ~ '\
~
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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
Paeelof2
.
. CITY OF ~rKlj~td'lJ!,L1J
Building/Combination Permit
PERMIT NO: COM2003-00713
ISSUED: 08/07/2003
APPLIED: 08/07/2003
EXPIRES: 02/07/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
IFee..~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Appliance Not Listed
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$9.00
$28.00
8/7/03
8/7/03
8/7/03
8/7/03
8/7/03
8/7/03
Receipt Number
1200200000000001917
1200200000000001917
1200200000000001917
1200200000000001917
1200200000000001917
1200200000000001917
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 Renllired Insnectionl,j
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 the work descrihed herein, and
that NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division;Bullding 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
times during construction.
.;J/}~ /f~
Owner ore~actors Signature
J/~3
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00713
COM2003-00713
COM2003-00713
COM2003-00713
COM2003-00713
COM2003-00713
Payments:
Type of Payment
Check
Ji~.
Wi...................................1
t, 1
.."..._ i
~. I
',~ '. ,.:,..~'t 1- ',. j
Receipt #: 1200200000000001917
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Appliance Not Listed
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Received By
djb
l.:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Departmen~
Date: 08/07/2003 1l:46:42AM
I)
Amount Paid
Item Total:
3.15
4.50
8.00
9.00
28.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65
.
.