HomeMy WebLinkAboutPermit Mechanical 2004-5-13
.' CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00575
ISSUED: 05/13/2004
APPLIED: 05/13/2004
EXPIRES: 11/13/2004
VALUE:
.
Status
Issued
'*
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS, 2306 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251302400
Springfield
TYPE OF WORK: Healing System
TYPE OF USE:
PROJECT DESCRIPTION: Install AC
Owner: SUITTS RICHARD 0 & KATHRYN L
Address: 2306 MAlA LOOP SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION'
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heal:
Primary Construction Type VN Water Type:
Secondary Conslruclion Type: Range Type: OR\\
# of Bedrooms: "{\CE' ~m~;.Il~~HE \N \'
~~\~ PI'RMIl S\1,~~~ 1>fJi~~!\\r!l~~O n/a
~1I\'\10R\Lt~~' DE\(ill(l}PM.~N'fINJ6~TlON 1
COMME\'l~f\'1 PERlciu.
f\\'l'l i 80 Overlay Dist:
# Streel Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
Frontyard Setback:
Side 1 Selback:
Side 2 Setback:
Rearyard Selback:
Solar Selbacks:
New
ResidenliaI
Expiration Date
12/23/2005
Phone
541-747-7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq FI Basemenl:
Sq FI Garage/Carport
Sq FI Olher:
Occupanl Load:
~
REQUIRED PARKING
Total:
Handicapped:
Compact:
_~...r>"n'ltn
I PUBLIC IMPROl'EMEih?~~;pt:J~~ ~;th~~ Oregon Utility
,uuv" . -. - - . ...,1,,"1 are set forth
Notification centeSull!Wa'lJi111f8AR 952-001-
in OAR 952-001-OBbQ,mh~~9lLual\l!:rules by
y obtam C'Vf'IIi!l~..
0090. You ma t (Note: the telephone
calling the cen er. Utility Notification
number for the Oregon
Center is 1_800-332-2344).
I Valuation Descriotion I
Slreet Improvemenls:
Storm Sewer Available:
Speciallnslruclion:
Notes:
Descriplion
$ Per Sq FI
or multiplier
Square Foolage
or Bid Amount
Type of Conslruclion
TolaI Value of Projecl
Paeelof2
Value
Date CaIculaled
.
. Loll:r' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00575
ISSUED: 05/13/2004
APPLIED: 05/13/2004
EXPIRES: 11/13/2004
VALUE:
Status
Issued
225 Fifth Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
L..Fees Paid 1
Fee Description
-Mechanical Issuance Fee-
+ 10% Adminislralive Fee
+ 7% Stale Surcharge
Air Handling Unit Up to 10,000
Minimum/Adjustmenl Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$37.00
5/13/04
5/13/04
5/13/04
5/13/04
5/13/04
2200400000000000553
2200400000000000553
2200400000000000553
2200400000000000553
2200400000000000553
Tolal 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 Relluired Insocctions 1
1 Rough Mechanical: Prior 10 Cover
2 Final Mechanical: When all mechanical work is compIele.
By signalure, I slale and agree, thai I have carefully examined the completed applicalion and do hereby certify thai all
informalion hereon is Irue and correct, and I furl her certify thai any and all work performed shall be done in accordance wilh
the Ordinances of the City of Springfield and the Laws of the Slale of Oregon pertaining to the work described herein, and
Ihal NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I furlher certify Ihal only conlraclors and employees who are in compliance wilh ORS 701.005 will be used on this projecl.
I further agree to ensure that all required inspeclions are requesled al the proper time, Ihal each address is readable from Ihe
slreet,lhat Ihe permit card is located al the fronl of the property, and the approved set of plans will remain on Ihe site al all
limes during conslruclion.
:ei.1L~~
S-l'5-6Y
Date
Paee 2 of2
225 Fifth Street
SjJrlngfi'eld, Oregon 97477
541-726-3759 Phone
.
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JiilY of Springfield Official Receipt
_elopment Services Department
Public Works Department
RECEIPT #:
2200400000000000553
Date: 05/13/2004
2:42:37PM
Job/Journal Number
COM2004-00575
COM2004-00575
COM2004-00575
COM2004-00575
COM2004-00575
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up 10 10,000
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paymenls:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
3.15
4.50
8.00
37.00
10.00
$62.65
Amount Paid
Check
MARS HALLS INC
djb
18000
In Person
Payment Total:
$62.65
$62.65
5/13/2004
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