HomeMy WebLinkAboutPermit Mechanical 2003-7-9
-.
Status
Issued
~
.~ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00608
ISSUED: 07/09/2003
APPLIED: 07/09/2003
EXPIRES: 0110912004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
SITE ADDRESS: 2420 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251403900
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: InslaU Heat Pump
Owner: MAlA LLC
Address: 2433 MARCOLA RD SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
MAlA LLC
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
BUILDING INFORMATION 1
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construclion Type
Secondary Construction Type:
# of Bedrooms:
# of Slories:
Heighl of Slructure
Type of Heal:
Waler Type:
Range Type:
Energy Palh:
Lol Size:
Sq Ft 1st Floor: .
Sq Ft 2nd Floor:
Sq FI Basement:
Sq Ft Garage/Carport
Sq FI Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENluuuRMATION 1
Frontyard Selback:
Side 1 Selback:
Side 2 Selback:
Rearyard Setback:
Solar Selbacks:
Overlay Disl:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
REQUIRED PARKING
TolaI:
Handicapped:
Compacl:
I PUBLIC IMPROVEMENTS'
Streel Improvements:
Slorm Sewer Available:
SpeciaIlnslrucllon:
Sidewalk Type:
DownspoulslDrains:
Notes:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
;;.FI ,',\1 IIOI~:Llwgon law requires you to
foii~J'1 r _d('~ ~Iuofjio(' t1Y th{: Or3gon Uti':~Y
i\!C':!jl.....;!.,.J' _~'.':l': L \ ....~s:.ir',..
inU':'.!-I.-I:'_~'iltl'-\.:'j ,-(," "-~,.\ -:- ,'~",_JjO'
009t), '.'~"lll nl~\ :,' ,.,: - :fJ;, - of tr'J rp:e:J t.
callin" tll:' er::',,~r ,r'll!e: the tE"~"il()n8
number k'i" '>- n->....:J:;;'llJti!it~, j\1('~'i~;cati~n
('nrte: 151-CCO-332-2344).
Paeelof2
.
. CITY 01< ~rKlNGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00608
ISSUED: 07/09/2003
APPLIED: 07/09/2003
EXPIRES: 0110912004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspecllon Line
I Valuation Descriotion ,
Descripllon
Type of Construction
$ Per Sq FI
or multiplier
Square Foolage
or Bid Amounl
Value
Dale CaIculaled
Tolal Value of Projecl
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Adminislrative Fee
+ 7% Slale Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Numher
$10.00
$4.50
$3.15
$12.00
$33.00
7/9/03
7/9/03
7/9/03
7/9/03
719103
1200200000000001732
1200200000000001732
1200200000000001732
1200200000000001732
1200200000000001732
Total Amounl Paid
$62.65
I Plan Reviews I
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.
Rf>olJirp.d InsnectionsJ
1 Final Mechanical: When aU mechanical work is complele.
By sIgna lure, I stale and agree, Ihal I have carefully examined Ihe completed application and do hereby certify Ihal all
Information hereon is true and correct, and I further cerlify Ihal any and aU 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 Ihe work described herein, and
Ihal NO OCCUPANCY will be made ofany slruclure without permission oflhe Community Services Division, Building Safety.
I further certify Ihal only contractors and employees who are In compliance with ORS 701.005 will be used on Ihis project.
I furlher agree 10 ensure Ihal all required inspections are requested al the proper lime, Ihat each address is readable from Ihe
slreel, Ihallhe permll card is located at Ihe fronl of the property, and Ihe approved set of plans will remain on the sile al all
times during conslruction.
%Jd:-v.~~ 1-9-o~
/'
Owner or Contraclors Signa lure Date
Page 2 of2
"
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00608
COM2003-00608
COM2003-00608
COM2003-00608
COM2003-00608
Payments:
Type of Payment
Check
Paid By
MARSHALLS
Wit~.~'~"'~.'.""" ........ '1..
....... . ~
'j, of
~,~.j ,-,-
~~.........."", ..,..
Receipt #: 1200200000000001732
Description
Heat Pump
Minimwnl Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
ReceIved By
dIm
t.:heck Number
Batch Number Authorization Number
17365
City of Springfield Official Receipt
Development Services Department
Public Works Departmeo.t
,
Date: 07/09/2003 1:36:55PM
Item Total:
How Received
In Person
Paymenl Total:
Amount Paid
12.00
33.00
10.00
3.15
4.50
$61.65
Amount Paid
$62.65
$61.65
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