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Home My WebLink AboutPermit Mechanical 2004-5-28 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF ~rKlj~tJl'mLlJ Building/Combination Permit PERMIT NO: cOM2004-00638 ISSUED: OS/2812004 APPLIED: OS/28/2004 EXPIRES: 11128/2004 VALUE: ~ SITE ADDRESS: 2441 MAlA LP ASSESSOR'S PARCEL NO..: 1703251408600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: ROGER HAZEL Address: 2441 MAlA LP SPRINGFIELD OR 97478 Phone Number: 541-746-4100 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor MARSHALLS INC Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description License 25790 Expiration Date 12123/2005 I BUILDING INFORMATION I # of Stories: Lot Size: R-3 Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Ran~1 ~e(. E' Sq Ft Garage/Carport Energyli'Alli: . .sQ.IiHltt'Jl!iK SprinTdelbBlliiar~F SHAll ~IRE Iromut: V~~JL d: .. .T' ,nnnen 'IMnnl THI" PFRMII ~~'i~u'l" I DEVELOPMiNnil~~,~~,j\ll(I0N\,ANDONED FOR .'1{. \ H' ,,, r: l" ANY 180 DAY t"'t:KluU.. REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBl,IIclTh...~ ":HM~'W requIres you to TOllbW rJres aOU~ltlU u9 the Of'p&.q.'iklJ,tili!y. Notification Center. Those ru16s afe set f81ih in OAR 952-001.Q010 througtro}\;~DIiOOl)tains: 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification ':':_.0.:-_ l-:-" ..,^^ "'''1"\ ".,ltA) I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Total Value of Project Pa!!elof2 . . UJ f OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00638 ISSUED: OS/28/2004 APPLIED: OS/28/2004 EXPIRES: 11/28/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fee~ ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $33.00 5/28/04 5/28/04 5/28/04 5/28/04 5/28/04 1200400000000000825 1200400000000000825 1200400000000000825 1200400000000000825 1200400000000000825 Total Amount 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. I Renuir"d 'n~'i'''etion\l 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 pertainiug to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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.. r ~~ /'rL----- S/28'J oL-j Owner or Contractors Signature Date Pa!!e 2 of2 225 Fifth Street 1_. . Springfield, Oregon 97477 541-726-3759 Phone tt ~!r~_'!(C!.,"'~,",~' T.- .--.,." i, ~' .; ...~ I . 'j ~ .,,< ..' ..~..."", , av of Springfield Official Receipt .elopment Services Department Public Works Department RECEIPT #: 1200400000000000825 Date: OS/28/2004 1l:29:24AM Job/Journal Number COM2004-00638 COM2004-00638 COM2004-00638 COM2004-00638 COM2004-00638 Description -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical Payments: Type of Paymeut Paid By Check MARS HALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 17739 In Person Payment Total: Amount Due lO.OO 3.15 4.50 12.00 33..00 $62.65 Amount Paid $62.65 $62..65 5128/2004 Page 1 of 1