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Home My WebLink AboutPermit Mechanical 2004-1-29 . . CITY OF ~rK1r'<luNJ:!,LD . Status Issued Building/Combination Permit PERMIT NO: COM2004-00127 ISSUED: 01129/2004 APPLIED: 01129/2004 EXPIRES: 07/29/2004 VALUE: , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 5563 GLACIER DR ASSESSOR'S PARCEL NO.: 1802041102900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTlON: Install heat pump and air handler Owner: ROBERT DAY Address: 5563 GLACIER DR SPRINGFIELD OR 97478 Phone Number: 541-741-2767 '\:- I CONTRACTORINFORMATlON . Contractor Type Mechanical Contractor MARS HALLS INC License 25790 Expiration Date 12/23/2005 Phone 541-747-7445 DUJLJ.lING INFORMA TlON I VN # of Stories: Height of Structure Type of Heat: Water Type: . Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS I DEVELOPMENT INFORMATlON I . NOll\,t. LLEXPIREN~RKING Overlay Dist: THIS PERMIT SHA ER THIS PI' \i IS NOT . # Street Trees RA\!:rHORIZED UND lY ed: Paved Drive Rqt'OMMENCED OR IS ABAND mprcf:A % of Lot Coverll1l~Y 180 DAY PERIOD. . Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I ~" ,~'" ,~'l:Oregon law requires you to follow rules ado~ig'Cl"a\l<ill~aregon Utility .lotification Cen.tEDowbqiblitSJDi'iiiiil:3 set fort ,1 OAR 952-001-00~ 0 'h,r~ugh OAR 952-00 0090. You may obtain copies of the rules l calling the center. (Note: the telephone '7'"._"""...... f-... the ,",,.o.~nn Iltllitv Nntifir.~tjnn I r"',"N;C 1-AOO-332-2344). Valuation Descriotion .- Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeelof2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid . I Fr~' ~~W Amount PaId $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $62,65 I Plan Reviews I . CITY OF SPRINut<l~LD . Building/Combination Permit PERMIT NO: COM2004-00127 ISSUED: 0112912004 APPLIED: 0112912004 EXPIRES: 07/2912004 VALUE: Date Paid Receipt Numher 1200400000000000136 1200400000000000136 1200400000000000136 1200400000000000136 1200400000000000136 1200400000000000136 1/29/04 1/29/04 1/29/04 1/29/04 1/29/04 1/29/04 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 Reouiretl Insnections . 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 bereon 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 of the Community Services Division, Building 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 readahle 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. ~ANl }jJ;;1[ /' /Jwner or Contractors Signature /-21.-0L/ I Date Paee 2 of2 225 Fifth Stn:et Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00I27 C0M2004-00127 COM2004-00127 COM2004-00127 COM2004-00127 COM2004-00127 Payments: Type of Payment Check "IIiE. Receipt #: 1200400000000000136 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Received By djb Check Number Batch Number Authorization Number Paid By MARSHALLS INC 17792 City of Springfield Official Recdpt Development Services Department - Public Works Department Date: 01129/2004 2:41:25PM Amount Paid Item Total: 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 How Received In Person Payment Total: Amount Paid . $62.65 $62.65 .