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Home My WebLink AboutPermit Mechanical 2004-6-21 . . CITY VI' ~r1UNljNr,LD Building/Combination Permit PERMIT NO: COM2004-00733 ISSUED: 06/21/2004 APPLIED: 06/21/2004 EXPIRES: 12121/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeclion Line SITE ADDRESS: 6898 GLACIER DR ASSESSOR'S PARCEL NO.: 1802022205000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ac Owner: PETERSON JOHN R & SHARI E Address: 6898 GLACIER DR SPRINGFIELD OR 97478 Phone Number: 541-913-7202 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 Expiration Date 12/23/2005 Phone 541-747-7445 ._l'1\ot \l:' ,...~'... 11UlIDDING'I"'HJJ<.1vfATlONI :{\C~:. ~r>.\.\. c.).." t.'i\~\II.'i\~ # of Units: \\0 ~t.'i\~.tS~ S \)'e.'i\ i\-\IS ~h~.!Wles:' Primary Occupancy <U:t1~?\1.t.\) W'j? Ie; ~'O~~iielght of Structure Secondary OccupancYlGl t.~c,t.~ IJ I()~' Type of Heat: Primary Construction 1}lie\ I:l \)il-Vl'iIt.?I Water Type: Secondary Construction~~e' '0 , Range Type: # of Bedrooms: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: Total: Handicapped: ~'IJ Compact: ~\~ ~~ _.~vJ,tl,.fO~~ r:\" I PUBLIC IMPRO~~~~\~ ~~'" ...~~~~eS ~~~~~. r.~&dq~:.,,~IW~~ r 111 ,- CP ~'v ~\iF" 'Itt''''. \O~O. 9.~O{\ J;}()'sJj ~~~~~'l~ ns: ~o'C.~c ~ 9'.:J~ 9.'1 o~~. ~ '\)\\\\~). \{\ O~ '<O\) ~0 f:J#' O~o~ ()()~ '~'i\{\Q, ~ ~ ~0 ,Jill ~ ,&,'n0~ \O_",~\ ~ _. -, ~ ~.!. I Valuation Des~riDtion I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00733 ISSUED: 06/21/2004 APPLIED: 06/21/2004 EXPIRES: 12/21/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line l.FI'I'~ Paid I Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $37.00 6/21/04 6/21104 6nt/04 6/21104 6/21104 1200400000000000947 1200400000000000947 1200400000000000947 1200400000000000947 1200400000000000947 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 Rl'olJirl'dl~l'ction~ I Rough Mechanical: Prior to Cover Final MechaniCal: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 described 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 dur' g ::tiOn\ I rL h _? j -rl L/ ~ !.,'rtJitt!t- o ne or Contractors Signature Date Palle 20f2 225 Fifth Street f .. Sprmgfield, Oregon 97477 541-726-3759 Phone . ~ ~, ~- ...iity of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2004-00733 COM2004-00733 COM2004-00733 COM2004-00733 COM2004-00733 Payments: Type of Payment Check 6/21/2004 RECEIPT #: 1200400000000000947 Date: 06/21/2004 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARS HALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 18030 In Person Payment Total: Page I of I 1l:31:41AM Amount Due 3,15 4,50 8,00 37,00 10,00 $62.65 Amount Paid $62.65 $62.65