HomeMy WebLinkAboutPermit Mechanical 2005-6-2
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00662
ISSUED: 06/02/2005
APPLIED: 06/02/2005
EXPIRES: 12/02/2005
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 551 GRANITE PL
. ASSESSOR'S PARCEL NO.: 1703341214600
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install air conditioning
TYPE OF USE: Addition
Residential
Owner: KIM LILLEY
Address: 551 GRANITE PL
SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
ireS '{ou \U
Contractor \. oregon la'll re6~egon u\iI!lIi:ense
MARSltfJ\llS1i'Ne . ~~,,\Rd 'o'{ \\16 i _ _ ~," se\i5i9b
101\~W f~~~,*~mLDIff6iNiORMA:TION."
No\\llca\\ o01.\Ju 'I"'. . onn" ,_.-
"1'\ 952- ........cOQles ... ne
in 0" a'{ 0\#.0. "torj&s:\\1e \e\ep' ,0 .
00911.3/0U\: cenffeigltt'il(~1Wtft.llr:e.ilica\\On
ca\l\n~f 10r \\16 ~O~~l\r2344).
(\~'o n\er ~l\t&'YPype':
ce Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
. Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENTINFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-744-0075
Expiration Date
1212312005
Phone
541-747-7445
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I,PIJ:BLIā¬:IMPROVEMENTS I ORK
.- - SHAll ti\nnc IF THE W
THIS PERMIT S' PER,~idewalk:rype:
UNDER THI Ivlll '" 'w .
AUTHORIZED OR IS ABANDONE.I!ownspoutsmrains:
COMMENCED
ANY 160 DAY PERIOD.
Notes:
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Paee 1 of2
Value
Date Calculated
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fpps Paid'
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Boiler/Comp Up To 100,000 btu
Minimnm/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
6/2/05
6/2/05
6/2/05
6/2/05
6/2/05
Total Amount Paid
$62.65
I Plan Reviews I
. UJ l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00662
ISSUED: 06/02/2005
APPLIED: 06/0212005
EXPIRES: 12/0212005
VALUE:
Receipt Number
1200500000000000727
1200500000000000727
1200500000000000727
1200500000000000727
1200500000000000727
,
To Request an inspection call the 24 hour recording at 726-3769. All iuspection 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.
L.Rpouirpd ,,~
Rough Mechanical: Prior to Cover
Final Mechanical: When aU 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 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 aU 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
ti(~1:]c:o~'Q\ 10/7 / oS
O~ontractors Signature Date' f
ra LA-
~ .
Page 2 of2
~
225 Fifth Street
sI1iingfi~ld, Oregon 97477
541-]26-37.59 Phone
~
.
Iliil\!'iftiI........~..-.1ILD ...'...-.-....,.,.
< . ,
, .
1..11 -'
.JIi.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00662
COM2005-00662
COM2005-00662
COM2005-00662
COM2005-00662
Payments:
Type of Payment
Check
\
,
'I
6/2/2005
RECEIPT #:
1200500000000000727
Date: 06/02/2005
1:24:16PM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Boiler/Camp Up To 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
, 3.15
4.50
12.00
33.00
10.00
$62.65
Paid By
MARSHALLS INC
Item Total:
Check N umber Authorization
Received By Batch Number Number How Received
DJB 18635 In Person
Payment Total:
$62.65
$62.65
Amount Paid
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