HomeMy WebLinkAboutPermit Mechanical 2003-8-27
.
. Ul l' OF SPRIr~ul'lELD
Building/Combination Permit
PERMIT NO: COM2003-00832
ISSUED: 08/27/2003
APPLIED: 08/27/2003
EXPIRES: 02/27/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2505 HARVEST LN
. ASSESSOR'S PARCEL NO.: 1703243300120
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump, air handler and attic fan
o.wner: PETERSEN JEAN MARIE
Address: 2505 HARVEST LN SPRINGFIELD OR 97477
I. CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
, BUILDING INFORMATION I
# of Buildings: # of Stories:
Primary Occupancy Group: R-3 He:ll.\~f Structure
Secondary Occupancy Group: .J.~'~ ;\Ieat:
Primary Construction Type IVHT \l '\" ~ ype:
Secondary Construction Type: ti-'?\"\t,,~ t~Type:
# of Bedrooms: ~ ~~\.\. ,\'o(.f;J ~~~\rgy Path:
..\{\,\\~<_~\"- ~\~\)t~ r..~~~'V
'1'~~~\\\1.~~~ \)\~\)VI DEVELOPMENT INFORMATION I
SETBA~.~~t~ \)~ '? , REQUIRED PARKING
Frontyard Setback~~~i \ 'O~ Overlay Dist: O\l \0 Total:
Side 1 Setback: ~ # Street Trees Rqd: eo.\l\{es ~ \l\iliW Handicapped:
Side 2 Setback: Paved Drive Rqd: nO{\ la.vJ {0{e90{\ \ to{\. Compact:
N.G{e" ~ \X\e {e Se O'
Rearyard Setback: %\O(pjlt\eoverage:30'o se {\lIeS ~p. 952-0 \
SI Stb k 1\\ t;. leSa.o'-, -<no .....0,.... les
o ar e ac s: :::1I0vJ {\l _ r.e{\\0{::" I",{o\lg" ~l\X\e {\l __0
I PUBl>lO'iIiP;RQVEMENisll' CO~~~~"e \01~\~;~a.\iO{\
i{\ V" '{o\l \\'~' {\\e{. ,toIo slii~~'I.~~ e:
0090.. \"ece 0{e90{\ ':\2-2'~~"~P
ca.\I\{\9 { \O{ \"e . '\ _eooD'i;wnspoutslDrains:
{\\l~'oe ce{\\0{\S .
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion"
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee I 012
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Appliance Not Listed
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
~ Ff'f'~ Paid J
Amount Paid
Date Paid
. CITY OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00832
ISSUED: 08/27/2003
APPLIED: 08/27/2003
EXPIRES: 02/27/2004
VALUE:
Receipt Number
1200200000000002032
1200200000000002032
1200200000000002032
i200200000000002032
1200200000000002032
1200200000000002032
1200200000000002032
To Request an inspection caU 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.
$10.00
$4.50
$3.15
$8.00
$9.00
$12.00
$16.00
8/27/03
8/27/03
8/27/03
8/27/03
8/27/03
8/27/03
8/27/03
$62.65
I Plan Reviews I
I Rf'onirf'd Tnsnf'ctions I
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 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 readable from the
street, that the permit card Is located at the front ofthe property, and the approved set of plans will remain on the site at all
times _' gconstrw --" ~-67-r}-:2..,
- ,
Owner or Contractors Signature
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00832
COM2003-00832
COM2003-00832
COM2003-00832
COM2003-00832
COM2003-00832
COM2003-00832
Payments:
Type of Payment
Check
iit~,l
Receipt #: 1200200000000002032
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Appliance Not Listed
MinimumJ Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALLS INC
Reeeived By
djb
l:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/27/2003 1l:16:47AM
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
9.00
16.00
10.00
$62.65
How Received
In Person
Payment Total:.
.
Amount Paid
$62.65
$62,65
.