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Home My WebLink AboutPermit 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 .