HomeMy WebLinkAboutPermit Mechanical 2005-1-12
Status'
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00033
ISSUED: 01112/2005
APPLIED: 01/12/2005
EXPIRES: 07/12/2005
VALUE:
SITE ADDRESS: 2680 Harvest Ln
ASSESSOR'S PARCEL NO.: 1703230001100
Springfield' TYPE OF WORK: Heating System
PROJECT DESCRIPTION: install heat pump and air handler
TYPE OF USE:
Owner: KEITH ALVERSON
Address: 2680 HARVEST LN SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION'
Contractor
MARS HALLS INC
License
25790
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I BUILDING INFORMATION'
# of Stories:
R-3 ATTENTliEThlglilro~d!lt\url!lquires you to
follow rul,*YDSI9~ij~tJy the Oregon Utility
VlhNotification~~reT.Yl!llose rules are set forth
in OAR 952~lifl3'\11rough OAR 952-001-
0090. You ~liV.lRlralfJtc<op,ies of the rules by
calling ttiWl:~P. ~fflmp.'the teleph8We
n~.~ "'''--J~~l:yrRB~- I
I UEV,t;lAJYMENl"jlS~'{t__~
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
New
Residential
Phone Number: 541-741-4132
Expiration Date
12123/2005
Phone
541-747-7445
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:
I PUBLIC IMPROVEMENTS I
-Tut: SideW41k Type:
1\CE:. IRE II' IT'" "~,;..;'
~O pE.RM\\ SHl\ll E.~P S pE.RM\\ \l)ownIpoutslDrains:
~~HORIIE.D ll~~~; ~~~NDONE.D I'OR
~~~~~~~~~ pE.RIOD. .
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Type of Construction
Total Value of Project
Page I of2
Value
Date Calculated
.
. CITY OF ~rK11'iunl!.LD .
Building/Combination Permit
PERMIT NO: COM2005-00033
ISSUED: 01112/2005
APPLIED: 01112/2005
EXPIRES: 07/12/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Fee~ P,aitlJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
1/12/05
1/12/05
1/12/05
1/12/05
1/12/05
1/12/05
1200500000000000047
1200500000000000047
1200500000000000047
1200500000000000047
1200500000000000047
1200500000000000047
Total Amount Paid
$62.65
I Plan Reviews I
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 Reouirerl Tosoedioo,'
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, .. 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 wili 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
j~4~_ ~______
Owner or Contractors Signature
/-/:7--0":7---
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3'759 Phone
",'
Job/Journal Number
COM2005-00033
COM2005-00033
COM2005-00033
COM2005-00033
COM2005-00033
COM2005-00033
Payments:
Type of Payment
Check
1/12/2005
.
RECEIPT #:
G:~C~.~~Q~.IlLO._._'_,_,"~__, J.
~' :
'Ii; !
.-"---~
,jiJ,ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000047
Date: 01112/2005
11:02:11AM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 18395 In Person
Payment Total:
Amount Paid
$62.65
$62.65
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