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HomeMy WebLinkAboutPermit Mechanical 2004-11-18 (2)o Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01414ISSUED: llll8l2004APPLIED: llll712004 EXPIRES: 05/1812005 VALUE: SITE ADDRESS: 748 25TH ST ASSESSOR'SPARCELNO.: 1703361117100 PROJECT DESCRIPTION: Install heat pump and air handler Owner: ANNE ESSIG Address: 748 25TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PhoneNumber: 541-747-3798 Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12123t2005 Phone 541-747-7445 License 25790 to # 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: tol\ow r ffeil8e OAR9 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-f;I1--t{I in 0090 You ca\\\ng $ 1H \S PE AUlHOR Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: S ,\ZE ER1 \S AB nUOOt'i ED IOD UND NCE DOR Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: Mt{\t R\ODc0 ANY 180 DAY PE, Notes: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01414ISSUED: llll8l2004 APPLIEDz llll712004 EXPIRES: 05/1812005 VALUE: Amount Paid $10.00 $4.50 $3.15 $8.00 $12.00 $2s.00 $62.6s Date Paid Receipt Number 1200400000000001630 1200400000000001630 1200400000000001630 1200400000000001630 1200400000000001630 1200400000000001630 Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid tut8l04 tut8t04 tut8t04 tUt8t04 tut8t04 tut8t04 Plan Reviews To Request an inspection call the24 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired Insnections 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 Spring{ield 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 of the property, and the approved set of plans will remain on the site at all construction.t or Contractors Signature Date Pase2 of2 ENII',H3.D r ees raro 2. 'Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Oflicial Receipt _ ;velopment Services Department Public Works Department RECEIPT #: 1200400000000001630 Date: llll8l2004 1:10:15PM Job/Journal Number coM2004-01414 coM2004-01414 coM2004-01414 coM2004-01414 coM2004-01414 coM2004-01414 Description + 7oh State Surcharge + l0% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.50 8.00 12.00 25.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALLS INC djb I 8307 In Person $62.65 Payment Totd: -56ffi tvtS/2004 Page I of I aFErlaaatILo