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
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