HomeMy WebLinkAboutPermit Mechanical 2004-04-28Status 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: COM2004-00477ISSUED: 0412812004APPLIEDz 0412812004
EXPIRESz 1012812004
VALUE:
SITE ADDRESS: 2345 32ND ST
ASSESSOR'S PARCEL NO.: 1702302104700
PROJECT DESCRIPTION: Install replacement heat pump
Owner: JAMES SCOTT p
Address: 2345 N 32ND ST SPRINGFIELD OR 97477
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Expiration Date
r2t23t200s
Phone
541-747-7445
License
25790
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
law requtres You Lo
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
VN
on
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
THIS PE RMIT SHALL EXPIRE IF THE WO
AUTHORIZED UNDER THIS PERMIT IS N
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
NOTIC
n
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARJflNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Total Value of Project
Page I of2
Description Tvpe of Construction Yalue Date Calculated
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o/o oILot Coverage:
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54l-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00477ISSUED: 0412812004APPLIEDz 0412812004
EXPIRESz 1012812004
VALUE:
Fees Paid
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ loh State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.rs
$12.00
$33.00
$62.6s
Date Paid
4t28t04
4t28t04
4t28t04
4t28t04
4t28t04
Receipt Number
r200400000000000ss7
1200400000000000ss7
1200400000000000ss7
1200400000000000557
1200400000000000ss7
Plan Reviews
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 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 of the property, and the approved set of plans will remain on the site at all
times during
u-.q-M
or Contractors Signature Date
Pase? of?
Keourreo rnsDecnons
225 Fifth Street
Sprirryfield, Oregon 97477
541-726-3759 Phone
'ity of Springfield Oflicial Receipt=f evelopment Services Department
Public Works Department
RECEIPT #: 1200400000000000557 Date: 0412812004 10:08:58AM
Job/Journal Number
coM2004-00477
coM2004-00477
coM2004-00477
coM2004-00477
coM2004-00477
Description
+ 7Yo State Surcharge
+ l0Yo Administrative Fee
Heat Pump
Minimum/Adjustrnent Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.s0
12.00
33.00
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 djb 17969 In Person
Payment Total:
$62.6s
-562"6-t
4/28/2004 Page I of I
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