HomeMy WebLinkAboutPermit Mechanical 2003-7-25
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00666
ISSUED: 07/25/2003
APPLIED: 07/25/2003
EXPIRES: 01/25/2004
VALUE:
Status
Issued
SITE ADDRESS: 328 MANSFIELD ST
ASSESSOR'S PARCEL NO.: 1703233400200
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install HIP & A.IH
Owner: DAVIS GEORGE H & VIOLA M
Address: 328 MANSFIELD SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12123/2003
Phone
541-747-7445
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type VN ~
Secondary Construction Type: ~f::j~ ~
# of Bedrnnms: ~~ f.;~f::j
_<- ~:..~ ~C\~
<<.,'~'\'S ~~~~~~ ~ DEVELOPMENT INFORMATION I
SETBACKS ~\, '\~ ~~ ~\.O .,
C;,~ ~~ &~ ~O ~~" ,
Front~ard ba,1{c. ~~~ f.:> ~ Overlay Dist: ~\te'i> ~ ~ ,e~, Total:
Side 1 ~!!<.'(-':\\.~ f::j~ ~~. # Street Trees Rqd: ~ te~ ~0Q,O 0 'be\. J:F Handicapped:
Side' ~~~~" 'i.J~~ ~~~ Paved Drive Rq~\~ ~Ii!P rb'il- 4. t:/->'l; t\G'I> '(., Compact:
,,~),~ ~~ ~ 0.0 Nt..$-0 OW (S 0
Rearyard~~~~~ ~ <:;J % of Lot .<dJ.Vel~gP. 0'00 ~~ ~ # ""O~. O~
Solar Setba~. _. ,~ -<\O~. OO~ ~'(' ''^tO~ ,,'0 0 \.~0~""C0-~
.~, :-" ..~ ;...t. ^,,- ^\"" _'" .'~'
,- - ~.. ~~- --~~~. "1--. ". ,--
I PUfp\,o~j..qt>V~MENJ;S'\i~O\.~~~~ ~.....
\0" ~,( r ....... ~.II.'! ~v ()'''{;
~~\C; ~? ~0-1 #\.6 ~O ~alk Type:
~O ....'?- ~ C; O~ ",<:f:!:
. or ~O ~0 t(\0 '\'''' DownspoutslDrains:
,(I._(\~I;:).~~Q, \ot~ ~i''iJ
\J'" C~ ~0t 0(1.~
(I.:~~ CJ
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Page 1 of2
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. CITY OF SPKlj~uJ1lJ!,L.1J
Building/Combination Permit
PERMIT NO: COM2003-00666
ISSUED: 07/25/2003
APPLIED: 07/25/2003
EXPIRES: 01125/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid I
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
7/25/03
7/25/03
7/25/03
7/25/03
7/25/03
7/25/03
2200200000000001304
2200200000000001304
2200200000000001304
2200200000000001304
2200200000000001304
2200200000000001304
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 Reonired Insnections 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
~c7'<"' ht~
Owner o/Contraclors Sig~ature
P-03
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00666
COM2003-00666
COM2003-00666
COM2003-00666
COM2003-00666
COM2003-00666
Payments:
Type of Payment
Check
-~~.
Iiii~'" """""".,""-- ..,',., .."..,"
", 1
.:"",,,,,. 1
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.._ ."""iF:' "'C"
Receipt #: 2200200000000001304
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALLS INC
Received By
djb
l:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Departmentt
Public Works Department.
,
Date: 07/25/2003 11:24:13AM .
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
.
$62.65
$62.65
.