HomeMy WebLinkAboutPermit Mechanical 2005-1-19
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
*
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00051
ISSUED: 01119/2005
APPLIED: 01114/2005
EXPIRES: 07/19/2005
VALUE:
Status
Issued
SITE ADDRESS: 4404 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323101000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Commercial
PROJECT DESCRIPTION: Replacement heat pump
Owner: EASTGA TE KENPO KARATE
Address: 4404 MAIN ST
SPRINGFIELD OR 97478
&\-1.141'~\m
I CONTRACTOR INFORMATION ,
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License Expiration Date
)5790 12/23/2005
BUILDING INFORMA:rION.' JregOn la...
~Pt 'V req .
. "CIon Ce ed by tho Utres You
# of Sto~ie~h~11 952-00 nter. Thase r L,/;i'S~I;.=n~tilito
Height of Struc'tiltern 1-0010 thro IS4'.'Ftt~tJ,; 0~l1'{
f ~. ',. ay Obt Ugc r...... rlh
Type 0 Heat:lng the ain Co . S't'rit~!lg I ,
Water TYiie:lber far Center. (Nai~essqlilt!l.!lJf~l"
Range Type: Cen the Oregan ,y.. ~hSltllib~r~g~arport
Energy Path: ter IS 1-80 _ tllttYSildlh i?~
Sprinkled Building: n9a332-2:J:l1:fj?~a ~~ad:
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Sethack:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
'V/."',-,
Paved Drlve'Rqc!:f".
J 'Jln 01';.
% of Lot'Covetage:
AUTHO ~"MIT SHAL
f'~.. Rll!:,."" L F)(D,~_
I PUBLIC IMP'R.OV.E~EN1:S'''R~~H TH/Spr/; {HE WORk
- - IJfi Y PER SARiJA ^iiJ''''''''T MIT IS NOT
la" I ew ",,..,ype:r
1.1, '-v rOR
Downspoutsffirains:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~elof2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
MinimumlAdjustment Mechanical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00051
ISSUED: 01119/2005
APPLIED: 01114/2005
EXPIRES: 07/19/2005
VALUE:
Total Value of Project
Fl'l'SP'IirlJ
Amount Paid
Date Paid
1119/05
1119/05
1119/05
1119/05
1119/05
Receipt N~mber
1200500000000000076 ~
1200500000000000076
1200500000000000076
1200500000000000076
1200500000000000076
$10.00
$4.50
$3.15
$12.00
$33.00
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rl'nuirl'rllnsnl'~tio~\I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby ceriify that all
Information hereon is true and correct, and I further certify that any and all work performed shall he done In accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
~~ d~~-
Owner or Contractors Signature
/-/9-c:> ~
Date
Pae:e 2 ofl .
225 Fifth Street
Spr!ngfieJ$I, Oregon 97477
541~726-3759 Phone
.
~
1IIiL.'i
~y of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00051
COM2005-00051
COM2005-00051
COM2005-00051
COM2005-00051
Payments:
Type of Payment
Check
111912005
RECEIPT #:
1200500000000000076
Date: 01119/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Item Total:
Check Number AuthorIzation
Received By Batch Number Number How Received
djb 18407 In Person
Payment Total:
Page I of I
2:20:37PM
Amount Due
3,15
4.50
12,00
33.00
10,00
$62.65
Amount Paid
$62,65
$62.65