HomeMy WebLinkAboutPermit Mechanical 2004-6-7
.
. Ll1 l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00664
ISSUED: 06/07/2004
APPLIED: 06/07/2004
EXPIRES: 12/07/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2073 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703254201100
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Repair
Commercial
PROJECT DESCRIPTION: Install replacement heat pump
Owner: NISSIM ALBERT
Address: PO BOX 1733 ROSS CA 94957
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12123/2005
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of Structure ~te5 'tOU \0 Sq Ft Ist Floor:
Type of Heat: n \a'tJ ~U egon U\ili\'! Sq Ft 2nd Floor:
, -W\\!l\~:1tY~O '0'1 tne Ot te set \ot\\gq Ft Basement:
fl,~:::~~J~~e~\'IOse WleS ~? 95Z.OOS;q Ft Garage/Carport
~o\\o'f,lIffier~1 \\'IIOU9\'10 tuleS ~ Ft Other:
~0\if\cs'i>>911~U\B.Ol1d.ln'EO\lies 0\ tbll.,,\10nEOccupant Load:
_ r1"l ar;,'t ....~'=-'n ~,-^~e\et" ,._....
I D'&mtiJPIVilr,::"'l,lllloRi\iATieN'~I'I"""-
10'" ~,'. I),
l\ln~" VI'-"- Z"t.,,~~
ca edot \\'Ie. ~ .BOO'~~
(I~rlao'tPJS(: IS
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
, Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDri\!''t\,\t. '/'JaI'-l<..
~01\C~" \'JIli S\'\t>.ll t.y,.?~~t.I'-t.J\li IS ~ai
"I\'IIS ?t~1.tO \l~Otl'- i~~~oa~t\) ~OR
t>.\li\'lO~"rt:1'\ 01'- \S ~
~J::':""'''- t>.'{ ?'t.t\\\lu,
I Valuation Descrintiilb.U \)
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paeelof2
-rz='
a
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
-Mechanicallssuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
I Ff'f'~ P.lIid I
Amount Paid
Date Paid
,
. CITY OF SPRI1'iljt<U,LD
Building/Combination Permit
PERMIT NO: COM2004-00664
ISSUED: 06/07/2004
APPLIED: 06/07/2004
EXPIRES: 12/07/2004
VALUE:
Receipt Number
1200400000000000863
1200400000000000863
1200400000000000863
1200400000000000863
1200400000000000863
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.
$10.00
$4.50
$3.15
$12.00
$33.00
6/7/04
6/7/04
6/7/04
6/7/04
6/7/04
$62.65
I Plan Reviews ,
[..Rf'ouired In~nf'~tion~ I
1 Rougb 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 lhe site at all
times during construction.
ti!..:!(:!;.
Paee 2 of2
6-7- aLl
Date
225 Fifth Street
Springfie'ld, Oregon 97477
54i~726-3759 Phone
.
......~!t_~~~ _____ .
IIILI
-, - .' 1
. ,
Jiiiily of Springfield Official Receipt
"elopment Services Department
Public Works Department
Job/JourDal Number
COM2004-00664
COM2004-00664
COM2004-00664
COM2004-00664
COM2004-00664
PDymeDts:
Type of PaymeDt
Check
6/7/2004
RECEIPT #:
1200400000000000863
Date: 06/07/2004
DescrlptloD
+ 7% State Surcharge
+ 10% AdmiDistrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
djb 18006 ID Person
Payment Total:
Page 1 of I
lO:47:54AM
Amount Due
3.15
4,50
12,00
33,00
10,00
$62.65
Amount Paid
$62,65
$62.65