HomeMy WebLinkAboutPermit Mechanical 2003-3-6
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2003-00138
ISSUED: 03/06/2003
APPLIED: 03/06/2003
EXPIRES: 09/06/2003
VALUE:
Total:
Handicapped:
Compact:
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 956 1ST ST
ASSESSOR'S PARCEL NO.: 1703352200300
Springfield TYPE OF
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: RIGBY MARY C
Address: 956 N 1ST ST SPRINGFIELD OR 97403
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Owner
Contractor
MARS HALLS INC
RIGBY MARY C
License
25790
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
BUILDING INFORMATION.
,-
O~ '1\,'\
# of Stories:e<:, '\ \)~\ o~
Height o.f>..\:>~P.,~O~ <:,e\.l"j, $:)()"
TYR~or1I!at: ~e b~ s '0.....
w~fer{q;'y~~'.P '?-~ OJ 1,..,s.0 ~e
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\j v~ ~e'#d~;reet Trees
~\:>~ Paved Drive Rqd:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footal!e
~
1 of 2
Heating System
New
Residential
Expiration Date
12/23/2003
Phone
541-747-7445
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Value
Date Calculated
CITY OF SPRINGFIELD'
BuildinglC ombination Permit
PERMIT NO: cOM2003-00138
ISSUED: 03/0612003
APPLIED: 03/06/2003
EXPIRES: 09/0612003
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
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
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
1200200000000000783
1200200000000000783
1200200000000000783
1200200000000000783
1200200000000000783
1200200000000000783
Total Amount
$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 Reouired Insoections I
1 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 certity 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 he made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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 ti~~", ,,' ring c~~~truct;on." , . ','
/4'~( /}/~L:{,.y 3///~f
/ / / /
Owner or Contractors Signature Dat~
2 of 2
~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00138
COM2003-00138
COM2003-00138
COM2003-00 138
COM2003-00138
COM2003-00138
Payments:
Type oCPayment
Check
Paid By
Receipt #: 1200200000000000783
Date: 03/06/2003
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
MARSHALLS INC
djb
Page 1 of 1
3/612003
1:08:30PM
.
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
8.00
12.00
25.00
10.00
3.15
4.50
Line Item Total:
$62.65
How Received
Amount Paid
In Person
62.65
$62.65
Payment Total:
cReceipt.rpt