HomeMy WebLinkAboutPermit Mechanical 2007-7-9
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01011
ISSUED: 07/09/2007
APPLIED: 07/09/2007
EXPIRES: 01109/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 581 S 34TH ST
ASSESSOR'S PARCEL NO.: 1702313405000
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: SHIRLEY TENNEFOSS
Address: 581 S 34TH ST
SPRINGFIELD OR 97478
Phone Number: 541-741-7843
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
Fronmt~~Oregon law requires you,t,o
Sidefb~f~S adopted by the Oregon Utility
Sid~~ Center. Those rules are set forth
RearifUA~~1-001 0 through OAR 952-001-
SollllJc.f93b~:may obtain copies of the rules by
.;.il-g ....._.Qf'"+or (Mote: the telephone
n~~b'er "for the. Oregon Ut2i1ity23~~}tITIC1~UBLIC IMPROVEMENTS I
Center IS 1-800-33 - ,
Street Improvements:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Description
Type of Construction
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
I I AUTHORIZED UNDER THIS PERMIT IS NOT
Valuation Description COMMENCED OR IS ABANDONED FOR
$ Per Sq Ft Square Foot~ 180 DAY PERIOD.
. Value Date Calculated
or multiplier or BId Amount
Notes:
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01011
ISSUED: 07/09/2007
APPLIED: 07/09/2007
EXPIRES: 01109/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 7/9/07 1200700000000000891
$4.50 7/9/07 1200700000000000891
$2.25 7/9/07 1200700000000000891
$3.60 7/9/07 1200700000000000891
$14.00 7/9/07 1200700000000000891
$31.00 7/9/07 1200700000000000891
Total Amount Paid
$75.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reouired InsDections 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 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 aU 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.
JA.~..J D Cl'~ ('{ -() 7
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fift,. Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01011
COM2007-01011
COM2007-01011
COM2007-01011
COM2007-01011
COM2007-01011
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
1200700000000000891
Date: 07/09/2007
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARSHALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
19878
In Person
Payment Total:
Page 1 of 1
2:52:07PM
Amount Due
14,00
31.00
20,00
2,25
3,60
4,50
$75.35
Amount Paid
$75.35
$75.35
7/9/2007