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Home My WebLink AboutPermit Mechanical 2004-12-2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01438 ISSUED: 12/02/2004 APPLIED: 11/23/2004 EXPIRES: 06/02/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 482 BROOKDALE AVE ASSESSOR'S PARCEL NO.: 1703224204400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: JOHN CROSIAR Address: 482 BROOKDALE AVE SPRINGFIELD OR 97477 Phone Number: 541-741-0022 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 Expiration Date 12/23/2005 Phone 541-747-7445 I BUILDING INFORMATION' VN # 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd:' Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: ' fl.TTENTIO(\J: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth I\RlI'i\i1'n~R:. in OAR 952-001-0010 through OAR 952-001- "'" ""'"" ~=. H Wl K 090 You may obtain copies OJ me rUll:l~ uy THIS PERMIT SNHAoLELR ETXHPISIRpE ~~ ,1Y:kluafn.n Descri caliing the center. (Note: the telephone AUTHORIZED U I... , . number for the Oregon Utility Notification Descriptio~O M M ~~~fAQf )~n~\~c~to~ DO N riP~01S1qt' I~t squB~rdeAFootagte Center i~ar6\90-332-2~~ Calculated ANY 180 U Y ~LK!Du, or mu Ip ler or I moun Notes: Total Value of Project Pae:e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01438 ISSUED: 12/02/2004 APPLIED: 11/23/2004 EXPIRES: 06/02/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line LFees Paid. 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 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 12/2/04 12/2/04 12/2/04 12/2/04 12/2/04 12/2/04 Receipt Number 1200400000000001685 1200400000000001685 1200400000000001685 1200400000000001685 1200400000000001685 1200400000000001685 Total Amount Paid $62.65 I Plan Reviews, 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 . 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 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 dl rin~ODst-r-u',ction. 7\ "", ff ' ~_d Q ') (,--00. 1;;2 - 0< - oy Owner or Contractors Signature Date Paee 2 of 2 ~~ 2.25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1438 COM2004-01438 COM2004-0 1438 COM2004-0 1438 COM2004-0 1438 COM2004-0 1438 Payments: Type of Payment Check 12/2/2004 fjty of Springfield Official Receipt ~velopment Services Department Public Works Department RECEIPT #: 1200400000000001685 Date: 12/02/2004 2:18:53PM Description + 7%"State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Paid By MARSHALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid DLM 18332 In Person Payment Total: $62.65 $62.65 Page I of I