HomeMy WebLinkAboutPermit Mechanical 2003-7-30
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Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: cOM2003-00685
ISSUED: 07/30/2003
APPLIED: 07/30/2003
EXPIRES: 01130/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2735 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251406600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: BRAMLEY DONALD E
Address: 2735 MAlA LOOP SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
I BUILDING INFORMATION.
Storm Sewer Available:
Special Instruction:
# of Stories:
Heig~~y Structure
T~~~~~eat:
VN ~!e~pe:
~ '~.l~~ype:
9.~~ ~~~~ Path:
~~ ~~ ~~~
~) \... -< ~ ,<,\
~. ~ S~~~~'(-. ~EVELOPMENT INFORMATION.
SETBACK~,\\~ ~~~ x.,~ -\S \:)~ '%> ~~. REQUIRED PARKING
Front yard Setback~ ~S <(. ~~\; ~x,~ ~~~ Overlay Dist: ~t~\;
Side 1 Setback: -<..: 'i?-'0'\~~~x,~ ~~ # Street Trees Rqd: ~U\~01~vUh~)1-~{\ed:
Side 2 Setback: \.J\:)~' ,CO~ Paved Drive Rqd: \~~ ~e o~eQE~~~aO"
~ e9P"" \"e to &~ 67,AJ
Rearyard Setback: ~ % of Lot Coverage: O~.o~ ~eO 'O"i e ~u\e ~~ 9 ~-eS \.
Solar Setbacks: .A"'(:.~",'\ '().Oo'Q ",''oS ~~" 0 , \"e ~~ ~e
...... \ ,\~S ;"A~' _ .",(0 *' 0\ B~'<\O, _^
I PUBLIC IMPRO~~i~~~~'\~~;~ COJ;.\~e ~O\\~\C~"\-
~O ~~ 9 ~~~~@lk~~\\\\\\'J,,~~,.
\~O ~ou ce ~e9Jtp;$?;~
0090. ~\<'~ \"'D~Q;,~r1(ms:
C~ :oe~ 'o~ ~e~ \S
~u~ G0{\
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
~rimary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Street Improvements:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00685
ISSUED: 07/30/2003
APPLIED: 07/30/2003
EXPIRES: 01/30/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
7/30/03
7/30/03
7/30/03 .
7/30/03
7/30/03
Receipt Number
1200200000000001862
1200200000000001862
1200200000000001862
1200200000000001862
1200200000000001862
Total Amount Paid
$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 .
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 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 lYith 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.
; /1., a.p' /~/~
Owner or '~:::s~gnature
'/ftyC?
Date 7
Pae:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00685
COM2003-00685
COM2003-00685
COM2003-00685
COM2003-00685
Payments:
Type of Payment
Check
Receipt #: 1200200000000001862
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALLS INC
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/30/2003
11:09:10AM
Amount Paid
3.15
4.50
12.00
33.00
10.00
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65