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Home My WebLink AboutPermit Mechanical 2004-5-6 _.sP~INGFU4I.JI:) .1-1 ~~~;.".' :>::.::. .... ""'" ';Y'~ : L .6.. Status Issued CITY OF ~yJ{Il~\jlilELj) /" Building/Combination Permit PERMIT NO: COM2004-00527 ISSUED: 05/06/2004 APPLIED: 05/06/2004 EXPIRES: 11/06/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2730 MERRYHILL CT ASSESSOR'S PARCEL NO.: 1703244100700 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump and air handler TYPE OF USE: Owner: HENDERSON DAREN W & DENISE L Address: PO BOX 61 WALTERVILLE OR 97489 Contractor Type Mechanical I CONTRACTOR INFORMATION. Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I # of Stories: ~r~~\-\'t. \NOt''' ~f\C~:. Heig~'e'R~w.kt'\\~-I\\\ \<2> ~O\ "~ml. ?'t.t'~\\ ~\'ofW\~ ?o~'t.D rOt' \\,HV \ltD ~~~4~~D ~\j\\-\O~ ~Ct~3~g }e: co~~t f>.,f th: f>.,~'{ "\ \)\) \) I DEVELOPMENT INFORMATION I # of Units: . Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street T~ees ~%t:to d'~ter! " , (:o.TTENT\ON: Oregedo~~e Orego ~tl\lty h u\es adopt 'YolO! L~~~~:fort: folloW r, nter. Those Wits 952-001- Nntificatlon C~ (\~~ n tnl'oUqh OAR '\~... h,' \n OAR ~~;~ I. iMp~o \'t"'j'" ~j8 I OO~~\ling the center'e on Utility NotificatIon number for the,01r _~00-332-2344). Center IS New Residential Phone Number: 541-988-2050 Expiration Date 12/23/2005 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type of Construction Total Value of Project Pae:e 1 of2 Value Date Calculated ~ ;'iPS'lC [IM:lFI'E:L'O J!'1.. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fcc Description ~Mechanical Issuance Fee- + 10'Y., Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid I Fees Paid I Amount Paid Date Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00527 ISSUED: 05/06/2004 APPLIED: 05/06/2004 EXPIRES: 11/06/2004 VALUE: Receipt Number 1200400000000000659 1200400000000000659 1200400000000000659 1200400000000000659 1200400000000000659 1200400000000000659 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 $8.00 $12.00 $25.00 5/6/04 5/6/04 5/6/04 5/6/04 5/6/04 5/6/04 $62.65 I Plan Reviews I 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 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 ofthe Community Services Division, Building Safety. I furthel' 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 t;~~'t;OML / ""'- Owner or Contractors Signature Paee 2 of2 /" J 6-0 V I Date 225 Fifth Street Springn~ld, Oregon 97477 . 541-726-3759 Phone 1A:&.f!.........~..,~l,lI. ...~.".,.!,1.I~.,_...'.'..c'I?J' ,c'."'_- ~ . --'''><';<'::>>_''''''''''':''~'' ..';l-....;~ -\ ~.i...-"'''!''"',?''."''~ Job/Jounial Number COM2004-00527 COM2004-00527 COM2004-00527 COM2004-00527 COM2004-00527 COM2004-00527 Payments: Type of Payment Check 5/6/2004 RECEIPT #: r:.v of Springfield Official Receipt elopment Services Department Public Works Department 1200400000000000659 11 :30:56AM Item Total: Check Number Authorization Received By Batch Number Number How Received Description + 7% State Surcharge + .10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ Paid By MARSHALLS INC djb Page 1 ofl Date: 05/06/2004 Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid 17991 In Person Payment Total: $62.65 $62.65 \.]0 0 D CITY OF SPRINGFEILD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location: ~??O ~~)gy#/~( Assessors Map #: 17--&J~""'2o/"" ~/ O",ner: ,~? r W'~r~ r~/q 2?'3~~/"1"RY~/~ (.. &,. Phone: #: ?~r-t:-Z} State: ~ Zip Code: Value of Vood Stove/Pellet Stove/Insert: ~~~~ C~?t/ Tax Lo t #: ~ /t:::r~ City: "? 0/ '/'"' 55''3~ f7?~? Address: Preliminary Inspection is $15.00 (prior to installation of insert) Vood Stove/Pellet/Insert Permit is $15.00 + $.75 state surcharge + $.45 administrative fee + $10.00 issuance = $26.20 total Type of Inspection ReqUested:~':1/.~~b~~r' ~~C;:::- ~rt15 ~ Contractor: .~":''-P#"7. 2~c,c;:q#;-reA'"s. ~.P ~7".,.(#<:::" . Address: /~t:7-~ 2'7'~?? Phone #: 6~ -;3 2/0 City: e~~ State: ~~..- Zip Cpde: '7"7r'V".J'" Construction Contractors Registration #:~t,l6 5'~Expires:/~-:::i?$?~r By signing this permi t/application, I agree to call for inspection(s) as required (726-3769). I state that all the information on this permit/application is correct and that I ",as provided ",i th the Vood Stove Safety information for ",ood burning appliances and preliminary inspection standards. I further state that the appliance I am installing meets smoke emission standards as set by the Oregon Departmenf 01 Environmental Quali ty or the Federal Environmental Protection Agency and I agree to provide the testing approval number to the inspector at the time of inspection. I also understand that if I am requesting a preliminary inspection, the wall covering may be required to be removed. ,. I..~fr-__~ ~~i.e' .P c:::/ ~ /3--/;;-J Date I ../ ' ======================================================================================= FOR OFFICE USE Date of Application: VOODSTOVE(fJfLLET/INSER~ b" -:2 ,." ~ '76' _ ,,<e? .x PRELIMINARY REQUIRED INSPECTION(S): Job #: q~~B~~ * - Total Amount'Collected: --- Issued By: A-~ - - LL~ . , Checked for Historical Status: Receipt #: / 7~?$ Checked for Deliquencies: