HomeMy WebLinkAboutPermit Mechanical 2003-7-3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00580
ISSUED: 07/03/2003
APPLIED: 07/03/2003
EXPIRES: 01/03/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4033 VIRGINIA AVE
ASSESSOR'S PARCEL NO.: 1702314407600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump ans air handler
Owner: TAFT DONALD R & KARREN M
Address: 4033 VIRGINIA AVE SPRINGFIELD OR 97478
1 CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
TAFT DONALD R & KARREN M
BUILDING INFORMATION I
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Vlhr
SETBACKS
.1 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:
Notes:
. I P~~ IMPROVEMENTS I
Street Improvements: '\~ {O
~ ; ~
Storm Sewer Available: ~<v ~~~ '!V ~\S
Special Instruction: #- s <x f'\.~~
\... -<.~ ~v
~~ 9:-" ~
~~. #' S~~~Y; {O ~<Q
""""~'\~ <x<v~ ~~<;J ~ ~~ ~~<;J'
~'\~S 'X-~~ ~\.)~ ~ ~Y;
~~ ~~~ ~ <;J'f
\.)<0 ~ ,~
. ~'f.
Sidewalk Type:
Downspouts/Drains:
Pal!:e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
I Valuation Description ~
$ Per Sq Ft
or multiplier
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003~00580
ISSUED: 07/03/2003
AP.PLIED: 07/03/2003
EXPIRES: 01/03/2004
VALUE:
Square Footage
or Bid Amount
Date Calculated
Total Value of Project
L Fees Paid I
Value
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 Receipt Number
$10.00 7/3/03 1200200000000001709
$4.50 7/3/03 1200200000000001709
$3.15 7/3/03 1200200000000001709
$8.00 7/3/03 1200200000000001709
$12.00 7/3/03 1200200000000001709
$25.00 7/3/03 1200200000000001709
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.
l 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 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 during construction. ,
~ /?/~
/t/ '/
Owner or Contractors Signature
Pal!e 2 of 2
7/Y/u
/ ,/
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00580
COM2003-00580
COM2003-00580
COM2003-00580
COM2003-00580
COM2003-00580
Payments:
Type of Payment
Check
Receipt #: 1200200000000001709
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 INe
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/03/2003
1l:24:43AM
Amount Paid
Item Total:
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65