HomeMy WebLinkAboutPermit Mechanical 2003-8-6
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00707
ISSUED: 08/06/2003
APPLIED: 08/06/2003
EXPIRES: 02/06/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1352 WALNUT RD
ASSESSOR'S PARCEL NO.: 1703342300603
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install AC
Owner: CAGLE,CARINB
Address: 1352 WALNUT RD SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
,(
License
25790
Expiration Date
12/23/2003
Phone
541-747-7445
I BUILDING INFORMATION I
# of Buildings: ~~*:o( Stories: Lot Size:
Primary Occupancy Group: R-3 ~<<., ~ ~ght of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: ~ A.\ ;\ ~IDe of Heat: Sq Ft 2nd Floor:
Primary Construction Type Vl~ ~ ~~ <<~ater Type: Sq Ft Basement:
Secondary Construction Type: <<fS~ S <:(Y:; ~<<.,(::;) Range Type: Sq Ft Garage/Carport
# of Bedrooms: ~ '\~ ~(::;)\S Energy Path: Sq Ft Other:
S~~ &,<(.. ~<<>~ Imper~~s Surface Area:
#. -< -,~ r r .\0 .f''''-\ .
~'\'~~<<.,<(..~~<::> 'V'\:)<(.. ~\:)'V'I DEVELOPMENT INFORMATION I o.~\~0':10~ ~~~'"
SET~e~~<:{ ~~ ~~_\ <:{Y:; . ~~0 O~0Q; ~0 ~.~D PARKING
~~:.~~ &,~ ~ \'0- ((\0 ~~~~ ~'0t;
Front yard Setbac~ ~~ CO~ <\;) Overlay Dist: 0~O~ '0'\ ~ ~.s.0 O~ (~r: ~0
Side 1 Setback: "C:S ~ " # Street Trees Rqd: ~p~ ~00 oC:,0 ~~ 0' ~ ~~:
Side 2 Setback: ~ Paved Drive Rqd~\O ~oo~ ~~~ .;s.~0 '~ec:' e '@'g~&t:t:
<:-~ ~ ~0 ~'\) Cp~.~ ~o
Rearyard Setback: % of Lot C~~~~0 (;0 ~,c:F iP~ *--\0,-0- .~~ ~~.
Solar Setbacks: ~ ~o ~~O~nJ:j'\) ~\ 0'O~ ~.~ ~-v~ a:f'l,~
.....0 -f,e, Q.~v _Q",\ /,,-0 J)O n.~
I PUBLIC IMPRO~';ri> ~~0 V~0, O\\~'\:)\J
~~ ~~ \~
()<S ~\~ 0~'<si~lk Type:
v ~'(j (;0 .
~\S Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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
Paee 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax,
541-726-3769 Inspection Line
Fees paidJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Appliance Not Listed
Minimum/Adjustment Mechanical
Amount Paid
$10.00
$4.50
$3.15
"$8.00
$9.00
$28.00
Total Amount Paid
$62.65
I Plan Reviews,
Date Paid
8/6/03
8/6/03
8/6/03
8/6/03
8/6/03
8/6/03
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2003-00707
ISSUED: 08/06/2003
APPLIED: 08/0612003
EXPIRES: 02/0612004
VALUE:
Receipt Number
1200200000000001904
1200200000000001904
1200200000000001904
1200200000000001904
1200200000000001904
1200200000000001904
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 Reauired Insoections ,
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When aU 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 during construction.
d~ />>~
O V S' /
wner or Contractors Ignature
Pal!e 2 of 2
d/jft3-
Dare .
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00707
COM2003-00707
COM2003-00707
COM2003-00707
COM2003-00707
COM2003-00707
Payments:
Type of Payment
Check
Receipt #: 1200200000000001904
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Appliance Not Listed
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: 08/06/2003
11:29:08AM ·
Amount Paid
3.15
4.50
8.00
9.00
28.00
10.00
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65