HomeMy WebLinkAboutPermit Miscellaneous 2005-3-2
Status
Issued
-.
. U 1 t OF SPK11~t.FIELD
Building/Combination Permit
PERMIT NO: COM2005-00245
ISSUED: 03/02/2005
APPLIED: 03/0112005
EXPIRES: 09/02/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1173 DIAMOND ST
ASSESSOR'S PARCEL NO.: 1703342400214
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
KEN THOMAS
1173 DIAMOND ST
SPRINGFIELD OR 97477
Phone Number: 541-747-0156
I CONTRACTOR INFORMATION I
~
Contractor <;0'<' ~ License
MARSHALLS INC "X:~c_ ~~ 25790
S<, ~I . BiJI~DiNG INFORMATION I
<<:~<:i.x.' &.'"
# of Units: , <S ~'? $)~~ # of Stories: Lot Size:
Primary Occupancy Group: ~R-l' ~~ Height of Structure. ~ ,o~ Sq Ft 1st Floor:
Secondary Occupancy G!!,up:~ 9 ~<v"<;,s "?" Type of Heat: f:> .:;,0 -\::);!$! o~q. Ft 2nd Floor:
Primary Construction Type~ 'i0 '5 ~' -J;;>'V' Water Type: .jfe o~ e''I; lVsQ 1\t Basement:
Secondary Constructi~";ty'tl~:\';C <'i0 c:.s eox.'<' RangeType: ,eCS;O~e($ ~e C)n.'0<}; ",,'<F't Garage/Carport
'-" S" ~' ~v ,.I. '\ ~ ~ -J ,~,"
# of Bedrooms: '\'" ~ 0-<:::> ~ ~ Energy Path: ,~,&-e ~e" .J$:' ,~S.2,$t Rther:
"" ~"" _ ,,~"<; ';0<:::) Sprinkled Building:'O.:;, 'I e ,v ~1ri ':-. ~e e~cc@'tlDt Load:
~ ......~" ...~ .,,~ 1-. _C:l ,,0;: (\ _~ ..;,C/',
'\~. I DEVELOPMEN:J4iNOO~AT1ijN);"~~,~""o'~.
'J<."-" ~e"" - e~' ~\Y ~~ -~O<0;!$! fI,.~ REQUIRED PARKING
"v A~ C; "'f:>" ~ ~ ~'I;
Oierlay, Dist:. ~\) ,\ 0 .'1,. ",0 n.~
...'" G ~- ('\, ,," ...~ 0'0 ~
# Street \l'i-eeSlRqd:' e~ 0' 9:J<:j
,- ...,,,- <l.. J ..' c; e '"
Paved)Drlve Rqd:l('e ..:s' '{O .
~ ()' " ~. ~ ;\
% of Lot Giivera^ge: ,0 ^,e
v SJ'" ~v 0' 0'"
G v~ ,(:''0 C;
Contractor Type
Mechanical
Front yard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
Description
Expiration Date
12/2312005
Phone
541-747-7445
. Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
.F
Sidewalk Type:
. Downspoutsmralns:
I Valuation Descrintion I
Type of Construction
$ PerSqFt .
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
Paee 1 of2
'.
.
. LIlt' OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00245
ISSUED: 03/02/2005
APPLIED: 03/01/2005
EXPIRES: 09/02/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541.726.3769 Inspection Line
Total Value of Project
Fp.p.~ tlWU
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
3/2/05
3/2/05
3/2105
3/2/05
3/2/05
3/2105
Receipt Number
1200500000000000282
1200500000000000282
1200500000000000282
1200500000000000282
1200500000000000282
1200500000000000282
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.
L.Rp.oIJi~nsnp./'tions I
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 during constr~ction.
~z;,.-~ ~, -' '_
--
--=3-:2-0"7
Owner or Contractors Signature
Date
Paee 2 of2
'.225 Fifth Street
i Springfield, Oregon 97477
"-541-726-3759 Phone
.
Jnb/Journal Number
COM2005-00245
COM2005-00245
COM2005-00245
COM2005.00245
COM2005-00245
COM2005.00245
Payments:
Type of Payment
Check
;)
3/2/2005
.
RECEIPT #:
B
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000282
Date: 03/0212005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
. Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALL'S 1Ne.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 18480 In Person
Payment Total:
Page 1 of I
2:20:52PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62,65
Amount Paid
$62.65
$62,65