HomeMy WebLinkAboutPermit Mechanical 2003-7-25
.
. CITY OF SPRIN\JJ1lJi.LlJ
Building/Combination .Permit
PERMIT NO: COM2003-00667
ISSUED: 07/25/2003
APPLIED: 07125/2003
EXPIRES: 01125/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726,3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 869 RIVER HILLS DR
ASSESSOR'S PARCEL NO.: 1703341211500
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install ac
Owner: WAREHAM JONI LYNN
Address: 2660 VIEWMONT AVE 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:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
~Type of Heat:
VN ~r:::,~ ater Type:
~~ ~ ange Type:
~ "\ ~ f,J ~Energy Path:
.O~\,x.<(:.~~ ~r:s
~~ '(,~~";) ~~'fDEVELOPMENT INFORMATION I
SETBAC~ ,( <:o~ 'N~<(:. ~~~
.('~. .~, ~~ f,J ~\O
Front yard Se~~ki;:.<(:.~'~~ r:::,<(:. ~~. Overlay Dist: ~O 1\i~ Total:
Side 1 Setb~~ S 'X ~~ r;.,~~ Q,4f # StreelTrees Rqd: ~\\e"'ft' ~\ \e~. Handicapped:
Side 2 SetbacI<:;~ ~~r:s..~~ ~~ Paved Drive Rqd: ~ \001.0~$~ G ",0 nJ:JO ' Compact:
~,~~. ~'" \'1> eJ ~ 91~" 9J'(,
Rearyard Setba,~~ ~ ,~ % of Lot Co~fil'~~'i ~ ~~'& 't-~ ~'(J 0
Solar Setbacks: "-~ _,,9\ 'Io.0c, 0,&0 ....~ 0 . ~ ~O~,,~
r J"()\- ~,,9 ~ ...'i>'" _ 0' ,...9 ~~I.
'PUB~i~R.oimME:N:iS'lo~:~ott'0 ,~o~,\,y
, ,,0.... '0" ~, 10..".. ~O'< .;,,~ .b.'1'
\O~ .,,'b~ ",7?' ,,0'0 ~.~ ~\SRl,V"..liIl<Type:
~~ ",liP ~'b' ~\e ~O ~'O
~O 0't-~'--l.0'i> 0 eliJ 0\ ~()l:\DownspoutslDrains:
\~ (bt;;). .......9J~ ~>iS'0'fiJ '\'
()lJ -#" - ~ ,0 '10.0\ ~
C 1"'00 v0~
(\-:>
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:
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paee 1 of2
.
. CITY VI' ~rKll~ut<lELD
Building/Combination Permit
PERMIT NO: COM2003-00667
ISSUED: 07/25/2003
APPLIED: 07/25/2003
EXPIRES: 01125/2004
VALUE:
Issued
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
Appliance Not Listed
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$9.00
$36.00
7/25/03
7/25/03
7/25/03
7/25/03
7/25/03
2200200000000001305
2200200000000001305
2200200000000001305
2200200000000001305
2200200000000001305
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 RellUired Insnections ,
I 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
informalion hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of lhe 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.
Ii:.~~ 4 t ht_ ~/L
- . , / F .
Owner ontractors Signature
/r~.yc~
Date
Pa~e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003,00667
COM2003-00667
COM2003-00667
COM2003-00667
COM2003-00667
Payments:
Type of Payment
Check
~1
Receipt #: 2200200000000001305
Description
+ 7% State Surcharge
+ 10% Administrative Fee
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 Departmen~
Date: 07/25/2003 1l:25:36AM
Amount Paid
Item Total:
3.15
4.50
9.00
36.00
10.00
$62.65
How Received
In Person
Paymenl Tolal:
Amount Paid
$62.65
$62.65
.
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