HomeMy WebLinkAboutPermit Mechanical 2005-3-16
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF Snur'luFIELD I
Building/Combination Permit
PERMIT NO: COM2005-00290
ISSUED: 03/1612005
APPLIED: 03/14/2005
EXPIRES: 09/16/2005
VALUE:
SITE ADDRESS: 3210 RALEIGHWOOD AVE
ASSESSOR'S PARCEL NO.: 1703221318300
Springfield TYPE OF WORK: Healing System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: GARY BURNETT
Address: PO BOX 7547
EUGENE OR 97401
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VN
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541.726-7176
I CONTRACTOR INFORMATION I
License Expiration Date
.TT,,:.'TI"I\" nr",1,f1mw reaulres ~llno05
BUlLDING'JNFORMA:ifIO~ the Oregon utlluy
Notification Lg~lt:ll. l\IJse rules are set forth
# II' ~\'!r!e.!'~2-001-001 0 through OAI\.~?%'.2p:1-
Ht'l;~t~ft~lJ~!1t.\Y'eJblain copies of th!lqlilPM~loor:
TYP'C~tl/;l;~,.!fle center. (Note: the teISqtJfl~dFloor:
WatWjJ1;t1l.~:for the Oregon Utility NoSijtFtlllJ8\ement:
Range TYPlltenter is l-BOO-332-2344Jiq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Phone
541-747-7445
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMP.ROYEMENTS I
;'HIS 'PLRMIT SHALSiilew8f([T.yp~HE WORK
AUTHORIZtD UNDtDO\"~S)J'JirA>VJI~~: NOT
COrviMENCtD OR IS A8AI~DUNtU ruR
ANY 160 DAY PtRIOD.
I Valuation Descriotion ,
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!elof2
-1IfIt6,I!!AINq~IKLD.'
,/.. '"
1 ..
.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00290
ISSUED: 03/16/2005
APPLIED: 03/14/2005
EXPIRES: 09/16/2005
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
~ F...... 1:lWIJ
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
3/16/05
3/16/05
3/16/05
3/16/05
3/16/05
3/16/05
Receipt Numher
1200500000000000338
1200500000000000338
1200500000000000338
1200500000000000338
1200500000000000338
1200500000000000338
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.
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 herehy 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.
~/2/____~_ ---!?--"'---
Owner or Contractors Signature
]-/6- '" 7 ~
Date
Page 2 of2
225 Fifth Street
Springfield~ Oregon 97477
541-726-3759 Phone
.
~:
~,
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2005-00290
COM2005-00290
COM2005-00290
COM2005-00290
COM2005-00290
COM2005-00290
Pnyments:
Type of Payment
Check
3116/2005
RECEIPT #:
1200500000000000338
Date: 03/16/2005
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
Item Total:
(,;heck Number Authorization
Received By Batcb Number Number How Received
djb 18505 In Person
Payment Total:
Page 1 of!
2:26:24PM
Amount Due
3.15
4.50
8.00
12.00
25,00
10.00
$62.65
Amount Paid
$62.65
$62.65