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HomeMy WebLinkAboutPermit Mechanical 2003-8-13 (2) ~~. - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line -8 e CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00749 ISSUED: 08/13/2003 APPLIED: 08/13/2003 EXPIRES: 02/22/2004 VALUE: SITE ADDRESS: 3170 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221317900 Springfield .TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: MENG RAPHAEL J & R IMOGENE Address: 3170RALEIGHWOODAVE SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical Phone Number: 541-726-0344 I CONTRACTOR INFORMATION I Contractor OWNER MARS HALLS INC # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License Expiration Date Phone 25790 12123/2003 ,541-747-7445 BUILDING INFORMATION I 0\)\0 # of Stories: ao,\lllaS ~ \}\I\i\'i Lot Size: R-3 Height gb~t~ll~thrOta~O sa\ \ot\. Sq Ft 1st Floor: .,;r:rPe:Sttt!'!J; \"a \l\aS ala 9SZ-00 Sq Ft 2nd Floor: VN ~~~\\UWJl!ef,JIy~~ioSe l :n O"'~ l\lieS \ Sq Ft Basement: '" ,.. luW'Rl:nge::Type:'\'Iloug o~ \\'Ie ....O(\e Sq Ft Garage/Carport ~\O~' ',t> -.'1' 'as 'a"" ^ \0.. a\ioI'Energy:P.atli:,c091 \'Ie\a' :'ca\iOPSqFtOther: ~O\I\IC a 9,,:,'Z.-lJu oJ 0'0\'3-1' 1~0\0": .", ~O\I\I Impervious Surface Area: f"'\~'p . rl\a:l ....."f _, ,\Iil:\\\\l. A) \l' .. --.0 , OO.\DEVELOPMENTJINFORMA'fION I ""c..-' t'V" 'S \-.... \l1l''oe e\'l\ell (\ Oferlay Dist: # Street Trees Rqd: Paved Drive Rqd: REQUIRED PARKING Total: Handicapped: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I . Sidewalk Ty\~e'HE \NORK ~~l\~~Rt>A\1 SHt-.~R~~~fv~i'lstS N01 AI.l1HORIIE.O I.l~~ IS t-.6t-.\I\OO\l\E.O fOR COt-At>AE.O\l\CO~~ PERIOD. t-.\I\'t 18 Pal1e I 00 e Status Issued 225 Fifth Street, Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project J? pp~, tIiILI Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee-- + 100/0 Administrative Fee + 7% State Surcharge Air Handling Vnit Vp to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 8/13/03 8/13/03 8/13/03 8/13/03 8/22/03 8/22/03 8/22/03 8/22103 8/22/03 8/22103 Total Amount Paid $116.47 I Plan Reviews I e CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00749 ISSUED: 08/13/2003 APPLIED: 08/13/2003 EXPIRES: 02/22/2004 VALUE: Value Date Calculated Receipt Number 1200200000000001951 1200200000000001951 1200200000000001951 1200200000000001951 1200200000000002005 1200200000000002005 1200200000000002005 1200200000000002005 1200200000000002005 1200200000000002005 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 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Pal!e 2 of3 e e L.111' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00749 ISSUED: 08/13/2003 APPLIED: 08/13/2003 EXPIRES: 02/22/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 compllauce 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 ti~isX~ . 8-ZZ-Q3 dwler or Contract;;;.s 'Sig~ature Date Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00749 COM2003-00749 C0M2003-00749 COM2003-00749 COM2003-00749 COM2003-00749 Payments: Type of Payment Check '"~""~~'-.-!. WiL. . . , "'~! : . ~ . -.....- - ...~. -' Receipt #: 1200200000000002005 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 Received By djb CbecK Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/22/2003 1:12:29PM 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 . .