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
.
.