HomeMy WebLinkAboutPermit Mechanical 2005-10-13
I'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRI1'\juN~LJJ
Building/Combination Permit
PERMIT NO: COM2005-01432
ISSUED: 10/13/2005
APPLIED: 10/12/2005
EXPIRES: 04/13/2006
VALUE:
SITE ADDRESS: 4105 VIRGINIA AVE
, ASSESSOR'S PARCEL NO.: 1702323310000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
ResIdential
PROJECT DESCRIPTION: Install heat pump
Owner:
Address:
Phone Number:s S41,-~'A1"'.A.Ab
n\aW\v'-1.....~ .'"l" 'rT1
ATTfNl\ON' Ore(1o the Oregon UtilItY
In"OW rule~ adoPte~...b!~p ruleS are se~ j~~~
"n\,l.r.atlon v'" ..-.. 0 through UI'''' ,,~~ -,
I CONTRACTOR INFORMA lilOWI u' -001 , ies 01 the rules by
Y obtaIn cop I hOne
ooqQ. You n,a INnte: the te ep .
License\e cEE!fpiration iDateotilP-lioll'e
,m~!i~r lor theO~1p.i~!r~ii52344).541-747-7445
\jenltil '''''' .
BUILDING INFORMATION I
NICK ROCCAFORTE
4105 VIRGINIA ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft Ist Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energ1 Path: Sq Ft Other:
Sprinkled Buildln!!: nla Occupant Load:
~~~Trl'j:. _ _., I~'f. li1uC l.mRK
I DEVELOPMENT INJi'(')1Wj\l'!(l)rt"Il,L~ ;^~\S PERMI11S N01
AU1HUKllcu u,~~s ABANDONW'illJIlU'D PARKING
Overlay Dist:COMMENCEO 0 00 Total:
# Street Treesffl(hl:1 BO DAY PERI. Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutsfDrains:
I Valuation Descriotion ,
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Pa!!e 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01432
ISSUED: 10/13/2005
APPLIED: 10/12/2005
EXPIRES: 04/13/2006
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~~s tlWU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
$10.00
$4.50
$3.15
$12.00
$33.00
Date Paid
10113/05
10/13/05
10113/05
10/13/05
10/13/05
Receipt Number
220050000000000i422
2200500000000001422
2200500000000001422
2200500000000001422
2200500000000001422
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.
L.R~nuir~lIlnsnf'rti'\W
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 tbat any and all work performed sball 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.
A5~:-- ~..-~,
/0 -/'-3-0 J-
Date
Owner or Contractors Signature
Pae;e 2 of2
225 Fifth Street
SNringiield, Oregon 97477
541-726-3759 Phone
.
.~~.'A.J"~P1'!>-D.c_ .. i
Wi;:-". . ,
..... I
WI" j
" -
'-'~'",-~ -
Job/Journal Number
COM2005-0 1432
COM2005-0 1432
COM2005-0 1432
COM2005-01432
COM2005-0 1432
Payments:
Type of Payment
Check
.r
:i
10/13/2005
RECEIPT #:
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001422
Date: 10/13/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALL'S INC.
Received By
njm
Page I of I
Item Total:
Check Numher Authorization
Batch Number Number How Received
18878 In Person
Payment Total:
11:36:32AM
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
$62.65
$62.65