HomeMy WebLinkAboutPermit Mechanical 2005-7-20
.
., CITY OF ~rKlr'll.NJi,L1J
Building/Combination Permit
PERMIT NO: COM2005-00951
ISSUED: 07/20/2005
APPLIED: 07/20/2005
EXPIRES: 01/2012006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6068 PUMICE PL
ASSESSOR'S PARCEL NO,: 1802033400117
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: install air conditioner
Owner:
Address:
MICHAEL MALLET
6068 PUMICE PL
SPRINGFIELD OR 97478
Phone Number: 541-746-9803
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Liceiise
25790
BUILDING INFORMATION.
Expiration Date
12/23/2005
Phone
541-747-7445
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENTlNFORMATION ,
REQUIRED PARKING
Overlay Dist: Total:
# Street ~rees ,R~:_ 9-~ SI Ja\ua() Handicapped:
Paved D~iveffiqd:'~ 006 0 a4\ JOI JaqUlnU Compact:
%'Of,Lot'G'o;v~rage,,,:uo)aJ 'U^^ a'" 6UI\\13:>
.....v'~..-.J_t . "JS. 13'" "1+ .
8u04d8\8\ ~4:~~~~~ 1I113lQO f,13Ul no^ 'O.60~,
I PUBIiIC JMP.RQyjWENT,silu ~OO- W~"u';IoOI'::>;I~ON
~ 'Jawa", .' .'
4~01 \8S aJ13 sa\I1J "'iq ~a\d~~lI'JilJ1llIryjil~\OI
^ I\n 1I068JO a4\ , ,In\ \ N"l Ll'lf
\\\. , S8Jlnb8J M131 u06alSGJ'nspd1its7Ilrains:
0\110/\ '
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Soiar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
1'\\\
, ":~:o. \lit II'1\1t \NO
Ie' ' ::::,; ":1 S\1i\ll t!~~ n~Q\'\\1 IS N01
\!\IV"- \'\'Jtn .".~ -,...
, Uh.LI:U U" I ,. "\\ll'Nt.u \ V" I
AU'I ',\ ~ 'ct\.) 0\'\ \S \Valuation Descriotion
CO',..\\.'-I' t\\\UU.
T .,' 'f';C~ Bet: u f\t~ P S Per Sq Ft Square Footage
vpe 0 ODS rue Ion .
, or multlplter or Bid Amount
Value
Date Calculated
Notes:
Paeelof2
.
. \..-11 i' VI< ~rKll'~l.NJ!,LD
Building/Combination Permit
PERMIT NO: COM2005-0095I
ISSUED: 07/20/2005
APPLIED: 07/20/2005
EXPIRES: 01/20/2006
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
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Boiler/Comp Up To 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10,00
$4,50
$3,15
$12.00
$33.00
7/20/05
7120/05
7/20/05
7120/05
7/20/05
Receipt Number
2200500000000000956
2200500000000000956
2200500000000000956
2200500000000000956
2200500000000000956
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 Rennired"~
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 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 ohny structure without permission ofthe 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
&A'~ ~.....-.--
7--. ..2C'~o~
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfiekl, Oregon 97477
541-P6-3759 Phone
.
WiL."~RINQ"~, . ','" .. ',"
I ... :
, ',.. ~
Job/Journal Number
COM2005-0095I
COM2005-0095I
COM2005-0095I
COM2005-0095I
COM2005-0095I
Payments:
Type of Payment
Check
"
7120/2005
RECEIPT #:
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000000956
Date: 07/20/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Boiler/Comp Up To 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Received By
djb
Page I of I
Item Total:
Check Number AuthoriZation
Batch Number Number How Received
18722
In Person
Payment Total:
3:07:13PM
Amount Due
3,15
4.50
12.00
33.00
10.00
$62,65
Amount Paid
$62,65
$62.65