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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