HomeMy WebLinkAboutPermit Mechanical 2005-4-27
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00484
ISSUED: 04/27/2005
APPLIED: . 04/26/2005
EXPIRES: 10/2712005
VALUE:
SITE ADDRESS: 2359 BEVERLY ST
ASSESSOR'S PARCEL NO.: 1703272204100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: ERMA JENSEN
Address: 2359 BEVERLY
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor License
MARSHALLS INC 25790
A TI-;-iBBmfl]!N()rJI~.EO~A TION I
, fo!,?vv rUles adoP.ted' It:yurres you to
,f\JOttflcatior# ~~wi.es' by th~ Oregon Uti/it
R_3n OAR 95~!g.hlb' ~P&c1{ifeJles are set fO:;h
0090. You ffi~e f afatP,ro~gh OAR 952-00
VN calling th>>,(J~lfft~)'~poPles of the rule b 1-
nUmber f-R!\n1?:~:rypWote: the teleph S y
urn It:! tp'alfi U' one
Ce~f.r,~y~ _ fI fl/jty Notificati
'spnfMe&~lQ344). Il~
I DEVELOPMENT INFORMATION I
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-726-2881
Expiration Date
12/2312005
Phone
541-747-7445
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
N(rll~Cf:
THIS prRflRlT :~ ~:.L; r-,.;:.,o.<,-- '! ",,..
AU~HUI-1?IJ.ID-mJl~fft.<1Y~~.1~J);~1 WORK
COMMEI\JCLD 0 -, "'11 I IS N0J
ANY 1 L R IS ABANDONED FOR Si<Iewalk Type:
80 DAY PERIOD
. DownspoutslDrains:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pa1?:e 1 of2
Value
Date Calculated
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
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
4/27/05
Total Amount Paid
$62.65
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00484
ISSUED: 04/27/2005
APPLIED: 04/26/2005
EXPIRES: 10/27/2005
VALUE:
Receipt Number
2200500000000000502
2200500000000000502
2200500000000000502
2200500000000000502
2200500000000000502
2200500000000000502
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.
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 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.
>n~~.
\ -- .- ~
~QIGl~atu,,~
Reouired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of2
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l, ~
21- a~
W -C-L r05
Date
225 Fifth Street
Spripgfield, Oregon 97477
541-726-3759 Phone
Jf)b/Journal Number
COM2005-00484
COM2005-00484
COM2005-00484
COM2005-00484
COM2005-00484
COM2005-00484
RECEIPT #:
,j~Y of Springfield. Official Receipt
~elopment ServIces Department
Public Works Department
2200500000000000502
Date: 04/27/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Payments:
Type of Payment Paid By
Check MARS HALLS INC
\;
4/27/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 18579 In Person
Payment Total:
Page 1 of 1
1l:22:20AM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65