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Home My WebLink AboutPermit Mechanical 2005-6-29 CITY OF SPRIl'llTfilELD ' Building/Combination Permit Status Issued PERMIT NO: COM2005-00819 ISSUED: 06/29/2005 APPLIED: 06/29/2005 EXPIRES: 12/29/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4028 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702314400500 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Commercial PROJECT DESCRIPTION: Install heat pump and air handler. AI II::NTION: ~eAlqn~~~eqr .to follow rules ad~d oyl'fl{e~r i1ity Notification Center. Those ru e set forth ;~ f'\^D nc;') nni nnin th"'",,,h nao Ql:;').nn1_ .- J I CONTRACTOR INFORMi~~~ may obtain copies of the rules by " , the center. (Note: the telephone LlC~W~jJr for~gr8i18R ~~i~ Nq;WSiltion 25790 cenferl('~1i:P.H~o~2-~34~41_74e7_7445 Owner: Address: FIRST LAND MARK MISSIONARY 4028 CAMILLA ST SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor MARSHALLS INC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft Ist Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: spl{HikI~d{ImiIding: n/a Occupant Load: ~: ::~ :")~~~.~~: ~~,^,~~ ~\lDI()~ IC TU~ '.^"0()1/. I DEVELOEMEN1IirINl"0,mv.J)~rlON>1I) PERMIT IS NOT COMMENCED OR IS ABAr~DONED FOR REQUIRED PARKING OV€li;I~YI)ijfi DAY PERIOD, Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 --~ft.,~'i!t!i\7~~I.~~' _, _'._ ."", ~ ,~c ~\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum! Adj ustment Mechanical Amount Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 Total Amount Paid - $62.65 Total Value of Project Fees Paid' Date Paid 6/29/05 6/29/05 6/29/05 6/29/05 6/29/05 6/29/05 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00819 ISSUED: 06/29/2005 APPLIED: 06/29/2005 EXPIRES: 12/29/2005 VALUE: Receipt Number 3200500000000000399 3200500000000000399 3200500000000000399 3200500000000000399 3200500000000000399 3200500000000000399 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" Reuuired Insoectioris , . , Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all ~as 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 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. , 7];;? , , ~~~,:;::~ ~~ Owner or Contractors Signature 6'-' ;? 7-0 ')--- Date "- Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~~ Job/Journal Number COM2005-00815 COM2005-00815 COM2005-00815 ,I COM2005-00815 COM2005-00815 COM2005-00815 COM2005-00819 COM2005-00819 COM2005-00819 COM2005-00819 COM2005-00819 QOM2005-00819 COM2005-00821 COM2005-00821 COM2005-00821 COM2005-00821 dbM2005-00821 ; COM2005-00821 ;. h P:ilyments: TyPe of Payment Check Check Check Job/Journal Number COM2005-00815 COM2005-00815 COM2005-00815 COM2005-00815 COM2005-00815 COM2005-00815 C; )M2005-00819 C, )M2005-00819 COM2005-00819 aOM2005-00819 " COM2005-00819 . COM2005-00819 COM2005-00821 COM2005-00821 COM2005-00821 COM2005-00821 COM2005-00821 COM2005-00821 ;\ 6/29/2005 ~ RECEIPT #: 3200500000000000399 Description Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee-- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee rity of Springfield Official Receipt ;velopment Services Department Public Works Department Date: 06/29/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By MARSHALLS MARSHALLS MARSHALLS nJm nJm nJm Description Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Page 1 of2 18689 18689 18689 In Person In Person In Person Payment Total: Item Total: 1:48:07PM Amount Due 12.00 8.00 25.00 10.00 3.15 4.50 12.00 8.00 25.00 10.00 3.15 4.50 8.00 12.00 25.00 10.00 3.15 4.50 $187.95 Amount Paid $62.65 $62.65 $62.65 $187.95 Amount Due 12.00 8.00 25.00 10.00 3.15 4.50 12.00 8.00 25.00 10.00 3.15 4.50 8.00 12.00 25.00 10.00 3.15 4.50 $187.95 RECEIPT 3200500000000000399 "9ate: 06/29/2005 Payments: Type of Payment Paid By Check Number Auth_.tzation Received By Batch Number Number How Received Greck . Check Check Job/Journal Number qOM2005-00815 dOM2005-00815 qpMio05-00815 dbM2005-00815 , COM2005-00815 COM2005-00815 COM2005-00819 COM2005-00819 COM2005-00819 COM2005-00819 COM2005-00819 COM2005-00819 CbM2005~00821 COM2005-00821 COM2005-00821 COM2005-00821 OpM2005-00821 cibM2005-00821 .:, p;ayments: Type of Payment Check Check Check , " ;1 . .1,' ~f . 6/29/2005 MARSHALLS MARSHALLS MARSHALLS 18689 18689 18689 In Person ,In Person In Person Payment Total: nJm njm nJm Description Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By MARSHALLS MARSHALLS MARSHALLS Item Total: Check Number Authorization Received By Batch Number Number How Received 18689 18689 18689 In Person In Person ;, In Person Payment Total: nJm nJm nJm Page 2 of2 1 :48:08PM Amount Paid $62.65 $62.65 $62;65 $187.95 Amount Due 12.00 8.00 25.00 10.00 3.15 4.50 12.00 8.00 25.00 10.00 3.15 4.50 8.00 12.00 25.00 10.00 3.15 4.50 $187.95 Amount Paid $62.65 $62.65 $62.65 $187.95 ,/