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HomeMy WebLinkAboutPermit Mechanical 2005-6-2 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00652 ISSUED: 06/02/2005 APPLIED: 06/01/2005 EXPIRES' 12102/2005 VALUE. SITE ADDRESS 1701 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703253404502 Sprmgfield TYPE OF WORK. Heatmg System TYPE OF USE' Repair Commercial , PROJECT DESCRIPTION Replace heat pump Owner ORDER OF ELKS LODGE #2145 Address 1701 CENTENNIAL BLVD SPRINGFIELD OR 97477 Contractor License MARSHAJ...LMrlIfin~1 n,..nnn 1000W rFl<Juires vWWl follow rulas BUwm?:CM~roRMi\'fiYi4"" NotificatIOn ,-,emer. I Hu~..I{,rY" 'a,\! .!J( IJrth in OAR 952-001-11lilfStWliltlgh OAR 952-001- 0090. You may dI:lll!lhtcll1iJSmllflblJae rules by calling the ceifulpe (Il1~tlhe telephone number for the'bt~CJiYP.mhty Notllicatlon Center fl."1'JOO~2-2344). Energy Path Sprmkled Buddmg Contractor Type Mechamcal # ofUmts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIon Type " Secondary ConstructIon Type # of Bedrooms Frontyard Sethack SIde 1 Setback SIde 2 Setback Rearyard Setback Solar Setbacks Street Impruvements Storm Sewer AvaIlable Special InstructIon Notes I CONTRACTOR INFORMATION I Expiration Date 12/23/2005 Phone 541-747-7445 n/a Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load I DEVELOPMENT INFORMATION I REQUIRED PARKING Total HandIcapped Compact Overlay Dlst # Street Trees Rqd Paved Drive Rqd % of Lot Coverage N OTH~UBLIC IMPROVEMENTS I THIS PtHMl1 ~HALL tM'IKt I~ I HE Wrslli~walk Type AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR DownspoutslDrams ANY 180 DAY PERIOD I Valuahon Descrmhon I $ Per Sq Ft or multIpher Square Footage or BId Amount Description Tvpe of ConstructIon Value Date Calculated Pa2e 1 012 -~~ Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-00652 ISSUED: 06/02/2005 APPLIED: 06/0112005 EXPIRES: 12/02/2005 VALUE' 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectIon Lme Total Value of ProJect Fees Paul' Fee DescriptIon -Mechamcallssuance Fee- + 10% AdmmlstratIve Fee + 7% State Surcharge Heat Pump Mlmmum/AdJustment Mechamcal Amount PaId Date PaId ReceIpt Number $1000 $450 $315 $12 00 $33 00 6/2105 6/2105 6/2105 6/2/05 6/2/05 1200500000000000730 1200500000000000730 1200500000000000730 1200500000000000730 1200500000000000730 Total Amount PaId $62 65 I Plan RevIews I To Request an mspection call the 24 hour recording at 726-3769. AllmspectIon requested before 7.00 a.m. Will be made the same working day, mspectIons requested after 7:00 a.m. will be made the followmg work day. I Reouired Insnechons , Rough Mechamcal Prior to Cover Fmal Mechamcal When all mechamcal work IS complete By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all informatIon hereon IS true and correct, and I further cerllfy that any and all work performed shall be done m accordance wIth the Ordmances ofthe CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and that NO OCCUPANCY WIll be made of any structure wIthout permIssIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 WIll be used on thIS proJect I further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each address IS readahle from the street, that the permIt card IS located at the front of the property, and the approved set of plans WIll remam on the site at all tImes durmg constr'lctlOn ~~~ 1(()LL_ /(J/?/OS- Owner or Contracturs SIgnature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ City of Springfield OffiCIal Receipt ~velopment Services Department PublIc Works Department Job/Journal Number COM2005-00652 COM2005-00652 COM2005-00652 COM2005-00652 COM2005.00652 Payments Type of Payment Check 612/2005 RECEIPT #: 1200500000000000730 Date: 06/02/2005 DeSCription + 7% State Surcharge + 10% AdtmmstratJve Fee Heat Pump MlDlmmn/ Adjustment Mechamcal ~Mechamca1 Issuance Fee- PaId By MARS HALLS INC Item Total Check Number Authorization Received By Batch Number Number How Received DJB 18635 In Person Payment Total Page 1 of! 1 26 44PM Amount Due 3 15 450 1200 3300 1000 $62 65 Amount Paid $62 65 $62 65