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Home My WebLink AboutPermit Mechanical 2005-12-1 J/ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-01646 ISSUED: 12/01/2005 APPLIED: 11/28/2005 EXPIRES: 06/01/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1110 CUSTOM WAY ASSESSOR'S PARCEL NO.: 1703263408300 Springfield TYPE OF Heating System TYPE OF USE: New , PROJECT DESCRIPTION: Install heat pump and associated ductwork Residential Owner: THOMAS REID Address: 1110CUSTOMWAY SPRINGFIELD OR 97477 Phone Number: 541-915-6767 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION. Contractor License C PERKINS ELECTRIC INC 159537 EUGENE HEATING & COOLING 149452 I BUll,DING INFORMATION. Expiration Date 04/15/2008 10/22/2007 Phone 541-895-4466 541-726-7654 - # of Units: , Primary Occupancy Group: , Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I . Street Storm Sewer Available: Special Instruction: IPUBLIC IMPROVEMENTS I . - . NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANV 180 DAV PERIOD. .. .. .., Sidewalk Type: Downs poutslDrains I requires you to ATTENTION: Oregon a~le Oregon Utility folloW rules adopted by les are set forth Notification Center. Those rUh OAR'952-001- in OAR 952-001-001? th~Op~;s of the rules by 0090. .You may obtain ~ote: the telepho~e calling the center. ( Utility NotificatIon number for the. Oregon 332-2344). Center IS 1-800- Notes: ~:, "l il . - U, 'H , 1 of 2 . , . . CITY OF SPRING~lELD ! ,. Status: Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Building/Combination Permi( PERMIT NO: cOM2005-01646 ISSUED: 12/0112005 APPLIED: 11/28/2005 EXPIRES: 06/01/2006 VALUE: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project . , r - Fees paid.J Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 12/1/05 12/1/05 12/1/05 12/1/05 12/1/05 Receipt Number 1200500000000001766 1200500000000001766 1200500000000001766 1200500000000001766 1200500000000001766 Total Amount $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. 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 certity 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 win be made of any structure without permission of the Community Services Division, Building Safety. I further certity 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 stre~that the permit card is located at the front of the property, and the approved set of plans wiD remain on the site ':: at all ti e during ccfirstruc~n. .,--" ~ f)-u ~J1- 77-1-0> . Owner or Contractors Signatunf' Date 2 of 2 225' Fifth Street Springfield, Oregon 97477 .541-726-3759 Phone . JJiili.ty of Springfield Official Receipt ~velopment Services Department Public Works Department , , RECEIPT #: 1200500000000001766 Date: 12/01/2005 10:27:58AM .. JQb/Journal Number C0M2005-0 1646 GOM2005-0 1646 COM2005-0 1646 COM2005-01646 COM2005-0 1646 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment CreditCard ! Paid By HANK PIERSMA Received By dim Item Total: Lbeck Number Autbonzatlon Batch Number Number How Received 044171 In Person . Payment Total: Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid . . $62.65 $62.65 . , \, ~ I) .t' \ ., ~, :c ... !!' J :n ~. '( . .. , ... II J: ,. '; 12/1/2005 I of 1