HomeMy WebLinkAboutPermit Mechanical 2005-5-4
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00526
ISSUED: 05/04/2005
APPLIED: 05/04/2005
EXPIRES: 11/04/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4512 DAISY ST
ASSESSOR'S PARCEL NO,: 1702324304201
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition
PROJECT DESCRIPTION: Two Circuits for Heat Pump and Air Handler
Residential
Owner: WILLIAMSON JANICE M
Address: 4512 DAISY ST
SPRINGFIELD OR 97478
Phone Number: 541-726-2401
I CONTRACTOR INFORMATION 1
.,
Contractor Type
Electrical
Mechanical
Contractor License Expiration Date
ROBS ELECTRIC INC 156678 08/14/2005
COMFORT FLOW ATT~r,ITIIi~~Of"\r,:,~:~ I:;.\' .-:~~~~2~2~~~ lv
BUILDING INF1~RM~ifilClN\lDted by the Oregon Utility
I\lOIITICatlOn l;enter. Those rules are set forth
# of StoriesOAR 952-001-001 0 throu9b~~r<i}52-001.
Height o{)Sma~tAm may obtain copie~~rltM~ ~1,qgr6y
Type of HeeUlling the center. (Note: l~.~t D( ~oor.
Water TYIHUmber for the Oregon Util'~ i>sern'1't:
Range Type: Center is 1-800-332'X~ Y~<<9~arport
Energy Path: ~q (It' ther:
Sprinkled Building: nla Occupant Load:
Phone
541-686-5444
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
I DEVELOPMENT INFORMATION 'I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC ~Mll~~~EMENTS I
. THIS PERMIT SHALL EXSrcfe~~JkTt~pWORK
AUTHORIZED UNDER Tf-1rl~Jn~R~ u~~~n
COMMENCED OR IS ABAI'.JOuMtL rUli
ANY 180 DAY PERIOD.
Notes:
Palle 1 of 3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrption I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Tvpe of Construction
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-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
$4,60
$3,22
$43.00
$3,00
$10.00
$4,50
$3,15
$8,00
$12,00
$25.00
5/4/05
5/4/05
5/4/05
5/4/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
5/9/05
Total Amount Paid
$116.47
I Plan Reviews I
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-00526
ISSUED: 05/04/2005
APPLIED: 05/04/2005
EXPIRES: 11/04/2005
VALUE:
Value
Receipt Number
2200500000000000531
2200500000000000531
2200500000000000531
2200500000000000531
1200500000000000593
1200500000000000593
1200500000000000593
1200500000000000593
1200500000000000593
1200500000000000593
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 of3
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: COM2005-00526
ISSUED: 05/04/2005
APPLIED: 05/04/2005
EXPIRES: 11/04/2005
VALUE:
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,
J
~~
/ff. /;:r
Owner or Contractors Signature
..,/
PalZe 3 of 3
5-if-c)S
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
IliiJty of Springfield Official Receipt
.evelopment Services Department
Public Works Department
"
RECEIPT #:
1200500000000000593
Date: 05/09/2005
1:05:12PM
Job/Journal Number
COM2005-00526
COM2005-00526
COM2005-00526
COM2005-00526
COM2005-00526
COM2005-00526
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
Check
Paid By
COMFORT FLOW HEATING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 29724 In Person
Payment Total:
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62,65
Amount Paid
$62.65
$62.65
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5/9/2005
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