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HomeMy WebLinkAboutPermit Mechanical 2005-5-4 . . 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 .. t ') r ~ " i ., " 5/9/2005 Page I of 1