HomeMy WebLinkAboutPermit Mechanical 2005-6-23
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00758
ISSUED: 06/23/2005
APPLIED: 06/20/2005
EXPIRES: 12/23/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
1
Owner:
Address:
ROBERT CURTIS
5163 DAISY ST
SPRINGFIELD OR 97478
Springfield/h<'T~!E OF WO,RK: Heating System
~,' I L:NTION'
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f1J.'?'t.~EI()F(Q.~Ij:;ted ew. requires You' Residential
,iii. ItTci:ition C ,.., Y the 0 10,
if?1 OAR 95 enter. Those ru regon Utility
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c~~jingUUthmay Obtai~~~.;'euMU~M~ 9~OOi~-4018
e cente 'V/J,e~ Of the rul
nUmber to r. (Note' th es by
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I CONTRACTOR INFORMATION I ' 344).,
SITE ADDRESS:, 5163 DAISY ST
ASSESSOR'S PARCEL NO.: 1702333404616
PROJECT DESCRIPTION: Install heat pump
VN
License
460
>>uILuING INFORMATION I
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# of Stories: !filS PERi Lot Size:
Height ofStf"ct'~r~R/ ,1!lT SHALL Sq Ft 1st Floor:
Type ofHe~DIv7MEV ItO UNDER EXl$ql~t/~n~L~!oor:
Water Type:VY 1 I CEO OR THISq'Ft/.JBasement;R
Range Type: 80 OA, Y PER IS ABA ~SqJt G1{r:ag~/Car~rt
100 'li'.l\..'^'li- u IVU I
Energy Path: . Sq Ft o.t~'~~R .
Sprinkled Building: nla Occupant Load:
Expiration Date
06127/2007
Phone
541-726-0100
Contractor Type
Mechanical
Contractor
COMFORT FLOW
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
, Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
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:
11"u>>LIC IMPROVEMENTS I
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
Paee 1 of2
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00758
ISSUED: 06/23/2005
APPLIED: 06/20/2005
EXPIRES: 12/23/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
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
6/23/05
6/23/05
6/23/05
6/23/05
6/23/05
Receipt Number
3200500000000000371
3200500000000000371
3200500000000000371
3200500000000000371
3200500000000000371
Total Amount Paid
$62.65
Plan Revi~ws 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 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 ofany 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
Nnu ',-
I
Owner or Contractors Signature
<.:. / ~ 'J... / f::)~
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I
Date
Pa2e 2 of2
. 225 Fifth Street
",Sprin'gfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2005-00758
COM20Q5-00758
COM2005-00758
COM2005-00758
COM2005-00758
.
Payments:
Type of Payment
Cbeck
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6/23/2005
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RECEIPT #:
3200500000000000371
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By Received By
COMFORT FLOW HEATING nJm
CO
Check Number
Batch Number
30263
Page 1 of 1
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 06/23/2005
9:21:53AM
Item Total:
Authorization
Number How Received
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid .
In Person
$62.65
Payment Total:
$62.65