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HomeMy WebLinkAboutPermit Mechanical 2005-6-23 r-~,~~J~@.~@i~.!?J \' ~rl \, . . 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' ~/fn,., " . OregO~/RIA' , 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 IMp(;\' \. 2-001-nn1 fl fL les arA ,\:'0+ ,,_, U c~~jingUUthmay Obtai~~~.;'euMU~M~ 9~OOi~-4018 e cente 'V/J,e~ Of the rul nUmber to r. (Note' th es by r the Ore . e te/ephon Cpnt". \ gon Uti/it" "'~q' e , .., l-oUU-332_2 ...,I"QlIon 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 '. 0:. ,-,. , l. ~L:. # 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 -~"~WJi,If,I~;eJ~I'"" , " , 't, i,.J " . .. -e; , ! .~" t ' . . 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::)~ , 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 " ; r ~, 1_ ;, 6/23/2005 8~~~~F~_')J" _ I 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