HomeMy WebLinkAboutPermit Mechanical 2005-9-16
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_ CITY OF SPRINGFIELD~
Building/Combination Permit'
PERMIT NO: COM2005-01265
ISSUED: 09/16/2005
APPLIED: 09/16/2005
EXPIRES: 03/16/2006
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-:-726-3769 Inspection Line
SITE ADDRESS: 5243 DAISY ST
ASSESSOR'S PARCEL NO.: 1702333404624
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Add heat pump to existing furnace
Owner: GLEN STEGER
Address: 5243 DAISY ST
SPRINGFIELD OR 97478
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ATTENTION: uregull an '''' ,,-~ -:_..: Uti1!~'
follow rules adoPt~~~~Ri~EO~ATION I
Notifif~tion Center. hOAR 952-001-
:U, p~~~j,~J{)01-0010 thro~g tp rules bV License
'~~PQM'fmItJE1\\ln:NW&Aii:~QWJJJO 106275
, calling the centej' BUlri>ikGiN:GRMNTION I
number for the.O ~ '" 0- 32-2344).
# of Units: Center IS 1-80 #fof Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VN Water Type:
, Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Phone Number: 541-988-0339
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Contractor Type
Mechanical
Expiration Date
08/31/2006
Phone
541-683-2590
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
,
.
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Frontyard Setback:
Side 1 Setback:
" Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
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REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: ,\'\'t. \NO\\\(
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I PUBLIC IMr;'~~:~~~TS;I~~~~-'\'\\~\~~~~D rOt'
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\ I~ \,\0\\\ \\ 0\\ \~SiC:IewaIk Type:
f\\J .d't.~G~u \\'DD.
GO~\'J\ Df\'l?~ Downspouts/Drains:
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Notes:
I Valuation Description I
.
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Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
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_ CITY, OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01265
ISSUED: 09/16/2005
APPLIED: 09/16/2005
EXPIRES: 03/16/2006
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
9/16/05
9/16/05
9/16/05
9/16/05
9/16/05
Receipt Number
2200500000000001276
2200500000000001276
2200500000000001276
2200500000000001276
2200500000000001276
Total Amount Paid
$62.65
I Plan Reviews I
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, 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 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 ensur~ 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 co~~ ~
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Owner or Contractors Signature
9-/6" -c:JJ--
Date
Paee 2 of2
,
225 Fifth Street
S~ringfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
C=:OM2005-01265
COM2005-0 1265
COM2005-0 1265
COM2005-0 1265
COM2005-01265
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Payments:
Type of Payment
Check
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9/16/2005
RECEIPT #:
2200500000000001276
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Check Number
Batch Number
Received By
djb
13592
Page 1 of 1
City of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 09/16/2005
1:20:41PM
Item Total:
Authorization
Number How Received
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
In Person
Payment Total:
$62.65
$62.65