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HomeMy WebLinkAboutPermit Mechanical 2005-12-12 . ~ CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2005-01705 ISSUED: 12/12/2005 APPLIED: 12/08/2005 EXPIRES: 06/12/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 353 DEADMOND FERRY RD , ASSESSOR'S PARCEL NO,: 1703154002200 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair PROJECT DESCRIPTION: Replace heat pump and air ~TJrCE: THIS PERMIT SHALL EXPIRE IF THE WORK Residential Owner: PEACE HEAL TH Address: PO BOX 1479 EUGENE OR 97440 /'IU I nu niL[: U UI~ucn 1m" rC:n1VIII I" I~U I COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor MNB ELECTRIC INC COMFORT FLOW License 162191 460 Expiration Date 11/19/2006 06/27/2007 Phone 541-726-8601 541-726-0100 I BUlLDI,R. mrORMATION I . # of Units: , Primary Occupancy Group: Secondary Occupancy Group: Prima,y Construction Type Secondary Coustruction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Str(uctul'e egon law requireSSqlPtt-lst Floor: fl.fT,-tl.ill H\J: U( '. . Type or-Heat: d t d by the OregoSq.Ft'2.nd Floor: ....-lI:;)"rld,:l.!=;a ope _. Wate~ Type:'" Those rules ar,Sq:Ft'Bas, ement: R' '-""'T"'~~ Center. S F G C an~~.;~~,!';,_ _ 010throllqh O:,cLq t arage! arport Energy.P~th: 001 0 '. 0: thcSq,Ft,Other: S - 'i-Id' 'd'B' 'ld'l" "btam cor..,/ 0 0 L pr n e . Ul ng: ., u.a. r '.., ccupant oad: _ _11:....,... thn r-n:-ltpr (1','.__'0..1 ' R-3 I DEVELOPMENT-INFORMATION' l,..... 1'....-:" J Front yard Scthack: Side 1 Sethack: Side 2 Sethack: Rcaryard Setback: Solar Setbacks: Overlay Dist: # St,eet Trees Rqd: Paved D,ive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsIDrains: Notes: Palle 1 00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction " Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Su,charge Ai, Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Refund - -Mechanical Issuance Refund - + 10% Administrative Refund - + 7% State Surcharge Refund - Air Handling Unit Up Refund - Heat Pump . Refund - Minimum/Adjustment Me -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid ~ CITY OF SPRIrli\:r.l'lJ!,LD ' Building/Combination Permit PERMIT NO: COM2005-01705 ISSUED: 12/12/2005 APPLIED: 12/08/2005 EXPIRES: 06/12/2006 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project )fpp< PIil&l Amount Paid Date Paid Receipt Number 1200500000000001795 1200500000000001795 1200500000000001795 1200500000000001795 1200500000000001799 1200500000000001799 1200500000000001799 1200500000000001799 1200500000000001799 1200500000000001799 1200500000000001802 1200500000000001802 1200500000000001802 1200500000000001802 1200500000000001802 1200500000000001802 2200500000000001695 2200500000000001695 2200500000000001695 2200500000000001695 2200500000000001695 2200500000000001695 $4.50 $3.15 $43,00 $2,00 $10.00 $4,50 $3.15 $8.00 $12.00 $25.00 $-10,00 $-4.50 $-3,15 $-8.00 $-12,00 $-25.00 $10.00 $4.50 $3.15 $8,00 $12.00 $25.00 12/9/05 12/9/05 12/9/05 12/9/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/12/05 12/13/05 12/13/05 12/13/05 12/13/05 12/13/05 12/13/05 $115,30 I Plan Reviews 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. Pal!e 2 of3 . Status Issued 225 Fifth St,eet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reouired TnsnedionsJ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01705 ISSUED: 12/1212005 APPLIED: 12/0812005 EXPIRES: 06/12/2006 VALUE: By signature, I state and agree, that I have ca,efully examined the completed application and do hereby certify that all information he,eon is true and correct, and I further certify tbat any and all work performed shall be done In accordance with the Ordinances of the City of Sp,ingfield 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, 1 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 f,ont of the property, and the app,oved set of plans will remain on the site at all times during construction. , ~n'l Uyy ie:., Owner or Contractors Signature Paee 3 of3 1~/I.~/tA f . Date . ."~"R'NQ,PJa.o," '.',' 1Ir' ' '~. ' .-..-. ~.- ~ty of Springfield Official Receipt ~evelopment Services Department Public Works Department 225 Fiftl\. Street Spl;ingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1705 COM2005-0 1705 I, COM2005-0 1705 COM2005-0 1705 COM2005-0 1705 COM2005-0l705 Payments: Type of Payment Check " 0' " \ ;C :' " 0' " :( ,. 12/13/2005 ~, RECEIPT #: 2200500000000001695 Date: 12/13/2005 Description Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By COMFORT FLOW HEATING CO Item Total: Check Number Authorization Received By Batcb Number Number How Received ddk 32126 In Person Payment Total: Page 1 of 1 12:05:09PM Amount Due' 12,00 8,00 25,00 10,00 3,15 4,50 $62.65 Amount Paid $62,65 $62.65