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HomeMy WebLinkAboutPermit Mechanical 2005-9-20 Status: Issued , 225 Fiftb Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,""' -- . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01270 ISSUED: 09/20/2005 APPLIED: 09/19/2005 EXPIRES: 03/20/2006 VALUE: SITE ADDRESS: 2086 DONNELLY DR ASSESSOR'S PARCEL NO.: 1703271303300 Springfield TYPE OF Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace heat pump Owner: HOLLY SOMBS Address: 2086 DONNELLY DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor law requfuicen~e to Expiration Date COMFORT FL~lv.ENTION: Oreg~nh' lhp. ol.~9)n Utility, 0612712007 101l0F1iiJ,:v~,~~:~~" .!RMJ\'f(O~~5"2"OvO' '1' ~ '\ .1 I IIIH r-I;1. Not! Iv_"- rOUB" v' " ' in OAR 95~-~P~~&~~!;~oPies of the rules by R-3 0090, ,{ollJfer~@~' (Note: the te\epho~e calling 't% ~? ' ~ n Utility Notification VN l\umbeTWntl! D~rOOO_332-2344), Ril~r~~e~ Energy Patb: Sprinkled Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: " Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: > Description Phone Number: 541-746-0327 Phone 541-726-0100 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Overlay D1st: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLlC IMPROVEMENTS' j'I'c. Sidewalk Type:Tur: WORK NO Iv", .. \ ~)(P\Rt IF I nr: TU\S PEDMI'T SHDowns~utSlDralns IS NO! \ n n ER lR\~ rt:n"" , AUl HORIIED UON~ IS ABANDONED FOR COMMENCED ANY 1BO DAY PERIOD, I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated I of 2 .....' . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01270 ISSUED: 09/20/2005 APPLIED: 09/19/2005 EXPIRES: 03/20/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project FI'I'r. P,llid.l Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid S10.00 $4.50 S3.15 S12,OO S33,OO Date Paid 9120/05 9120/05 9120/05 9120/05 9/20/05 Receipt Number 1200500000000001369 1200500000000001369 1200500000000001369 1200500000000001369 1200500000000001369 Total Amount S62,65 I Plan Reviews I To Request an inspection caD 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. wiD be made the following work day. IRl'n~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I slllte and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 wiD 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 ail 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 wiD remain on the site at ail times during struction. ~ /2. _I / ~.#. -- ____ q - "('D-oS Ow'ner ~Contractors Sig;ature Date 2 of 2 225 Fiftl} Street Springfield, Oregon 97477 541-~26-3759 Phone . 8"~.": ~ ~-; 'Job/Journal Number COM2005-0 1270 COM2005-0 1270 COM2005-0 1270 COM2005-0 1270 COM2005-0 1270 Payments: Type of Payment Check :, :( - , 9/2012005 RECEIPT #: 1200500000000001369 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW HEATING Received By djb 1 of 1 ,.' JiJ.ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 09/20/2005 Item Total: \,.;beck Number AuUlortzation Batch Number Number How Received 31308 In Person Payment Total: 3:03:I4PM Amount Due 3,15 4.50 12,00 33,00 10,00 $62.65 Amount Paid $62,65 $62.65