HomeMy WebLinkAboutPermit Mechanical 2005-11-14
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. CITYOFSPRINt.NJ<..LlJ
Building/Combination Permit
PERMIT NO: COM2005-01596
ISSUED: 11/1412005
APPLIED: 11/10/2005
EXPIRES: 05/1412006
VALUE:
. Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3392 ELLIOT LN
ASSESSOR'S PARCEL NO.: 1702313402402
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: JAMES POWELL
"Address: 3392 ELLIOT LN
SPRINGF1ELD OR 97478
Phone Number: 541.747.5982
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ICONT~CTORINFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC INC
AUTOMATIC HEAT
License
159537
149452
Expiration Date
04/15/2008
10/22/2007
Phone
541-895-4466
541-726-7654
I BurL DING INFORMATION'
. #ofUnits:
" Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
r
!pUBLIC IIHPROVEMENTSI
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
."
I of 2
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CITY OF SPRINGt<J~LJJ .
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM200S-01596
ISSUED: 11114/2005
APPLIED: 11110/2005
EXPIRES: 05/14/2006
VALUE:
I Valuation Descrintion ,
Description
Type of Construction
$ Per Sq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fee, Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10%' Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
11/14/05
11/14/05
11/14/05
11/14/05
11/14/05
1200500000000001712
1200500000000001712
1200500000000001712
1200500000000001712
1200500000000001712
Total Amount
$62.65
Plan Reviews ,
To Request an inspection caD the 24 hour recording at 726-3769. Ail 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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 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 OCCVP ANCY 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.
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 front of the property, and the approved set of plans wiD remain on the site
,at all times d~g constructiolL
~/.-:;;?L/ //-/"/05
, Own&' 6r Contl'licto~s Signature Date
2 of 2
225 FiUh Street
springfield, Oregon 97477
541-726-3759 Phone
J~/JoorDJlI Number
CpM2005.0 1596
COM2005-0 1596
COM2005-0 1596
COM2005-0 1596
COM2005.0 1596
Payments:
T)'pe of Payment
CreditCard
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11/1412005
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RECEIPT #:
a~~I~ClFI""I)iLD"" ' I
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, i
-__:~.,I
.....ity of Springfield Official Receipt
.veIopment Services Department
Public Works Department
1200500000000001712
Date: 11/14/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
FIRST CALL HEATING AND
COOLING
Item Total:
Lheck. Number Authorization
Received By Batch Number Number How Received
dim 087202 In Person
Payment Total:
1 of I
8:24:47AM
Amoo nt Due
3,15
4.50
12.00.
33.00
10.00
$62.65
Amount Paid
$62.65
$62.65