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HomeMy WebLinkAboutPermit Mechanical 2005-2-25 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00190 ISSUED: 02/25/2005 APPLIED: 02/1712005 EXPIRES: 08/2512005 VALUE: . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '* SITE ADDRESS: 1095 KINTZLEY AVE ASSESSOR'S PARCEL NO,: 1802062402800 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump and air handler TYPE OF USE: New Residential Total: Handicapped: Compact: '-NO\'\\\. ",,..,,o.\', \I' :\~~ Ie. ~O:\ I PUBLIC IMPROVEI\1EN'I1S;'~\.\,\\..~~\S ?t.~~D' to\'\ U\::> ,~' n \)"v<' - . \<.11)01' :\, \ \'\O\,\\lt:u 0\'\ \s rSidewalk Type: r>-\i~W-t.~c.\:~ ?\:\,\\OUownspoutslDrains: C. ,,\'O(J I)f\ r>-~' Owner: CHRIS WILHITE Address: 1095 KINTZLEY AVE SPRINGFIELD OR 97478 _'I' I CONTRACTOR~)10RMATION I ~eo..v' O{l ~ \O~I' Contractor o~ \V>~ 0 QleQ! 10 s~\ ,()\Dfcense ASSOCIA TEI!~~ ~lfu~'Q.~QmK9lKh75 ...&~\~ v>6.:~J .':;~:'\I9'fN-il@RMlmIO~" ",- (U''''' 'J' J , /I I r ~\11l' ~ (fl." ;:!"i". co~'-. \~e ,~' 'I..\\\C'3-"- # of Units: \0 ~~~~o rt.S)O' o'Ctal?:;;..~s: ~\'l ~o Primary Occupancy Group: ~O Q~~ ~ ((I'<>'l ~gh't(\\('Stil,~~!U;..\'~' Secondary Occupancy Group: \~ 1).-0(0 ~0 e0 Jl'Jl~~t.ijealf Primary Construction Type ()O~\(\~ \ \01 ~W\'!1~r"1"'ype: Secondary Construction Type: ~((I'00 (j0(\\'ltange Type: # of Bedrooms: t" Energy Path: Sprinkled Building: Contractor Type Mechanical I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Descrip\ion $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paeelof2 Phone Number: 541-746-5564 Expiration Date 08/31/2005 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: REQUIRED PARKING Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical Total Amount Paid . Total Value of Project l.Fp.p.s PaidJ Amount Paid $10,00 $4,50 $3,15 $8,00 $12,00 $25,00 $62,65 I Plan Reviews I Date Paid 2/25/05 2/25/05 2/25/05 2/25/05 2/25/05 2125/05 . CITY OF SPRINGFIELD , Building/Combination Permit PERMIT NO: COM2005-00190 ISSUED: 02/25/2005 APPLIED: 02/1712005 EXPIRES: 08/25/2005 VALUE: Receipt Number 2200500000000000224 2200500000000000224 2200500000000000224 2200500000000000224 2200500000000000224 2200500000000000224 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. L...Peauired Ifsnp."tio~ 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 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 consin, ~A JJK~ Owner or Contractors Signature ---". r- Pa!!e 2 of2 '?!7~>ln ~' Date I ' 225 Fifth Street Springfifld, Oregon 97477 541;>726-3759 Phone Job/Journal Number COM2005-00190 COM2005-00190 COM2005-00 190 COM2005-00 190 COM2005-00 190 COM2005-00 190 Payments: Type of Payment Check 2/25/2005 . RECEIPT #: DescriptIon + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By ASSOCIATED HEATING 8P~RJ~_~~.~ _ _.' _,. '.' Wi:' , , -~._ 1 . ~ I . -...-~'"~. ..-., ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000224 Date: 02/25/2005 Item Total: Check Number Authorization Received By . Batcb Number Number How Received djb 12689 In Person Payment Total: Page I of 1 2:38:14PM Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid $62.65 $62.65