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HomeMy WebLinkAboutPermit Mechanical 2005-4-6 -.~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00365 ISSUED: 04/06/2005 APPLIED: 03/31/2005 EXPIRES: 10/06/2005 VALUE: }i~ " Status Issued 225 Finh Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax 541-726-3769 Inspection Line srn: AlllJllESS:'502 LOCHAVEN AVE ASSESSOI{'S 1'''\ RCEL NO.: 1703271301200 . ' Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRWTlON: Install heat pump I I OWIIl'r: IJOYLE RUSSELL A("lrl'SS: 502 LOCHAVEN AVE SPRINGFIELD OR 97477 Phone Number: 541-746-0188 I CONTRACTOR INFOHMATION I Contractor Type " l\lcrhankal J Contractor MARSHALLS INC License 25790 Expiration Date 12123/2005 Phone 541-747-7445 ",' , I BUILDING INFORMATION I I:" [, Oregon fa # of Units: .. ,.;, . -'fOi-'ted b W re"IOfli!<lf~' : Primal')' O"l'nl",n(')' ~roup: ' . '~~1~~3 ThoY the <Heij~fJo I~cture Sl'condar)' Occnpancl.' Group: -I. Cl-001Q th se rU/E!I;J:p.'I:<<J!,1 ~~~ I'rimar\' Construction Type' n::;. /VN rOUgh o.\!<rler. -" Q[f/J , . O)""n c' .,..", <J " 1\ SI'CfJlHlar)' Constrnction Type:. Gent"r OPles O~~,~'U)' e:1. # of Bcdrooms: '''II' ~, Ine O~' (Note: the Ener~~litfiy , reg <CIt:iJ.Jl !.~';,I'er is 1 On Utility tSpnn uilding: ". ' -Bnn."..,.... _ ~"'LJTlcatj"... Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla -_ C-.-'L/"'\" I DE'vEL9,P~,~ENT INFORMATION I I Frolll~':tnr Sl'thnrk: Side I Set hack: Silk 1 Sl'lhill'k: Hl'ar)'ard Sl'thack: Sola!' Scthad:s: Overlay Dist: # Street Trees Hqd: Paved Drive Rqd: % of Lot Coverage: REQUlHED PARKING Total: Handicapped: Compact: , ., " I PUBLIC II\Il'ROVEMENTS I NOTICE: '--- Stn"'lllIIl'ro\'emlrN~ PERMIT SHALL EXPIRE IF THE WORK Slnnn Sewer A\'~le~.\e':JRIZED UNDER THIS PERMIT IS NOT Sl'eciallnstrlll'li<~bMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Sidewalk Type: DownspoutslDrains: Noh's: I ValuatiOl~_ Dcscriotion I Ol'SlTinlioll Type of Construction $ Per Sq 1'1 or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00365 ISSUED: 04/06/2005 APPLIED: 03/31/2005 EXPIRES: 10/06/2005 VALUE: Status Issued ,[ 225 Fifth Street, Springfield, OR 541-726-3753 Phone " 541-726-3676 Fax 541-726-3769 Inspeeti,on Line Total Value of Project Fees I'aill I Fl'(' Dt'srrilllion -Ml'l'h:lIIkallssunnce Fee- + tOI:.{1 "dll\il1islrati\J~ Fee + 7'X, StHlc Surl'lHlrge Ileal Pump 1\'Iiuimum/AdjusfmCli,t 1\1cchanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $33.00 4/6/05 4/6/05 4/6/05 4/6/05 4/6/05 2200500000000000391 2200500000000000391 2200500000000000391 2200500000000000391 2200500000000000391 Total Amo'hnt Paid $62.65 I Plan Rcviews I To RCC]UI'st an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will he made the sa'mc working day, inspections requested after 7:00 a.m. will be made the following work day. :; I Rennir"" III'l"'l'Iions I Rough l\lechanical: Prior to Cover Final M,'chanical: When all mechanical work is complete. " lIy' signal'''''', I slale and agree, that 1 have carefully cxamined the completed application and do hereby cerlify that all infon"ati"n 1]('I"<'lIn is irlle and correct, and 1 further eerlify that any and all work performed shall be done in accordance with Ihe Ordi"ances of Ihe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and Ihat NO OCCU I' ANCY will be made of any struclure wilholll permission of the Community Services Division, Building Safety.' 1 flirt her eerlify that ohly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to cnsu~e that all required inspections arc requested at the proper time, that each address is readable from the street, Ihat Ihe permit brd is located at the front of the property, and the approved set of plans will remain on the site at all tiIlH.'S during l'ollslruction. ~,~.:.- :, .~~~---- 7"--6-0";- OWlH.'r or COlllnlctors Signature Date Page 2 of2 225 Fifth Street Springfield, O,regon 97477 541-726:.J'759 Phone . 8~~'~"~~FI~.__,.._ \. Wir' ~___~,.,i City of Springfield Official Receipt eelopment Services Department Public Works Department RECEIPT #: 2200500000000000391 Date: 04/06/2005 11:45:55AM Job/Journal Number COM2005-00365 COM2005-00365 COM2005-00365 COM2005-00365 COM2005-00365 Description +i7% State Surcharge +: 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 12,00 33,00 10,00 . $62.65 Amount Paid Check MARSHALLS INC djb 18541 In Person Payment Total: $62,65 $62.65 4/6/2005 Page I of I