HomeMy WebLinkAboutPermit Mechanical 2005-7-13
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1055 LINDA LN
ASSESSOR'S PARCEL NO.: 1802030000506
*
'I
. CITYOFSPRINGl'lliLU
Building/Combination Permit
PERMIT NO: COM2005-00890
ISSUED: 07/1312005
APPLIED: 07/12/2005
EXPIRES: 01/13/2006
VALUE:
AnENTION' n'M__ ,
IUIIOW rlJ'PC ':IM....._~':' .. ...... Il;::;YUlreS You tn
Springfi~idt"iYPE OFnt~r,-ih~H~~tin~Sy~'i'e7nUtiljty
,n uAR 952.001.0010 th "c r UI~S are set forth
0090,MEOFJjSE: N~~h OAR 952-0(Residential
calling the ;ent;;;";~~fJl,es of the rules by
number for the n'OM_ ~~:"thetelephone
Genter is l'8(m,o~~'N~;;d;~~fag41'!741-2459
--- I..V~....).
PROJECT DESCRIPTION: Install heat pump
Owner:
Address:
KELLIE BEDSAUL
1055 LINDA LN
SPRINGFIELD OR 97478
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rlmary Construction Type
Secondary Construction
# of Bedrooms:
R-3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR INFORMATION I
License
25790
Expiration Date
12/23/2005
Phone
541-747-7445
I BUILDING INFORMA nONI
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
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 I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dlst:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains
I Valu~tion Descriotion I
S Per Sq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00890
ISSUED: 07/13/2005
APPLIED: 07/12/2005
EXPIRES: 01113/2006
VALUE:
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.p.~ Pairl I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
Receipt Number
1200500000000000996
1200500000000000996
1200500000000000996
1200500000000000996
1200500000000000996
Total Amount
$62.65
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.
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 wiD be made ofany structure without permission of the Community Services Division,
Bnilding 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 reqnlred 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 dnrlng constructiolL
~~..L-.-?"'~~ .:r ?-/~07-
Owner or Contractors Signatnre
Date
2 of 2
225 Fiftb Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00875
COM2005-00875
COM2005-00875
COM2005.00875
COM2005.00875
COM2005.00875
COM2005.00890
COM2005-00890
COM2005-00890
COM2005-00890
COM2005-00890
COM2005.00874
COM2005.00874
COM2005-00874
COM2005-00874
COM2005.00874
q
~ayments:
Type of Pa)1llent
Check
..
:{
"
"
,
7/13/2005
.
.City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #:
Date: 07/13/2005
2:52:56PM
1200500000000000996
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance F ee-
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fe....
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fe....
Amount Due
3.15
4,50
8,00
12.00
25,00
10,00
3,15
4,50
12,00
33,00
10.00
3.15
4.50
12,00,
33.00
10.00
$187.95
Paid By
MARSHALL'S INC
Item TotBI:
l:heckNumber AuUlorizafjon
Received By Batch Nwnher Number How Received
njm 18711 In Person
Payment Total:
$187.95
$187.95
Amount Paid
1 of I