HomeMy WebLinkAboutPermit Mechanical 2005-4-6
.
Status
Issued
~
.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00396
ISSUED: 04/06/2005
APPLIED: 04/0612005
EXPIRES: 10/06/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1091 LONG RIDGE DR
ASSESSOR'S PARCEL NO.: 1802064105300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: JAMES SORENSEN
Address: 5729 MAIN ST PMB 154
SPRINGFIELD OR 97478
Phone Number: 541-747-0593
I CONTRACTOR INFORMATION I
Contractor License
1 _
MARSHAI:;!'S,INC 25790
;11:' ru/, ~_ ~ v-" ,..--",,, .--::::-' .
'u' ','t'I'C .. ~ &- adODtedl IBUlLDINlJ'l1u-l'llWATIONI
. I all C . J/' I
in OAR 9 on enter. Those u/ - -'Nil /lily
# of Units: 0090 52-001-0010 thro ~!'.f'Srilfie~ttorth
Primary Occupancy GroBS" YOU m~-dbtain CO Ull'ei~ijIDlJ~D'f.e
Secundary Occupancy <;;rollp'J9 the center. (Noi'-1fv~UlfElltJ!~ by'
Primary Construction fMrnoer tor ttMNJre on e;.~li't~l'flll~ne
Seeundary Construction Type: Center kll-8~O Ut1t'tltrfgelJ1l6lffjon
# of Bedrooms: --332.111. Path:
Sprinkled Building:
Contractor Type
Mechanical
Expiration Date
12/23/2005
Phone
541-747-7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Sethal'k:
Side 2 Scthacl<:
Rear)'ard Sl'Iback:
Solar Sclhacl;s: NOTICE:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
"llv rcnlVlI1 .)nf\LL' w,,,,,, .. ..,~ .......-..
AUTHORIZED UNDE~I PUBI;IC:::1MP_ROVEMENTS,
....- . -, "0", IV '.V I
Street Improvements:COMMENCED OR IS ABANDONED FOR
Storm Sewer Availabl~:11JY 180 DAY PERIOD.
Spcciallnstrul'tion:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
225 Firlh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fcc Desrri(ltion
.....l\']cch:mirallssunnce Fee-
+ tOI}';) Administrative Fee
+ ?'X, State Surcharge
Air Handling Unit Up to 10,000
Hcat Pump
l\'linill1l1lll/Adjustlllcnt l\fcchanical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00396
ISSUED: 04/06/2005
APPLIED: 04/06/2005
EXPIRES: 10/0612005
VALUE:
Total Value of Project
L.F~~s Paid I
Amount Paid Date Paid Receipt Number
$10.00 4/6/05 2200500000000000390
$4.50 4/6/05 2200500000000000390
$3.15 4/6/05 2200500000000000390
$8.00 4/6/05 2200500000000000390
$12.00 4/6/05 2200500000000000390
$25.00 4/6/05 2200500000000000390
$62.65
I Plan Reviews I
To Requcst an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will hc made thc same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I R~ouired Insn~etionsJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signalurc, I slate and agree, that I have carefully examined the completed application and do hereby certify that all
inforlllalion hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordin'lIIccs of Ihe 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 ccrlify 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 arc requested at the proper time, that each address is readable from the
street, Ihallhe 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 construction.
~4~
.-::::7...- _-
OWIll'1" or ConfnH.'lors Signature
'7-6 -0"'-
Date
Paee 2 of2
225 Fifth Street
SpringfieldjOregon 97477
541-726-3759 Phone
.
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City of Springfield Official Receipt
.elopment Services Department
Public Works Department
J~b/Journal Number
COM2005-00396
COM2005-00396
COM2005-00396
COM2005-00396
COM2005-00396
COM2005-00396
Payments:
Type of Payment
Check
:,1
-
"
~ !
~
4/6/2005
RECEIPT #:
2200500000000000390
Date: 04/06/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance F ee-
Paid By
MARSHALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 18541 In Person
Payment Total:
Page I of 1
I1:44:30AM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65