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HomeMy WebLinkAboutPermit Mechanical 2005-6-22 -. .- CITYOFSPRlNGFIELD \l!G'I!CE: Building/Combination Permit _..,~ ...........A.Tt"'IIAII rVnIOc.ltTut:\^,nQI.( Status: Issued AUT~H'ORI'ZED UNDER THIS PERMIT IS N(P,ERMIT NO: cOM2005-00752 225 Fifth Street, Springfield, OR~OMIViENCED OR IS ABANDONED FOR ISSUED:. 06/22/2005 541-726-3753 Phone . AI~Y 180 DAY PERIOD, APPLIED. 06/17/2005 541-726-3676 Fax EXPIRES: 12/22/2005 541-726-3769 Inspection Line VALUE: SITE ADDRESS: 2599 MAlA LP ASSESSOR'S PARCEL NO.: 1703251407400 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: HELEN STONE Address: 1872 16TH ST SPRINGFIELD OR 97477 Phone Number: 541-746-6908 ICONTRACTOR INFORMATION I Contractor Type Mechnnical Contractor HOME COMFORT HEATING & AIR License 84164 Expiration Date 06/2512007 Phone 541-345-2838 I BUlLDINGINFORMATI0NI # of Uni": 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 Path: 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 n/a 'DEVELOPMENT INFORMATION" Front yard Setbnck: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ATTCf\ITI("\,,,,. 1""\.................... I....... ~_.....:..__ \........._ - , . follow rules ado"RUB~(J1IMP.R(j)YEMIDl\iITSI Str t Notification Center. I nbse rUles arEt ~~I f\:;Mn 00 in OAR 952-001-0010 through OAR 952-001- Storm Sewer A~ailable: 0090, You may obtain copies of the rules by Special Instruction: calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Sidewalk Type: Downspouts/Drains Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft ormnltlplier Sqnare Footage or Bid Amount Value Date Calculated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM200S-00752 ISSUED: 06/22/2005 APPLIED: 06/17/2005 EXPIRES: 1212212005 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.F~~s Paid 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 6/22/05 6/22/05 6/22/05 6/22/05 6/22/05 Receipt Number 1200500000000000886 1200500000000000886 1200500000000000886 1200500000000000886 1200500000000000886 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 signatnre, 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 1 fnrther certil)' 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 of any structnre without permission of the Community Services Division, Building Safety. I further certil)' 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 ~ located at the front of the property, and the approved set of plans wID remain on the site at all times during constructiolL , Owner or Contractors Signature Date O,""c..-~k.. S\~~,4-WA-c.tft1) G( ~ -z(4A-- 'h.!t' 2 of 2 06/17 /05 FRI 11: 39 FAX 5411689 CITY OF SPRINGFIELD . ~OO~_ .'.....WIL...~...~.FJ.~.. jiJ... .. . " ....... .: CITY OF SPRINGFIELD' Building/Combination Permit Status: Pending 225 Fifth Street, Springfield, OR 541-726-.3753 Phone . 541-726-3676 Fax 541-716-.3769 Impeetlon Line PERMIT NO: C0M2005-00752 ISSUED: APPLmD: EXPIRES: VALUE: 0611712005 12117/2005 Totnl Value of Project Fees PaW Fee Descriptioo Amoont Paid Date Paid Receipt Number Totnl Amount 50.00 I Plan Reviews ~ To Request an inspection call the 24 hour recording at 726-3769. AU inspection requested before 7:00 a.m. will he made the same working day, inspections requested after 7:00 lI.m. win be made the following work day. I Reauir~Jnmection~_ Rongh Mechanien\: Prior to Cover Final Mechanien1: When all mechanical work b complete. By signatnre, I Sl3te and agree, that I have QrefuUy examined Ibe completed applieatlon and do hereby certify thot all InJormation hereon Is true and correct, and I further certilY that any IIDd all work performed mall be done in accordance with the Ordinance. of the City of Springfield IUld the Laws of the Stall: of Oregon pertainIng to the work described herein, and that NO OCCUPANCY wiQ be made of any strneture without permission ofthe Community Services Division, Building Safety. I further certifY that only eontrnctors and employees who are In compliance with ORS 701.005 will be osed ., 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 pennit card is localed nt the fJ;Ont of the Droperty, and the approved set of plans wiD remain on tho site ataU~~~f ~ ~-/7-0S o.~'""U:::J---- no. 2 of 2 225 Fifth Street Springfield, Oregon 97477 541'"726-3759 Phone Job/Journal Number COM2005-00752 COM2005-00752 COM2005-00752 COM2005-00752 ~'~ COM2005-00752 '..... I I Payments: T,ype of Payment Check . .~ ... :1 ,i. "'" ~.... :1 6/22/2005 . RECEIPT #: .........irii'...~... ...' ~i .'''! "*ity of SPrin. gfield Official Receipt .velopment Services Department Public Works Department 1200500000000000886 Descrlptlon + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By HOME COMFORT HTG Reeeived By djb 1 of 1 Date: 06/22/2005 Item Total: LDecK Number AuUlOlization Balch Nwnber Number How Received 13571 In Person Payment Total: 9:05:45AM Amount Due 3,15 4,50 12.00 33.00 10.00 ' $62.65 Amount Paid $62.65 $62.65