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HomeMy WebLinkAboutPermit Mechanical 2005-11-1 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01156 ISSUED: 11/01/2005 APPLIED: 08/25/2005 EXPIRES: 05/01/2006 VALUE: ,I . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4550 HOLLY ST ASSESSOR'S PARCEL NO,: 1802051207000 Springfield TYPE OF Heating System TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Install AC unit Owner: MARILYN NAGY Address: 4550 HOLLY ST SPRINGFIELD OR 97478 Phone Number: 541-746-1859 I CONTRACTOR INFORMATION 1 Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC CHITflM ENTERPRISES IINC License 159537 47396 Expiration Date 04/1 5/2008 03/08/2007 Phone 541-895-4466 541-461-2101 I BUILDING INFORMA TlONI VN # of Stories: . eS ~.JlJ Size: Height of on laW reql.l,r o,~q\!1t'rst Floor: Type of Heat:-.\.. ore9 b \"e ore9 Sq,Ft2iJ'd Floor: '-"'\jN"~' led 'I areo". Water Type:s adO? hose rl.lles S!I!.).FtlBasement: .. .., (Wo. I" 0i'.1'\" ~ Rling~!~~A:' cenler. l"roI.l9" ~~\f:Wa.;age/Carport Energy'Path: 00\.00\0 o",es 01 I"Sq Ft Other: " .nB~t.- 'ne l"" \~IH\':.)I..... SPriiikled .....a" obtaI .1 iJ/a I"e leOccuP'!nt Load: \..~....^ "n\.1'"'' ....... h"OlIJ' d. ....\('\,\'\C~~l.....- ....- ..-.... . ..... - 'J\I"~J I DEVELOPMENifo'INFO~'f.IeN 1,32.2344). f\1.l[nuv'cenler \5 \'U~- Overiay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: R-3 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: . Solar Setbacks: Total: Handicapped: Compact: IPUBLlC IMPROVEMENTS 1 Street Sidewalk Type: DownspoutslDrains Storm Sewer Available: Special Instruction: E' r 1\-1E WORt(. ~~~\~tP.M\1 S\-Ir-.\~ ~J\~~~RM\1 IS N01 r-.U1\-10RIIEO UN~ IS f>.Bf>.NOONtO rOR COMM~ONCO~~ ~ERIOO. f>.N'{ 1" Notes: 1 of 3 . Status:' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or muitip6er Square Footage or Bid Amount Total Value of Project Fees t.lW!J Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 $10.00 $4.50 $3.15 $12.00 $33.00 10/5/05 10/5/05 10/5/05 10/5/05 11/1105 11/1105 1111/05 11/1105 11/1105 Total Amount $116.47 I Plan Reviews , . CITY OF M"Kll'iul'lliLJJ Building/Combination Permit PERMIT NO: COM2005-01156 ISSUED: 1110112005 APPLIED: 08/25/2005 EXPIRES: 05/0112006 VALUE: Value Date Calculated Receipt Number 2200500000000001377 2200500000000001377 2200500000000001377 2200500000000001377 1200500000000001656 1200500000000001656 1200500000000001656 1200500000000001656 1200500000000001656 To Request an illSpection caD 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. wiD be made the following work day. Ueouire'Unsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01156 ISSUED: 11/01/2005 APPLIED: 08/25/2005 EXPIRES: 05/01/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line 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 certity that any and all work performed shall he 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 he made of any structure without permission of the Community Services Division, Building Safety. I further certity 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 wiD remain on the site at a~l ".es during construcl\oIL ~~ A. ~/..JbL 1;/' lac.- V I - I Owner or Contractors Signature Date 3 of 3 225 Fifth Street Spr.H1gfiekl, Oregon 97477 541-726-3759 Phone . a~ '~f ~ City of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005.01156 COM2005-01156 COM2005-01156 COM2005.01156 COM2005-01156 Payments: Type of Pal'1lent Check 'i :i. 11/1/2005 RECEIPT #: 1200500000000001656 Date: 11/0112005 2:52:54PM Description + 7% State Surcharge + 10% Administrative Fee Boiler/Camp Up To 100,000 btu Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By JAMES HEATING Received By djb 1 of 1 Item Total: Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 LnecK i"(umoer Autllonzatlon Batch Number Number How Received 1414 In Person Payment Total: Amount Paid $62.65 $62.65