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HomeMy WebLinkAboutPermit Mechanical 2005-6-2 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00662 ISSUED: 06/02/2005 APPLIED: 06/02/2005 EXPIRES: 12/02/2005 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 551 GRANITE PL . ASSESSOR'S PARCEL NO.: 1703341214600 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install air conditioning TYPE OF USE: Addition Residential Owner: KIM LILLEY Address: 551 GRANITE PL SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INFORMATION I ireS '{ou \U Contractor \. oregon la'll re6~egon u\iI!lIi:ense MARSltfJ\llS1i'Ne . ~~,,\Rd 'o'{ \\16 i _ _ ~," se\i5i9b 101\~W f~~~,*~mLDIff6iNiORMA:TION." No\\llca\\ o01.\Ju 'I"'. . onn" ,_.- "1'\ 952- ........cOQles ... ne in 0" a'{ 0\#.0. "torj&s:\\1e \e\ep' ,0 . 00911.3/0U\: cenffeigltt'il(~1Wtft.llr:e.ilica\\On ca\l\n~f 10r \\16 ~O~~l\r2344). (\~'o n\er ~l\t&'YPype': ce Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Group: . Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENTINFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-744-0075 Expiration Date 1212312005 Phone 541-747-7445 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I,PIJ:BLIā‚¬:IMPROVEMENTS I ORK .- - SHAll ti\nnc IF THE W THIS PERMIT S' PER,~idewalk:rype: UNDER THI Ivlll '" 'w . AUTHORIZED OR IS ABANDONE.I!ownspoutsmrains: COMMENCED ANY 160 DAY PERIOD. Notes: I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 Value Date Calculated . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fpps Paid' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Minimnm/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 6/2/05 6/2/05 6/2/05 6/2/05 6/2/05 Total Amount Paid $62.65 I Plan Reviews I . UJ l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00662 ISSUED: 06/02/2005 APPLIED: 06/0212005 EXPIRES: 12/0212005 VALUE: Receipt Number 1200500000000000727 1200500000000000727 1200500000000000727 1200500000000000727 1200500000000000727 , To Request an inspection call the 24 hour recording at 726-3769. All iuspection 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. L.Rpouirpd ,,~ Rough Mechanical: Prior to Cover Final Mechanical: When aU 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 will be made of any structure without permission of the Community Services Division, Building 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 aU 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 will remain on the site at all ti(~1:]c:o~'Q\ 10/7 / oS O~ontractors Signature Date' f ra LA- ~ . Page 2 of2 ~ 225 Fifth Street sI1iingfi~ld, Oregon 97477 541-]26-37.59 Phone ~ . Iliil\!'iftiI........~..-.1ILD ...'...-.-....,.,. < . , , . 1..11 -' .JIi.ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00662 COM2005-00662 COM2005-00662 COM2005-00662 COM2005-00662 Payments: Type of Payment Check \ , 'I 6/2/2005 RECEIPT #: 1200500000000000727 Date: 06/02/2005 1:24:16PM Description + 7% State Surcharge + 10% Administrative Fee Boiler/Camp Up To 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due , 3.15 4.50 12.00 33.00 10.00 $62.65 Paid By MARSHALLS INC Item Total: Check N umber Authorization Received By Batch Number Number How Received DJB 18635 In Person Payment Total: $62.65 $62.65 Amount Paid Page I of!