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Home My WebLink AboutPermit Mechanical 2005-7-20 . . Lll f OF SPRI1'lunJ4..LU Building/Combination Permit PERMIT NO: COM2005-00943 ISSUED: 07/20/2005 APPLIED: 07/20/2005 EXPIRES: 0112012006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 589 HARLOW RD I ASSESSOR'S PARCEL NO.: 1703271201800 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Change out heat pump. Owner: Address: HENSLEY DEANNA 589-1 HARLOW RD SPRINGFIELD OR 97477 Phone Number: 541-741-1680 Contractor Type Mechanical Contractor COMFORT FLOW M~Tlr.E: _,__ or T' Ie 1Mn>1I( TUle D~RM\ I ~11i\LL LA' ,"'~" .' OT I CONTRACTOR INFORMATIONINDER THIS PERMIT IS N '-.'/.t:NCED OR IS ABANDONED FOR COi'.IIEicense PHExpiration Date Phone ANY 460' U/'\T ,"vo0612712007 541-726-0100 I BUILDING INFORMATION 1 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Base,!,ent: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla Street Improvements: Storm Sewer Available: Special Instruction: I DEVELOPMENT INFORMATION 1 REQUIRED PARKING ATTENTION: Oregon law requires you to Overlay Dist: follow rules adopted by the O~~n Utility # Street Trees If.9~,;tication Center, Those ruIMaNlU'S'g~j,'h ~aved Drive Rq~:~AR 952-001-001 0 through'd'A'I!,g~t2.001- V. of Lot Coverll~'3i). You may obtain copies of the rules by calling the center. (NOlO': r'e tF'iE'I1'lOl1" I PUBLIC IMPROVEMENTS I'" lor t~e (j., r', L' ",', "" II .1,;' l~~-'( . ~ ~,' '" . .':_ Sidewalk Type: DownspoutslDrains: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 012 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00943 ISSUED: 07120/2005 APPLIED: 07/20/2005 EXPIRES: 01120/2006 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 ~ Fp.p.. tlWU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid 510.00 $4.50 53.15 512.00 533.00 7/20/05 7/20/05 7/20/05 7120105 7/20/05 Receipt Number 2200500000000000952 2200500000000000952 2200500000000000952 2200500000000000952 2200500000000000952 Total Amount Paid 562.65 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. I ~,ft~irp.d~ 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 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 all required inspections are requested at the proper time, that each address is readable from the street, that tbe 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. ~n ~~ 1lD\ OS Date Owner or Contractors Signature Pa!!e 2 of2 FROM : " . FAX NO. :5417477274 4IIlU1. 152005 01:13PM PI SPRINGFieLD ~;, '. .~.~-~~~'~ """""~"~ 1....u:~'f.'."'..4t.d~~ ~.t .."":<<...... ~'"... ... , ',.\...~~.,jr,..~ .~ ',';.I~-i:' . ,> ::;';:;: :P_'::;:;)5:;~ , , 'CITYOFSPRlNGFlELD;oiu:GON .',. ;: '," '. . -. 225 flIT!" STREET. SPRlNGFlEl.D, OR 97477. PH:(541)726-5755 . FAX: (54])726-5689 ... U Q ASSESORS MAr: .= ~WNER: ~ n (\{~' t..k-1\<:;, li1l t ~ . ADDRESS: '5 (ill (hit/I" tt"" ; '\ . ,,'-, . h,'''':'..l ~ CtTY: ':"'1-)1-' r\iA'\-'~ STATE: .~J . ~. :=mONO::: O CONTRACI'ON.'S NAME r ') GENERAL: ~ t~ ~ Q ~ CityJohNumber Co/Y!'lAJVS'" Ooq,L(~ (\""lO r l'\I;\ ,~ .1= ./ Vi 1$ <'IJ~ 'Vf'-'.i. LOCATION OF PROPOSED WORK: . c.; <;((j' TAX LOT: PHONE: -:-lL.~t. \tt.Jj\ ~~, ZIP: Cn41/ (\}. ' (' \ It'~jf:' V ADDITON: / , PI LOI$ OTHER: +, l'''~" .t- \ \..,... \ r:-'''11' .r~:'- lliOMOLISI-\: VALUE: ADDRF.sS CONST. cONTRAcrOR # PHONE EXFlRF_'7' PLUMBING: MECHANICAL: CO~~ ~ \ "V, ELF.crRlCAL: \ ~ '5. \ 'Do--. ~-i- ~ 1.\ loa '7~lrD\Ci\ , MECHANICAL PERMIT PLUMBING PERMIT ITEM FEE ITEM FEE Furnace ElChatu1 Hood Vent Fan No. 'Wood Stove/Insert/fireplace Unit Fixtures Residential Bath(s) No. Sanitary Sewer IT. Water IT'- Stann Sewer IT. ~echanical FonoritSubtotal "Minimum of $45.00 State Surchal"ge 7% Administrative Fee 10'J6 Plumbing Fermit Subtotal ' ..~inirnU:m of $45,00 State S1ll'Chal"ge 7% Administrative Fee 10%, TOTAL l'UlMDING 1s.'l\l8tIce Fee TOTAL ~ECHANICAL lDcl. b':l M~_~l · Plunlbing · Mistdl~ Sbsn:d Qrivc(T,)lBundlna FomlSiP.nnI< W_ 3-ll4,doc 225 Fifth Street Springfield, Oregon 97477 ,541-726-3759 Phone Job/Journal Number COM2005-00943 COM2005-00943 COM2005-00943 COM2005-00943 COM2005-00943 Payments: Type of Payment Check 7/20/2005 . RECEIPT #: 8;~'I!!!"~.!'!!';I,I? ---. ,t. ~, ~.l ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000000952 Date: 07/20/2005 Description Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By COMFORT FLOW HEATING CO. " Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 30526 In Person Payment Total: Page I of I 8:42:12AM Amount Due 12.00 33.00 10.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65