HomeMy WebLinkAboutPermit Mechanical 2005-8-17
. ' CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01109
ISSUED: 08/17/2005
APPLIED: 08/16/2005
EXPIRES: 02/17/2006
VALUE:
. Status: Issued
, 225 Fiftb Street, Springfield, OR
" 541-726-3753 Phone
.' 541-726-3676 Fax
54l-726-3769 Inspection Line
SITE ADDRESS: 1825 HARBOR DR
ASSESSOR'S PARCEL NO.: 1803023302800
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install Heat Pump
TYPE OF USE: Addition
Residential
Owner: NIELSEN DALE LINUS
Address: 1825 HARBOR DR
SPRINGFIELD OR 97477
Owner: FRAN FLANAGAN
~ Address: 1825 HARBOR DRIVE
SPRINGFIELD OR 97477
,.
I CONTRACTOR INFORMATION'
e~\llles ~ \.i\III\'!
Contractor Type Con~as*-dt.~ 10otegOl\ \10(\\\ License
Mechanical _""snO~'l{~~bJJ-S'r1l'l.b<; ale s~n nflt- 25790
~~I~Vll~leS;:l\\~I. \n~~~~gnr=Bi:irr:DING'INFORMATlONI
"'o\IIICa.\,Ol\ 00\ .00\ 0 \ collies u' . \Opnol\"
# of Units: \~ O~p. 952- ob\all\ o..e' \ne \e #of.Sfunes:
~. ro ~_,c,Jl'Ia.'/ 'l-I '.. \'IG""v-
Primary Occ an~ urirup: el\\el. \ \)\\\1\"1 Height of
Secondary Occ ~~~y.~g \~e ~ne Olegol\ _~~2.2~4i.ype of Heat:
P"rimary Constru811l\l:cWpe'1 tel IS \_BOO Water Type:
Secondary Constrl'iction cal\ Range Type:
# of Bedrooms: Energy Patb:
Sprinkled n/a
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'DEVELOPMENT INFORMATION'
:~, Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: 541-736-3996
Expiration Date Phone
12/23/2005 541-747-7445
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:
. IPUBLIC IMPROVEMENTSI\\-\'f. '-N\.l~;
- '-1-1"'- '^II Ie.. ~
,I"'....\\C,,:. .... e.\-\f>.\'\' '- Ie. \''f.I'\'" Sidewalk Type:'
\'1..1,) 1'\t!lI, v 1'\ 1\-\ v 'f.\.'l r\J\\
,\-\IS I't.: l't.\.'l \\~\)'f. '\)f>.~\.'l0~ DownspoutslDrabts
\)\\-\01'\1 01'\ IS "
r.; N\~'f.~C'f.\) 1''f.1'\10\).
CO ,I'll) \)f>.'i
J>,~'i ,
Street
Storm Sewer Available:
Special Instruction:
Notes:
'I
1 of 3
,-----A.
,I _
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
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees tIi.I!.I
Fee Description
-MechanIcal Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to lO,OOO
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.l5
$8.00
$12.00
$25.00
8/17/05
8/17/05
8/17/05
8/l7/05
8/17/05
8/17/05
Total Amount
$62.65
I Plan Reviews ,
.
CI1 " U1< SPRtrIlLi1<lELU
Building/Combination Permit
PERMIT NO: COM2005-0II09
ISSUED: 08/17/2005
APPLIED: 08/1612005
EXPIRES: 02/1712006
VALUE:
Value
Date Calculated
Receipt Number
1200500000000001204
1200500000000001204
1200500000000001204
1200500000000001204
1200500000000001204
1200500000000001204
To Request an inspection 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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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2 of 3
Status: Issued
225 F1fth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2005-01109
ISSUED: 08/17/2005
APPLIED: 08/16/2005
EXPIRES: 02117/2006
VALUE:
By signature, I stllte 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 wiD be made of any structure without permission oUhe 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 the permit card i<; located at the front of the property, and the approved set of plans wiD remain on the site
at all times during constructiolL
~.-y'~ ----:/'t.-4 - ff ~ I '7 - C> '::J~
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.J:~~~
Wi:
.City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2005-01109
COM2005-01109
COM2005-01109 .
COM2005-01109
COM2005-01109
C.OM2005-01109
Payments:
T)1le of Payment
Check
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8/1712005
RECEIPT #:
1200500000000001204
Date: 08/17/2005
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MARSHALLS INC
Received By
djb
I of I
Item Total:
LneCK NumDer AuUlonzatlon
Batch Number Number How Received
18769 In Person
Payment Total:
11:43:05AM
Amou nt Due
8.00
12.00
25.00
10.00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65