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HomeMy WebLinkAboutPermit Mechanical 2005-6-8 I -iii~. . . CITY OF ~rK11~tJ1<lJ<.,LD Building/Combination Permit PERMIT NO: COM2005-00688 ISSUED: 06/08/2005 APPLIED: 06/08/2005 EXPIRES: 12/08/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :l '." , SITE ADDRESS: 870 HAZELNUT LN ASSESSOR'S PARCEL NO.: 1802061105900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential , PROJECT DESCRIPTION: Install heat pump and air handler Owner: BRIAN BOWMAN Address: 870 HAZELNUT LN SPRINGFIELD OR 97478 Phone Number: 541-741-1328 , CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expiration Date 12/23/2005 Phone 541-747-7445 t. VN # 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 Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Uuits: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type . Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: J' 1?",. . .,__ . I PUBLIC IMPROVEMENTS ITION: Oregon law requires you. to S [\'iI1CE: . 'UIIU" ,ules~.~oPt7dh~theOregonUtlllty tref8IS~~K~-m~n~s~ALL EXPIRE IF THE WORK . Notification CtM~~ ~tt:.!'J''rules are set forth Sto~'!tI~~m'r\~tajI'll1l.e.;cER THIS PERMIT IS NOT in OAR 952-ODownsjiillll8JDl"!Jini:AR 952-001- SpecialInstruction: OR IS A" ANDONED FOR 0090 You may obtain copies of the rules by \"U:VllvIC"vLU U . Y 180 DAY PERIOD. calling the center. (Note: the telephone Notes:; number for the Oregon Utility Notification ("'onto,. 'co 13~()n_":l:":l:?_"":l:..1A} I Valuation De~criDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paeelof2 . . CITY OF ~r1Ul~tJ..mL1J Building/Combination Permit PERMIT NO: COM2005-00688 ISSUED: 06/08/2005 APPLIED: 06/08/2005 EXPIRES: 12/08/2005 VALUE: - Status Issued 225 Fifth Street, Springfietd, OR .541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l..Fp.p.. Paid I Fee Description Amount Paid Date Paid Receipt Number 0' -Mechanical Issuance Fe..... $10.00 6/8/05 2200500000000000732 t + 10% Administrative Fee $4.50 6/8/05 2200500000000000732 + 7% State Surcharge $3.15 6/8/05 2200500000000000732 Air Handling Unit Up to 10,000 $8.00 6/8/05 2200500000000000732 Heat Pump . $12.00 6/8/05 2200500000000000732 Minimum/Adjustment Mechanical $25.00 6/8/05 2200500000000000732 Total Amount Paid $62.65 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 Rp.ouirp.d I~ Rough Mechanical: Prior to Cover Final Mechanical: Whcn all mechanical work is complete. By signature, 1 state and agree, that 1 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 the 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. ;~ r n ~ //?-??- /,-;7A..4<- /twner or Contractors ~ig~ature o . 6-- y~6JC;- !'ate Paee 2 of2 225 Fifth Street "Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00688 COM2005-00688 COM2005-00688 COM2005-00688 COM2005-00688 COM2005-00688 Payments: Type of Payment Check ;, .; :. :( 6/8/2005 . "IIIL~...~~..'~"..'.'.- .' .... .r __ ..' l- ...Iiilty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000000732 Date: 06/08/2005 Description + 7% State Surcharge + 10% Administrativc Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fe.... Paid By MARSHALL'S Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 18649 In Person Payment Total: Page 1 of 1 2:30:14PM Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid . $62.65 $62.65