HomeMy WebLinkAboutPermit Mechanical 2005-6-8
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. 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
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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:
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. .,__ . 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
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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.
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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.
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/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~...~~..'~"..'.'.- .'
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...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