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HomeMy WebLinkAboutPermit Mechanical 2005-4-4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 996 ISLAND ST ASSESSOR'S PARCEL NO,: 1703342100316 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00373 ISSUED: 04/04/2005 APPLIED: 03/31/2005 EXPIRES: 10/04/2005 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: New I to Residential PROJECT DESCRIPTION: Install heat pump and air handler MfENTIOlif: Oregon law requ res you. . #6fI'ow fiJles adopted by the Oregon Utility Nbti1icatlOn \;.terllttl. 1 IIU.;Jg I.....:W... -. ~ .:.)~ ~:'"""": jfi I3AFi 952-001-001 0 ti\'~t\"I8I1I!\~62W1147-0381 6699; You may obtain caples of the rules by >:;;ilifin In.. "Anler. (Note; the telephone RlIFl>;"J'lt 1\'1'1 Oregon Utility NOtlllCBuon I CONTRACTOR INFORMMlON.J1l1-800-3S2-2344). Owner: Address: SHANNON HAMILTON 996 ISLAND ST SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor CHITTIM ENTERPRISES I INC Phone 541-461-2101 , # of Units: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type . Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side 1 Sethack: Side 2 Sethack: Rearyard Sethack: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notcs: Description Tvpe of Construction License 47396 Expiration Date 03/0812007 BUILDING INFORMATION I R-3 # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: NOTICE' Sq Ft2nd Floor: Water Type: . Sq Ft Basement:WnR Range Type: THIS PERMIT SHALL ISW~6Jta~t1Ca!1!ortl( Energy Path: AUTHORIZED UNDER sl{Ft o'tti'MT IS NU r Sprinkled Build!'!.l::AMENCE[!I/~R IS {@ctupWitIL~ad8R VN .",.. ...... .~. 11...111\,1,"". I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsffirains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Palle 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00373 ISSUED: 04/04/2005 APPLIED: 03/31/2005 EXPIRES: 10/04/2005 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.s PlIirll Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12,00 $25.00 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 4/4/05 Receipt Number 1200500000000000418 1200500000000000418 1200500000000000418 1200500000000000418 1200500000000000418 1200500000000000418 Total Amount Paid $62,65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. AIl 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. ~..np.rti'W 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 herehy certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall he done In accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrlhed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are In compliance with ORS 701.005 will he 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, #: A. )SIJM5JQ~ ~ner or Contractors Signature A .o~O j, Date ~ c:J.5- Page 2 of2 r 225 Fifth Street ,Springfield, Oregon 97477 541-726-3759 Phone -~ Job/Journal Number COM2005-00373 COM2005-00373 COM2005-00373 COM2005-00373 COM2005-00373 COM2005-00373 Payments: Type of Payment Check i.1 " 4/4/2005 . RECEIPT #: &.--' " Wi"......-,',.,','..."',..."'., _.: _'__n..._ I ~ d ;'" " { r .~ - '",__0. ~ty of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000000418 Date: 04/04/2005 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,600 Heat Pump Minimwnl Adjustment Mechanical -Mechanical Issuance Fee- Paid By JAMES HEATING & AIR COND Item Total: t::beck Number Authorization Received By Batch Number Number How Received nJm 1355 In Person Payment Total: Page 1 of I 1 :34:02PM Amount Due 3.15 4.50 8.00 12,00 25,00 10.00 $62,65 Amount Paid $62.65 $62.65