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HomeMy WebLinkAboutPermit Mechanical 2005-12-21Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 547-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01686ISSUED: 1212112005 APPLIED z 1210512005EXPIRES: 06/21/2006 VALUE: INFORMA SITEADDRESS: 6042PEBBLECT ASSESSOR'SPARCELNO.: 1802033400171 PROJECT DESCRIPTION: Install heat pump Springfield TYPE OF WORK: Heating System TYPE OF USE: New PhoneNumber: 541-554-1799 Expiration Date 0813U2006 Residential Phone 541-683-2s90 C)wner: Address: MATT SUTTEN 6042 PEBBLE CT SPRINGFIELD OR 97478 * Contractor Type Mechanical #of Primary Secondary Primary Secondary Type: # of Bedrooms: . Frontyard Setback: Slde I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: License TING & AIR CONDITIO 106275 # of Stories: Height of Structure Type of Heat: Water Type: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VN Range Type: Energy Path: Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Sidewalk Type: Downspouts/Drains: REQUIRED PARJilNG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount ' Description Type of Construction Page 1 of2 Value Date Calculated B R-3 r' I: r$ Valuation Description I Status Issued 111 \ifth Streer, Springfi erd, oR541-726-3753 phone 541-726-3676Rax 541-7 26-3769 Inspection Lin e B uildin g/ C o mb in atio n permi t Amount Paid $10.00 $4.s0 s3.1s $12.00 $33.00 Total Value of project Date Paid t2t2u05 t2tzu05 t2tzu05 l2t2u0s t2t2u05 coM2005-0I685 12t21t2005 12105t200s 06t2u2006 Receipt Number 2200s00000000001728 2200500000000001728 220050000000000r728 2200500000000001728 2200s00000000001728 PERMIT NO; TSSUED: APPLIED: EXPIRES: VALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee +7%oStile Surcharge Ileat Pump Minimum/Adjustment Mechanical Total Amount Paid To Request an inspection call the24 will be made the same working day, day. $62.6s hour recording at 726-3769. AII inspection requested before 7:00 a.m. inspections requested after 7:00 a.m. will be made the following work Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Plan Reouired Insnecf 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 projeet. 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. /6,,^ Owner or Contractors Signature B*-L Pase2 of2 Date lz-zl -c:f % 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone :ity of Springfield Official Receipt Jevelopment Services Department Public Works Department RECEIPT #: 2200s00000000001728 Date: 1212112005 1:43:15PM Job/Journal Number coM2005-01686 coM2005-0r686 coM2005-01686 coM2005-01686 coM2005-01686 Description + 7oh State Surcharge + l0% Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 33.00 10.00 Item Total:$62.65 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid (r. )( Ir :(" tf Check ASSOCIATED HEATING & A/C,INC. jmp 14018 In Person Payment Total: $62.6s $62.6s t t2/2y2005 Page I of I