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HomeMy WebLinkAboutPermit Mechanical 2005-08-17uoFlSL-o Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:126-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspection Line PERMIT NO: COM2005-01035ISSUED: 0811712005APPLED: 08/0212005E)PIRESz 0211712006 VALUE: SITE ADDRESS: 1101 16TH ST ASSESSOR'S PARCEL NO.: 1703253404800 PROJECT DESCRIPTION: Replace existing heat pump Springfield TYPE OF TYPE OF USE: Heating System Repair Commercial Phone 54t-726-7654 Owner: Address: Contractor TVpe Mechanical VENTIS INVESTMENT PROPERTMS LLC rIOl 16TH ST SPRINGFIELD OR 97477 Contractor AUTOMATIC HEAT PhoneNumber: 541-683-2180 License 149452 Expiration Date 10t22t2005 CONTRACTOR INFORMATI ON # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: " Frontyrrd Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Paved Drive Rqd: Yo ofLot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Date Calculated$ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS DescriDtion Tvpe of Construction lof2 Value p L Tfi* i\\ r' EDU ;LU " DA\ ? Sidewalk Type: Downspouts/Drains Valuation Description I HAtraLD Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2647 69 I nspe ction Line CITY OF SPRINGFIELD Building/Co mbination Permit PERMIT NO: COM2005-01035ISSUED: 0811712005APPLIED: 08/0212005 E)PIRESz 0211712006 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Heat Pump Minimum/Adjustment Mechanical Total Amount Amount Paid $10.00 $4.s0 $3.15 $12.00 $33.00 $62.65 Total Value of Project Date Paid 8n7t05 8lt7los 8n7tos 8n7tos 8lt7los Receipt Number 1200500000000001193 1200s00000000001193 1200500000000001 193 1200500000000001r93 1200500000000001193 Plan Reviews SUB Review 08t02t200s 08/0s/2005 APP JF To Request an inspection call thie24 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Renrr By signaturer l 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 project. proper time, that each address is readable from the approved set of plans will remain on the site V- /7-6r I further agree{o ensure that all required inspections are requested at the the stree! ttrat[tt]e permit gu{d ir located at the front of the property, and at all times duri{e constnlctlon. ,r/i'" Owner or Contractors Signature / 2of2 Date Fees raro I 225Fi th Street Springtteld, Oregon 97 477 541-726-3759 Phone .W of Springfield Official Receipt _ --evelopment Services Department Public \Morks Department RECEIPT#: 1200500000000001193 Date: 0811712005 8:36:17AM Job/Journal Number coM200s-01035 coM2005-01035 coM200s-01035 coM200s-0103s coM2005-01035 Description + 7o/o State Surcharge + l0%o Administrative Fee Heat Pump Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- Amount Due 3.l5 4.s0 12.00 33.00 10.00 Item Total:$62.6s Payments: Tlpe of Paynent Paid By UheckNumber Aufiorization Received By Batch Number Number How Received Amount Paid Cash Change AUTOMATIC HEAT AUTOMATIC HEAT djb djb In Person In Person Payment Total: $63.00 ($0.3s) $62.6s Jd/Journal Number coM2005-01035 coM2005-01035 coM2005-01035 coM2005-0103s coM2005-01035 Description + 7o/o State Surcharge + l0% Administrative Fee Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.l s 4.50 12.00 33.00 10.00 Item Total:$62.6s Payments: Tlpe of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Cash Change AUTOMATIC HEAT AUTOMATIC HEAT djb djb In Person In Person Payment Total: $63.00 ($0.35) $62.65 1 '( .( 8/1712005 lofl r'uataE