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HomeMy WebLinkAboutPermit Mechanical 2005-10-6 -. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1939 MCDONALD CT ASSESSOR'S PARCEL NO.: 1703271307800 . M.,., ~ . CITY OF SPRINuN~L1J Building/Combination Permit PERMIT NO: COM2005-01366 ISSUED: 10/06/2005 APPLIED: 10/05/2005 EXPIRES: 04/0612006 VALUE: ,. Springfield TYPE OF WORK: Heating System n1>F8F'USE':': ONeW'n law require~esld~iltial follow rule~ adopted by the Oregon Utility No!iH~ation Center. Those rules are set forth '0"0~90~' ~ vv~ 'vv Pho"n'ev~~:.;'6'e'i:I.' ull'i'-7.iY:ilt'dj" , TaU may O1:haln'''VfJ''''; of'fTre rUles fly calling the center, (Note: the telephone number for the Dreaan [Hilih, Nnlifi,.."linn Center is 1-800-332-2344). I CONTRACTOR INFORMATION I PROJECT DESCRIPTION: Install heat pump Owner: Address: JAN NIXON 1939 MCDONALD CT SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor COMFORT FLOW .. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: - Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction License 460 BUILDING INI\ORMA T10N , Expiration Date 06/27/2007 Phone 541-726-0100 R-3 # of Stories: ~O Lot Size: Height of Struct T1C~: Sq Ft 1st Floor: Type of Heat: HIS PERMlr SHAl~mM IP~ WORK Water Type: AUTHORIZED UNOE~' . Range Type: COMMENCED OR IS l~oWJT Energy Path: ANY ~OO . FOR Sprinkled Building: ~l~IO, cupant Load: VN I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Sidewalk Type: Downspoutsillrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of2 . . CITY OF ~rKll"\juN~L1J Building/Combination Permit PERMIT NO: COM2005-01366 ISSUED: 10/06/2005 APPLIED: 10/05/2005 EXPIRES: 04/06/2006 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 L.Fp.p.. P"'W Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 10/6/05 10/6/05 10/6/05 10/6/05 10/6/05 Receipt Number 3200500000000000597 3200500000000000597 3200500000000000597 3200500000000000597 3200500000000000597 Total Amount Paid $62.65 I 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. IRp.~ 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 hereby certify that all information hereon is true and correct, and I 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 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 I "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 dUri~g constru7 -/ /7.-/ ~~ ~ 1.-. $ /0 - b -03 /~..,.- /' - Owner or Contractors Signature Date Pa~e 2 of2 225 Fifth Street SpringfiGld, Oregon 97477 54\-726-3759 Phone Job/Journal Number COM2005-0 1366 COM2005-0 1366 COM2005-0 1366 COM2005-0 1366 COM2005-0 1366 Payments: Type of Payment Check " u :t :r '. r, '< '/' ,. '< 10/612005 or , . RECEIPT #: "'~,,"~!!"~, -'-. .- '. 1It.r' . ':a.so' ': ... .....ity of Springfield Official Receipt .evelopment Services Department Public Works Department 3200500000000000597 Date: 10/06/2005 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW HEATING CO Item Total: Check Number Authorization Received By Batch Number Number How Received njm 31452 In Person Payment Total: Page I of I 1:SS:20PM Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid $62.65 $62.65