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HomeMy WebLinkAboutPermit Mechanical 2009-6-8 Status Issued 225 Fifth Street, Springfield, QR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5520 HIGH BANKS RD A~SESSOR'S PARCEL NO.: 1702280000301 CITY OF SPRINGFIELD BuiIding/Cl,)mbination Permit PERMIT NO: COM2009-00804 ISSUED: 06/08/2009 APPLIED: 06/08/2009 EXPIRES: 12/08/2009 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: . New Residential PROJECT DESCRIPTION: Install heat pump _ ..~""'I;\'P,S yOU 'to I CONTRAGl;OR INFORMA:TION,I;Jon Utilitv , '" ". '''' , ttorth ioilOW ruleS ,!Gu\"vTh-~'~.e rules are se"'N\1_ . Contractor No\iticatiOn center. ti~Lc!,l1~e)AR 'EixPJratlOn Date SUNSET HEATING &: "Wt!~Ql52-001-?,?:^~" EJr?,Q6, ot the r~I'::Qjt1812010 BUlED^I~G~iNii~'RMATI6N"'tJ:;~ N~tification ~~fl)ber tor me v'1'SOO_332-2344). # 01 Stori!'J\)nter IS - Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft GaragelCarport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: Owner: Address: HIGHFILL JOiNT TRUST 5520 HIGH BANKS RD . SPRINGFIELD OR 97478 Contractor Type Mechanical # of Units: Primary Occupancy Group: Seeondary Qccupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction : Notes: Description Type of Construction Phone 541-988-3181 R-3 VB I DEVELQPMENT INFQRMATlON I REQUIRED PARKING Qverlay Dist: , Total: # Str~b\r~qd: ': Handicapped: ~::~ 1hl~~~fHf~k1 SHALL EXPIRE IF THE wOf{Rpact: AUTHORIZED UNDER THIS PERMIT IS NOT ::x~n..::~:g:: :'r. ,~ .\r.^.~~~~f\l=n enD I PUBLlG 1l\4l(~Q)'il'1l\i1imlll~1l10D. Sidewalk Type: DownspoutslDralns: I Valuation Description I $ Per Sq Ft or multiplier Square.Fuotage or Bid Amount Value Date Calculated Pa2e I on Sf!RINGF!llilL.Dl '-It!' ".' ," ^ ~f Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% StateSnrcharge , + 5% Technology Fee 1st Appliance Total Amount Paid Amonnt Paid $9.48 $3.95 $79.00 $92.43 Total Value of Project Fees P~i~ I I Plan Reviews I Date Paid 6/8/09 6/8/09 6/8/09 CITY O,F SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00804 ISSUED: 06/08/2009 APPLIED: 06/08/2009 EXPIRES: 12/08/2009 VALUE: . Receipt Number 1200900000000000629 1200900000000000629 1200900000000000629 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. I, ,~e1~]ir~d., ,I~sll~.~tio~s I Rough Mechanical: Prior to Cover Final Mecbanical: When all mecbanical work is complete. By signature, 1 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 Ordinanees of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO occur ANCY will be made of any structure withont permission of the Community Services Division, Building Safety. !,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 readableJroIU the street, tbat the permit card is locate at the front of the property, and the approved set of plans will remain on the site at all times during struction. Page 2 01'2 h-'9--0c; c- Oate 225 Fifth Street Springfield, Oregon 97477 541-7~6-3759 Phone Job/Journal Number cOM2009-00804 COM2009-00804 COM2009-00804 , Payments: Type o~ Payment Check cReceintl RECEIPT #: Description 1st Appliance + 5% Technology Fee + 12% State Surcharge Paid By SUNSET HEATING AND AIR INC City of Sprhlgfield Official Receipt _ Devclopment Services Department Pu~lic Works Department 1200900000000000629 Date: 06/08/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3462 In Person Payme.nt Total: Page 1 of 1 10:25:27 AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 6/812009