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