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HomeMy WebLinkAboutPermit Mechanical 2005-1-19 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line * . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00051 ISSUED: 01119/2005 APPLIED: 01114/2005 EXPIRES: 07/19/2005 VALUE: Status Issued SITE ADDRESS: 4404 MAIN ST ASSESSOR'S PARCEL NO.: 1702323101000 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Replacement heat pump Owner: EASTGA TE KENPO KARATE Address: 4404 MAIN ST SPRINGFIELD OR 97478 &\-1.141'~\m I CONTRACTOR INFORMATION , Contractor Type Mechanical Contractor MARS HALLS INC License Expiration Date )5790 12/23/2005 BUILDING INFORMA:rION.' JregOn la... ~Pt 'V req . . "CIon Ce ed by tho Utres You # of Sto~ie~h~11 952-00 nter. Thase r L,/;i'S~I;.=n~tilito Height of Struc'tiltern 1-0010 thro IS4'.'Ftt~tJ,; 0~l1'{ f ~. ',. ay Obt Ugc r...... rlh Type 0 Heat:lng the ain Co . S't'rit~!lg I , Water TYiie:lber far Center. (Nai~essqlilt!l.!lJf~l" Range Type: Cen the Oregan ,y.. ~hSltllib~r~g~arport Energy Path: ter IS 1-80 _ tllttYSildlh i?~ Sprinkled Building: n9a332-2:J:l1:fj?~a ~~ad: Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Sethack: Side I Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: 'V/."',-, Paved Drlve'Rqc!:f". J 'Jln 01';. % of Lot'Covetage: AUTHO ~"MIT SHAL f'~.. Rll!:,."" L F)(D,~_ I PUBLIC IMP'R.OV.E~EN1:S'''R~~H TH/Spr/; {HE WORk - - IJfi Y PER SARiJA ^iiJ''''''''T MIT IS NOT la" I ew ",,..,ype:r 1.1, '-v rOR Downspoutsffirains: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~elof2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump MinimumlAdjustment Mechanical Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00051 ISSUED: 01119/2005 APPLIED: 01114/2005 EXPIRES: 07/19/2005 VALUE: Total Value of Project Fl'l'SP'IirlJ Amount Paid Date Paid 1119/05 1119/05 1119/05 1119/05 1119/05 Receipt N~mber 1200500000000000076 ~ 1200500000000000076 1200500000000000076 1200500000000000076 1200500000000000076 $10.00 $4.50 $3.15 $12.00 $33.00 $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rl'nuirl'rllnsnl'~tio~\I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby ceriify that all Information hereon is true and correct, and I further certify that any and all work performed shall he done In accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~~ d~~- Owner or Contractors Signature /-/9-c:> ~ Date Pae:e 2 ofl . 225 Fifth Street Spr!ngfieJ$I, Oregon 97477 541~726-3759 Phone . ~ 1IIiL.'i ~y of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00051 COM2005-00051 COM2005-00051 COM2005-00051 COM2005-00051 Payments: Type of Payment Check 111912005 RECEIPT #: 1200500000000000076 Date: 01119/2005 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARS HALLS INC Item Total: Check Number AuthorIzation Received By Batch Number Number How Received djb 18407 In Person Payment Total: Page I of I 2:20:37PM Amount Due 3,15 4.50 12,00 33.00 10,00 $62.65 Amount Paid $62,65 $62.65