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HomeMy WebLinkAboutPermit Mechanical 2005-7-26 /' , I .. . U 1 f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00967 ISSUED: 07/26/2005 APPLIED: 07/25/2005 EXPIRES: 01126/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4028 North St ASSESSOR'S PARCEL NO.: 1802061105300 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Change out heat pump and air handler Owner: Address: DENNIS HUNTER 4028 NORTH ST SPRINGFIELD OR 97478 Phone Number: 541-726-9489 ,- .,.... , \,,) ,",\ ,.' ..... 'v :"'J c.'::;:' ,:::. , ;I~CONTRACTOR INFORMATION I '~ ,~ '<.. ;-v .>,," ~ Contrtlc~or' y"V Mcense COMFQIfr ~OW ",~9,~ is' i.:,'y~-~)' BUILDING INFORMARIoki':sS'-Q"'" ":> '" ~~;;). !i:,v <f? 0 ':. .-':- ,/ ~ ~ 0~' ,,00) ~0 ,,,OJ :s rS' <S' # or Units: , ." ',--,~ '.;) ~ # or Stories: " 0 R> ~- 0" :!:.' ;;;: Lot Size: Primary Occupa.ncyGr~tip:.:)> ,~ R-3 Height of Str~1!~l.!!~e S0 0 ~~ ,j!><:i..",{J Sq Ft Ist Floor: , ."."' T fH - ., ":<:, 0 .s; ,:; Secondary Occup~ncy~G'roup:.:r ype 0 ~t:'O.... R>0 ,,'0 R> 0 ~O ~ Sq Ft 2nd Floor: Primary Construction T)'pe(,;' VN Water Type:? <~o -A,o ~ .~.~ ~ Sq Ft Basement: ~'- ........ ::\" ~ ., ~- 0"'< <0' .~ nio' Secondary ConstructioilType: Range.TYP5: ". <:;) <.i O'.::y [l)v Sq Ft Garage/Carport # of Bedrooms: "~' EnercY Path:~ ~ if ~ rS ~ Sq Ft Other: sp'iiiikI~<B~i1ding'? ,po 0'0 &/a Occupant Load: u~ l::;" C' ~...... ~ C' ~ ~ Contractor Type Mechanical Expiration Date 06/27/2007 Phone 541-726-0100 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVEEOI!MEN\J;-INFORM;A1;JON I ......- cr- ~ ~- 9;. ......u t::" .;;;:. .0 ~<:;)';"," ci; (.)0 Overlay. ,QisUi ;f # Street"frees,Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e 1 00 ~ _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00967 ISSUED: 07/26/2005 APPLIED: 07/25/2005 EXPIRES: 01126/2006 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 . f..FI'I''' P3irlJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 7/26/05 7/26/05 7/26/05 7/26/05 7/26/05 7/26/05 Receipt Number 2200500000000000983 2200500000000000983 2200500000000000983 2200500000000000983 2200500000000000983 2200500000000000983 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. f..~I''1Jljrl'rI Tn~'ll'dion"l 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 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 ofthe 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. ~.-- ~ Owner or Contra~tors Signature IlrlL.-,/D.~ I Date Paee 20f2 . 225 Fifth Street Springfield, Oregon 97477 '/ 541-726-3759 Phone · i1i'~ ~ of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2005-00967 COM2005-00967 COM2005-00967 COM2005-00967 COM2005-00967 COM2005-00967 Payments: Type of Payment Check " " 7/26/2005 RECEIPT #: 2200500000000000983 Date: 07/26/2005 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW HEA TlNG CO. Item Total: Check Number AuthoriZation Received By Batcb Number Number How Received jmp 30676 In Person Payment Total: Page 1 of I 11:01:02AM Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid $62.65 $62.65