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HomeMy WebLinkAboutPermit Mechanical 2005-8-5 . CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2005-01060 ISSUED: 08/05/2005 APPLIED: 08/05/2005 EXPIRES: 02/05/2006 VALUE: . Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1128 OLYMPIC ST ASSESSOR'S PARCEL NO,: 1703264108800 Springfield TYPE OF Heating System PROJECT DESCRIPTION: Install heat pump and air handler TYPE OF USE: New Residential Owner: JOYCE BEAVER Address: 11280LYMPICST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' law requIres you, IV Contractor Type A~(lJitfliCl(i\te90n the Oregon Utility License Mechanical fn\lcM~Hl\\'ffilS~~!"" "IIRS are set forth 25790 Notilicat\~~_~~~':O01 0 tli'IBI'JILBfNG~EORMA TIONI In OAR 9 btain cop'''''' J. "..- . ' . # of Units: 0090. You may ~ er (Note: '#16(.s~I1~~:ne n Primary Occupancy Gl3lllp!\9 the CR'-~iegon UtiH~ig'/i~~'fat'o Secondary Occupancy number lor the, 1_800-33~ilti ~r.Heat: P"rlmary Construction Type Centl\"~ Water Type: Secondary Construction Range Type: # nf Bedrooms: Energy Path: Sprinkled nla I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: !pUBLIC IMPROVEMENTS I Phone Number: 541-747-4136 Expiration Date 12/2312005 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: \\::1'\ C::: II EXPIRE IF THE IDow:;'poutslDrains THIS PERI,'IIT SHA THIS PERMIT IS \"Ii AUT rlORIZED UON~~: ABANllON\:D FOR COI'1H&NCED . ,"" n;.V p~~\OD, 1'\1'" ........- I Valuation Descrintion I . Street Storm Sewer Available: Special Instruction: Notes: Description Type nf Construction SPerSq Ft or multiplier Square Footage or Bid Amount 1 of 2 Value Date Calculated . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01060 ISSUED: 08/05/2005 APPLIED: 08/05/2005 EXPIRES: 02/0512006 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 Fees P,aid I 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 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 Date Paid 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 Receipt Number 1200500000000001148 1200500000000001148 1200500000000001148 1200500000000001148 1200500000000001148 1200500000000001148 Total Amount $62.65 I Plan Reviews , 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 l?Pn~ ,. Rough Mechanical: Prinr to Cover Final Mechanical: When all mechanical wnrk 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 an work performed shall be done In accordance with the Ordinances of the City nf Springfield and the Laws of the State of Oregon pertaining to the wnrk described herein, and that NO OCCUPANCY wiD be made nf any structure without permission of the Community Services Division, Building Safety, I further certify that nnly contractors and employees who are In cnmpliance 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, t~at the permit card is located at the front nfthe prnperty, and the approved set of plans will remain on the site (~ ~ri~g:_.(~a r Ot 1 1-- ~ f ~ J O~- Owner nr Contractors Signature Date 2 of 2 225 Fifth Street Springfietd, Oregon 97477 541-726-3759 Phone . ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-0 1 060 COM2005-0 1060 COM2005-0 1060 COM2005-0 1060 COM2005-0 1060 COM2005-0 I 060 Payments: Type of Payment Check . . '." :' '\ " , . , , '( " 8/512005 RECEIPT #: 1200500000000001148 Date: 08/05/2005 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALLS INC Recel ved By djb I of I Item Totai: Lheck Number AuUlOrization Batch Number Number How Received 18752 In Person Payment Total: 2:30:43PM Amount Due 3.15 4.50 8.00 12,00 25,00 10.00 $62,65 Amount Paid $62,65 $62,65