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
. .
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:'
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, .
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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