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Home My WebLink AboutPermit Mechanical 2005-10-7 . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01391 ISSUED: 10/07/2005 APPLIED: 10/06/2005 EXPIRES: 04/07/2006 VALUE: . Status: Issued 225 Flftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 562 PINEDALE AVE ASSESSOR'S PARCEL NO.: 1703224206214 Springfield TYPE OF Heating System PROJECT DESCRIPTION: Install gas furnace and AC TYPE OF USE: New Residential Owner: PETER OROURKE Address: 562 PINEDALE AVE SPRINGFIELD OR 97477 .A ...nc.'1v......,\\h.1 I CONTRA<l:TOR.INFORMATION I O\e~O'" \nev' \l.\eb'" ClCI\- ContraE.\!?~\O~'~rlo9\e~ 'o~<;e \\l\e~[>.?> 9S~- 'i>I;,i~ense EUQtNE .ImATIN9,~ <!OQ'w.N_G I ,ne \\l\~)49452 \O'~~\~\l.\lOfl vClO~ -BUiLiUNG lNRORMAT.lON. ~O~O\ _'!{'.. 9S~- a.i Uv- ~~U'- "\\'4 ,,",v' , .~ t"" U l\'\ \m. \~\" .A,\. # of Units: \" 9Q. ,0 e ce(\",'1f;,Sti)'].~si,~~R Primary Occupancy Group: Q'J c~~3,~ \\0\ \ne <H~i~Cofj . Secondary Occupancy \l~'oe\ efl\e\ It'ype of Heat: Primary Construction Type "VN C Water Type: Secondary Construction Range Type: # of Bedrooms: Energy Patb: Sprinkled Contractor Type Mechanical 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: Phone Number: 541-741-9603 Expiration Date 1012212005 Phone 541-726-7654 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: __It IPUBLICIMPROVEMENTSI ~~~~~Q' ~~~~\{~ n.'\\t~. .~~ ~"~;~v-. '\~~~tslDrainS ~'v V~~'" \)~.... e-W"" \~~~,,~\l"'Lll~ ~~ ~\)~. t>:r.~~~~~ ~~ V'i:l ~\': t, I Valuation bescriotion I Street Storm Sewer Available: '. Special Instruction: Notes: Description $ Per Sq F.t or multipUer Square Footage or Bid Amount Tvpe of Construction 1 of 2 Value Date Calculated . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01391 ISSUED: 10/07/2005 APPLIED: 10/06/2005 EXPIRES: 04/07/2006 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 L.Fees Paitl" Fee Description Amount Paid Date Paid Receipt Number ,. -Mechanical Issuance Fee- $10.00 10/7/05 1200500000000001480 + 10% Administrative Fee $4.50 10/7/05 1200500000000001480 + 7% State Surcharge $3,15 10/7/05 1200500000000001480 Boiler/Comp Up To 100,000 btu $12.00 10/7/05 1200500000000001480 Furnace - up to 100,000 btu $12.00 10/7/05 1200500000000001480 Minimum/Adjustment Mechanical $21.00 10/7/05 1200500000000001480 Total Amount $62.65 I PIan 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. , 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 certil}' that any and all work performed shaIl 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certil}' 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 wID remain on the site ~lItimes during cont\ruction. ~\Ot-.M^^O l\P~"" lou . Owner or Contractors Signature Dat~h \-'1 \ e'h 2 of 2 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone . ~~ Job/Journal Number COM2005-01391 COM2005-01391 COM2005-01391 COM2005-01391 COM2005-01391 COM2005-0 1391 Payments: Type of Payment Cash Change Job/Journal Number COM2005-01391 COM2005-01391 COM2005-01391 CpM2005-01391 COM2005-01391 " COM2005-01391 ,I , 'f P~yments: Type of Payment Cash Change '.. " 'i f ~I .. , 1On/2005 RECEIPT #: City of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000001480 Date: 10/07/2005 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By AUTOMATIC HEAT AUTOMATIC HEAT Received By djb djb Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee-- Paid By AUTOMATIC HEAT AUTOMATIC HEAT Recehed By djb djb 1 of 1 Item Total: LDecK Number AuUlorization Balch Number Number How Received In Person In Person Payment Total: Item Total: Lheck Number Balch Number Authonzation Number How Received In Person In Person Payment Total: lZ:17:28PM Amou nt Due 3.15 . 4.50 12.00 12.00 21.00 10.00 $62.65 Amount Paid $63.00 ($0.35) $62.65 Amou nt Due 3.15 4.50 12.00 12.00. 21.00 10.00 $62.65 Amount Paid $63.00 ($0.35) $62.65