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HomeMy WebLinkAboutPermit Miscellaneous 2005-9-15 .1. ":,,,~~!~~~I'~i, '. i. ~ $ :. .~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01238 ISSUED: 09/15/2005 APPLIED: 09/12/2005 EXPIRES: 03/15/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone u 541-726-3676 Fax , 541-726-3769 Inspection Line :.<ll. SITE ADDRESS: 4801 DAISY ST .' ASSESSOR'S PARCEL NO.: 1702324405000 , Springfield TYPE OF Heating System TYPE OF USE: New Residential . " PROJECT DESCRIPTION: Install heat pump and air handler \. ;' Owner: Address: SVEN H RODNE LMNG TRUST 4801 DAISY ST SPRINGFIELD OR 97478 Phone Number: 541-746-0539 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor License . Expiration Date ROBS ELECTRIC INC 156678 08/14/2007 COMFORT FLOW ATTENTION: Oregon '~lmrequlres you t06/27/2007 1....t1~.!. .p:-':'..~ ~"'1'7' . . VI t:YUII UUIIIY N res are set forth In OAR 952-.001-0010 through OAR 952-E01-. oo9'h?~lP~~ obtain copies of the rUfes~~~:~ Floor: C'"~Jf'tcn~ter. (Note: the telepholSq Ft 2nd Floor: n~~~ ~fJff\a~. Oregon Utility NotificattS'41Ft Basement: Rang~ f(!: IS 1-800-332-2344). Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled nla Occupant Load: Phone 541-686-5444 541-726-0100 '1 . # of Units: " Primary Occupancy Group: : Secondary Occupancy , Yrimary Construction Type .'. Secondary Construction 'J # of Bedrooms: " R-3 VN 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: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I . Street Storm Sewer Available: , Special Instruction: Sidewalk Type: Downs poutslDrains NuYlCE: . THIS PERI\~IT SHALL EXPIRE IF THE WORK AUl HOR\ZED UNDER THIS PERMIT IS NOT COiVH.JIENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ..., , . Notes: 1 of 3 ~ti!equ~~~~~!c~'.~ , . . I . . I I I. e I i l !, Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuatlon Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Fees pahiIJ Fee Description ' + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -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 $4.60 $3.22 $43.00 $3.00 $10.00 $4.50 $3.15 $8.00 $12.00 . $25.00 9/13/05 9/13/05 9/13/05 9/13/05 9/15/05 9/15/05 9/15/05 9/15/05 9/15/05 9/15/05 . Total Amount $116.47 I Plan Reviews I " CITY OF SPRING~l~LD . Building/Combination Permit- PERMIT NO: COM2005-01238 ISSUED: 09/15/2005 APPLIED: 09/12/2005 EXPIRES: 03/15/2006 VALUE: Value Date Calculated . Receipt Number 2200500000000001261 2200500000000001261 2200500000000001261 2200500000000001261 1200500000000001349 1200500000000001349 1200500000000001349 1200500000000001349 1200500000000001349 1200500000000001349 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 2 of 3 . ":"~.~~J~gli'@~~1 ". . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01238 ISSUED: 09/15/2005 APPLIED: 09/12/2005 EXPIRES: 03/15/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line 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 wiD be 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 stree~ that the permit card is located at the front of the property, and the approved set of plans wiD remain on the site ~liI11imes during construction. ~\ 0 " ....~ t\n-.. ~vvt~ -1- \5-0 5 '-./ "" (- Owner or Contractors Signature Date . ., 3 of 3 , .i 225 Fifth Street .' Sptingfield, Oregon 97477 541-726-3759 Phone . .J8lty of Springfield Official Receipt ~elopment Services Department ,- Public Works Department RECEIPT #: 1200500000000001349 Date: 09/15/2005 9:33:08AM Job/Journal Number Description . Amount Due COM2005-0 1238 + 7% State Surcharge 3.15 . COM2005-01238 + 10% Administrative Fee 4.50 COM2005-01238 Air Handling Unit Up to 10,000 8,00 , COM2005-01238 Heat Pump 12,00 COM2005-01238 Minimum! Adjustment Mechanical 25.00 . COM2005-01238 -Mechanical Issuance Fee- 10.00 Item Total: $62.65 Payments: l.:beck Number Au ttlonzatlOn Type of Payment Paid By Received By Batch Number Number How Received Amount Paid . C1}eck COMFORT FLOW djb 31194 In Person $62,65 ,- Payment Total: $62.65 . , " ~I - " ., , '. " v, '... t! ,I . ~I . - " " . ., .1 .:f. ,r 9/15/2005 1 of I 'I