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Home My WebLink AboutPermit Miscellaneous 2005-8-5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01058 ISSUED: 08/05/2005 APPLIED: 08/04/2005 EXPIRES: 02/05/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax '541-726-3769 Inspection Line SITE ADDRESS: 5335 Daisy St 55 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Add heat pump Owner: ANTHONY MABBOT Address: 5335 DAISY ST SP 55 SPRINGFIELD OR 97478 Phone Number: 541-736-7252 Contractor Type 'Mechanical I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITION106275 I BUILDING INFORMATION. Expiration Date Phone 08/31/2005 541-683-2590 # of Units: # of Stories: , , Primary Occupancy Group: R-3 Height of Secondary Occu pancy Type of Heat: Primary Construction Type VN Water\-[ype9~\\ 0'" \\- \\'" O-r Secondary Construction~\CY{:. \..\.. t.~?\\I~~~\~\\l(YPJ!~ . \ # of Bedrooms: \'to t.t\~\\ S\-\f:>.- Lt\ \\-\\SEn~~JP::t~8l:. , \\-\\s? n\It.\) \J~\)L. J\af:>.-~~i>li1Dkled , , ,"I u(\n ",n \c, ",u CU00\N\t.~\j\:~ ?E\IIDEVELOPMENT INFORMATION I f:>.-~'{ '\ 'rl\) \) , , Overlay Dist: # Street Trees Paved Dri~I' to ATTENTION: O~aW\raw esyou follow rules adopteOd oy\ 8 regen Utility f\lntifiNltinn r.p.ntf'!r. Those rules are set forth in OAR 95 NJ.BnIeliMPR:~~ ~n Q! . -UU1- , 0090. You ' s by . calling the center. (Note: the tel~~ho~e Sidewalk Type: number for the Oregon Utility NotIfication DownspoutslDrains Center is 1-800-332-2344). n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport , Sq Ft Other: Occupant Load: REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: Notes: '.rn I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum! Adj ustment Mechanical Total Amount . Total Value of Project Fees Paid J Amount Paid Date Paid . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01058 ISSUED: 08/05/2005 APPLIED: 08/04/2005 EXPIRES: 02/05/2006 VALUE: . Receipt Number 1200500000000001149 1200500000000001149 1200500000000001149 1200500000000001149 1200500000000001149 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. $10.00 $4.50 $3.15 $12.00 $33.00 8/5/05 8/5/05 8/5/05 8/5/05 8/5/05 $62.65 I Plan Reviews I 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 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 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 tim during construction. Contractors Signature 2 of 2 " '1- S- - ()J - Date , , , 225 Fifth Street S~dngfl~ld, Oregon 97477 541-726-3759 Phone . City of Springfield Official Receipt eelopment Services Department Public Works Department .....,.':. RECEIPT #: 1200500000000001149 Date: 08/05/2005 2:34:47PM Payments: Type of Pa)11lent Check Paid By ASSOCIATED HEATING Item Total: LheCk NumDer AuthorizatIon Received By Batch Number Number How Received djb 13406 In Person Payment Total: Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Job/Journal Number COM2005-0 I 058 COM2005-0 I 058 COM2005-0 I 058 COM2005-0 1058 COM2005-0 1058 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Amount Paid $62.65 $62.65 '" :' '. , .\ ~ ~h '. - '. . , ~ .\"-f " " 8/5/2005 I of I