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Home My WebLink AboutPermit Mechanical 2005-6-29 Status Issued CITY OF SPRINGFIELD. Building/Combinatio~ Permit PERMIT NO: COM2005-00821 ISSUED: 06/29/2005 APPLIED: 06/29/2005 EXPIRES: 12/29/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6755 OP ACA CT ASSESSOR'S PARCEL NO.: 1702341403702 Springfield TYPE OF WORK: Heating System Owner: Address: JARRETT JUDITH K & DONALD L 6755 OP ACA CT SPRINGFIELD OR 97478 TYPE'QlflllT~ Or~Hijmv requiresJtoocWttial f' How rules adopted by the Oregon Utility ,:. l;fir:ation Center. Those rules are set forth ,", UAR 952-001-001 0 thr~Q.p CV'..B,9~ 0090. You may obtain copi'e\1 bM1\eI r~,'-~t calling the center. (Note: the teleph~ "~" ,:.NO L :!-.':' O. .:.;,.:.:-. ~,{y.::} '1.:.:1.:..::::.::.:; I CONTRACTOR INFORMATION fenter is 1-800-332-2344). PROJECT DESCRIPTION: Install heat pump and air handler. Contractor Type Mechanical Contractor MARSHALLS INC License 25790 Expiration Date 12/23/2005 Phone 541-747-7445 I BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 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 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00821 ISSUED: 06/29/2005 APPLIED: 06/29/2005 EXPIRES: 12/29/2005 VALUE: Total Value of Project LFees Paid-l Amount Paid Date Paid Receipt Number $10.00 6/29/05 3200500000000000399 $4.50 6/29/05 3200500000000000399 $3.15 6/29/05 3200500000000000399 $8.00 6/29/05 3200500000000000399 $12.00 6/29/05 3200500000000000399 $25.00 6/29/05 3200500000000000399 $62.65 I Plan 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. L.-Reauired Insoections I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas 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 pl~ns will remain on the site at all times during construction. ,//2 r ~ /,.~ - .--- b --g.C;-u J ,~~ Date Owner or Contractors Signature Pa2e 2 of2 225 Fifth Street Springfield, Ol;egon 97477 541-726-3759 Phone ijkji J6b/Journal Number COM200S-0081S COM200S-0081S dOM200S-0081S ., .COM200S-008IS COM200S-0081S cOM200S-00815 cOM200S-00819 cOM200S-00819 COM200S-00819 COM200S-00819 COM200S-00819 QOM200S-00819 COM2005-0082I cOM200S-00821 COM200S-0082I COM200S-0082I dbM200S-0082I CbM200S-0082I s. .Payments: Type of Payment Check Check Check Job/Journal Number COM200S-0081S COM200S-0081S dOM2005-0081S COM200S-00815 COM2005-0081S COM200S-0081S COM200S-00819 ;,. COM200S-00819 dOM2005-00819 C-DM200S-00819 C:OM200S-00819 . COM200S-00819 COM200S-0082I COM200S-00821 COM200S-00821 COM200S-0082I COM200S-0082I cOM200S-00821 ;~ 6/29/200S ~ ~. I RECEIPT #: 3200500000000000399 Description Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee...:. + 7% State Surcharge + 10% Administrative Fee Paid By MARSHALLS MARS HALLS MARSHALLS Check Number Batch Number Received By nJm nJm nJm Description Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mecllanical -Mechanical Issuance F ee- + 7% State Surcharge . + 10% Administrative Fee Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Adininistrative Fee Page I of2 18689 18689 18689 City of Springfield Official Receipt )evelopment Services Department Public Works Department Date: 06/29/2005 Item Total: Authorization Number How Received In Person In Person In Person Payment Total: Item Total: 1:48:07PM Amount Due 12.00 8.00 2S.00 10.00 3.IS 4.50 12.00 8.00 2S.00 10.00 3.IS 4.S0 8.00 12.00 2S.00 10.00 3.1S 4.50 $187.95 Amount Paid $62.6S $62.6S $62.6S $187.95 Amount Due 12.00 8.00 2S.00 10.00 3.1S 4.50 12.00 8.00 2S.00 10.00 3.1S 4.S0 8.00 12.00 2S.00 10.00 3.1S 4.50 $187.95 Payments: Type'of Payment Check Check Check Job/Journal Number CbM200S-0081S COM200S-0081S COM200S-0081S dOM200S-0081S COM200S-0081S cOM200S-0081S COM200S-00819 cOM200S-00819 COM200S-00819 cOM200S-00819 cOM200S-00819 COM200S-00819 , dbM200S-00821 cOM200S-00821 COM200S-0082I COM200S-0082I . QOM200S-00821 CbM200S-00821 Payments: 'I . Type of Payment Check Check Check '1 ;, " .< ;j 6/29/200S . .. RECEr .~: Paid By MARSHALLS MARS HALLS MARS HALLS Description Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Heat Pump Air Handling Unit Up to 10,000 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee-. + 7% State Surcharge + 10% Administrative Fee Paid By MARS HALLS MARSHALLS MARS HALLS 3200500000000000399 Date: 06/29/2005 Check Number r. ..orization Received By Batch Number Number How Received nJm njm nJm 18689 18689 18689 In Person In Person In Person Payment Total: Item Total: Check Number Authorization Received By Batch Number Number How Received nJm nJm ;. nJm 18689 18689 18689 In Person In Person In Person Payment Total: Page 2 of2 1:48:08PM Amount Paid $62.6S $62.6S $62.6S $187.95 Amount Due 12.00 8.00 2S.00 10.00 3.1S 4.S0 12.00 8.00 2S.00 10.00 3.IS 4.50 8.00 12.00 25.00 10.00 3.15 4.S0 $187.95 Amount Paid $62.6S $62.6S $62.6S $187.95