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HomeMy WebLinkAboutPermit Mechanical 2005-9-8 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line '! SITE ADDRESS: 953 MILL ST ASSESSOR'S Jl ARCEL NO.: 1703352200600 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01228 ISSUED: 09/08/2005 APPLIED: 09/08/2005 EXPIRES: 03/08/2006 VALUE: Springfield TYPE OF Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace heat pump Contractor Licenseres ~IUration Date Phone ASSOCIATED HEATING & AI.BCp,l'lIiW6~)l,u:mtf~~~~(lrin Uti\~/3112006 541-683-2590 I B~D~;~F1O~.~sareset~g~~~ .- , cen~~h OI\R 952 . N~."' ~I~~P ~01-001? thr~~~s 01 the ntEO~ ~~e: . in 0 may obtaIn c ~ . the te\ep\Sq~ 1st Floor: e.? t\f}center. tNo ~ti\ity Noti1i&qtip{\znd Floor: wat~~5t the Oregon 2-2344). Sq Ft Basement: Rpl1~bfY~e:nter is 1_800-33 Sq Ft Garage/Carport Energy pM": Sq Ft Other: Sprinkled n/a Occupant Load: Owner: JACK BARBEE Address: 953 MILL ST SPRINGFIELD OR 97477 Contractor Type Mechanical .:~. # of Units: .' Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: . Front yard Setback: . Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~, Street . Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Phone Number: 541-741-1061 ". I CONTRACTOR INFORMATION I R-3 VN I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS' lUG \ \\;\!:.. ...r Ie T~t: WORK I'" RMIT S\1J\ll E)(fSldewalk TYRe:NOT T\1IS PE TH'~ PERMII \~ J\UT\10RIZED UNDER Downspo~t~~ains COMMENCED OR IS J\BJ\NDUNt .. ANY 1 BO DAY PERIOD. . I Valuation Description I $ 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 CITY OF SPRINGJ:11~LD;' Building/Combination Permit PERMIT NO: COM2005-01228 ISSPED: 09/08/2005 APPLIED: 09/08/2005 EXPIRES: 03/08/2006 VALUE: Total Value of Project Fees Paid I :, Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee \ + 7% State Surcharge " Heat Plimp Minimum/ Adj ustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 9/8/05 9/8/05 9/8/05 9/8/05 9/8/05 Receipt Number 1200500000000001323 1200500000000001323 1200500000000001323 1200500000000001323 1200500000000001323 Total Amount $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. ./ 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 certity 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 street, that the permit card is located at the(ront of the property, and the approved set of plans wiD remain on the site at all times duri~nstrucGIL . I/A/c~_ fVc. kc 9 - ~~f) r / " Owner or Contractors Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number " COM2005-0 1228 COM2005-01228 COM2005-01228 COM2005-0 1228 COM2005-01228 Payments: Type of Payment CreditCard \ :c ,- 'i ~i..,., " ~. ;\, ~ ~ 9/8/2005 RECEIPT #: 1200500000000001323 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee:- Paid By KEVIN BROOKS - Check Number Recei ved By Batch Numb er djb I of I City of Springfield Official Receipt :velopment Services Department Public Works Department Date: 09/08/2005 3:07:52PM Item Total: Au ttl ori zatio n Number How Received Amount Due 3,15 4.50 12.00 33.00 10.00 $62.65 Amount Paid 081207 In Person Payment Total: $62.65 $62.65