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Home My WebLink AboutPermit Mechanical 2006-8-21 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/03/2006 EXPIRES: 02/21/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5065 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042202100 Springfield TYPE OF WORK: Heating System Contractor MNB ELECTRIC INC HOME COMFORT HEATING & AIR TYPE OF USE: New Install heat pump and air handler. . I' requ\'rOs you to p:~T::="':I':''\': Crsgon a\J\. c; , . . _ ,,' ,~" tho f'I,'pr:nn Utllitv 'iCl"U'" :.: . .' -" ."- ,..- jAr tb ... 1\'"'''' ,.~+ir ~ r c '-~3r. -ihoS8P.h'o--rle N&mb'ei.pr 5'41-988-9038 ""I .L... . ~. "ROJ::0001 . r' ,. 0,-n f'~': .e,;'; 0 t:lrough Or\ C/o<-- - 1111,'1. "~'.'.,., \...v' . f I losby r~(':', Yell r.>';' C'':',',2.in copies 0 tl:e r~ .:-__ . f...~lI~ -or, t''I'S ce;'j")'jr. tl'.IUltd. 1I tv L01'-:~il_':- I CONTRACTOR J.NFORl\1i\/IjJQN":, Ic;:Jon U~iliW,., Notification Ce:1LGr is 1-800-332-2,:>44). License Expiration Date 162191 11/19/2006 84164 06/25/2007 Residential PROJECT DESCRIPTION: Owner: Address: TREVOR LlAN 5065 FORSYTHIA DR SPRINGFIELD OR 97478 Contractor Type Electrical Mechanical Phone 541- 726-8601 541-345-2838 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: S;prinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION. , " J REQUIRED PARKING O I ~\PERI\1l1T SH,:J.LL EXPiKE IF THE 1t~(W~ ver a~1 dl/nni7cD UNDER TI liS PERfl/'IIT II"' ~I~i"' : #;.street'Trees'Rqd: I (1 1\ ;:nandicapped: . Paved DBt~I\RqrdCED OR IS ABANDONED FOO:ompact: % of L.o,f.'Cov~iag1,:).'! PERIOD, I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Quick Rvw for storm drainage only. Owner adding downspouts to curb & gutter. Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ MinimumlAdjustment Electrical -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimuml Adjustment Mechanical Amount Paid Date Paid $4.50 $2.25 $3.60 $43.00 $2.00 $10.00 $4.50 $2.25 $3.60 $8.00 $12.00 $25.00 8/21/06 8/21/06 8/21/06 8/21/06 8/21/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 Total Amount Paid $120.70 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/0312006 EXPIRES: 02/21/2007 VALUE: Value Date Calculated Receipt Number 2200600000000001161 2200600000000001161 2200600000000001161 2200600000000001161 2200600000000001161 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 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. ~eQuireC:UnSDections I 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. Pa!!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/03/2006 EXPIRES: 02/21/2007 VALUE: 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 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 times during construction. _____ __/) c-'--/-/!- ( 5(i3~~ 12~ 9~Ja-00 Owner or Contractors Signature Date Pa2e 3 of3 225 Fifth Street SI'Jringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00995 CO M2 006-0099 5 COM2006-00995 COM2006-00995 COM2006-00995 COM2006-00995 COM2006-00995 Payments: Type of Payment Cred itCard cReceint I cj.... of Springfield Official Receipt L Jopment Services Department Public Works Department RECEIPT #: 1200600000000001407 9:45:39AM Date: 09/13/2006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump -Mechanical Issuance Fee- Minimum/Adjustment Mechanical Amount Due 2.25 3.60 4.50 8.00 12.00 10.00 25.00 $65.35 Paid By HOME COMFORT/JEFF ELLING Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 036678 In Person $65.35 Amount Paid Payment Total: $65.35 Page 1 of I 9/13/2006