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Home My WebLink AboutPermit Mechanical 2007-6-21 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 06/21/2007 APPLIED: 08/03/2006 EXPIRES: 12/21/2007 VALUE: Status Issued 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 PROJECT DESCRIPTJON: Install heat pump and air handler TYPE OF USE: New Residential Owner: TREVOR LJAN Address: 5065 FORSYTHIA DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMA TJON , Contractor License GMD ELECTRIC INC 0 162191 HOME COMFORT HEATJNG.~M8S 'lO~~\h,s4164 - \r~'l" : -. -rlJ ~.. , ON', Okea;l::JI~OlNGtDNFormneN I p.'r\'t:.N\\ aoo?i.ev J e {u\e'o u.' 95'2.-o\J 1- # of Units: I\O"i'J {u\eS n\e{. "T#~SSf8~l\f)P.~ {u\eS 'o'l Primary Occupancy Group: \O~Wlc~Y.3n c~,\ _00'\ ~t~~&Rf~tMt'<<m.~"one Secondary Occupancy Group~O Op.~ 95'2.-0 o'o\.2l\)i~ool I:It~t.:\.e\e~lca\IOn Primary Construction Type In 90~u ~a'l en\.ewite?1\.I.w,~ NO\I Secondary Construction Type: 00 a\\\n9 \'\Ie c e ~3gg't0~f?~'2AA). # of Bedrooms: C ~'oe{ \O{ \'\1 . 'sFitte:f,gfPath: n\.l cen\e\ \ Sprinkled Building: Contractor Type Electrical Mechanical I DEVELOPMENT INFORMA TJON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-988-9038 Expiration Date 11/19/2008 06/25/2007 Phone 541-726-8601 541-345-2838 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: _ov... , I PUBLIC IMPROVE~~~~\)' Street Improvements: \.-i-'Y\\l-.'<- \.-\l-.~\ \)~ Sidewalk Type: Storm Sewer Available: -;\\'\;'((;. :\ 'O\\i:--\..\.. \l-. ,\\\'0 ~\)~\..\) \- Downspouts/Drains: Special Instruction: ~~ \.-\l-.~\ '0~\)\2 i:--~i:--~ \\\'0 ~ \1t.\) ~ \'0 Notes: Quick Rvw for storm drain}g\f~~~~e~a~di~~\knspouts to curb & gutter. ~ ~~\2 \)i:--~ 'Y tV\) ..J \'010 i:--~' 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 Description 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 Minimum/Adjustment Electrical -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump MinimumlAdjustment Mechanical + 10% Administrative Fee + 5% Technology Fee Renew Electrical Permit + 10% Administrative Fee + 5% Technology Fee Renew Mechanical Permit 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 $4.50 $2.25 $45.00 $4.50 $2.25 $45.00 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 6/19/07 6/19/07 6/19/07 6/21/07 6/21/07 6/21/07 Total Amount Paid $224.20 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 06/21/2007 APPLIED: 08/03/2006 EXPIRES: 12/21/2007 VALUE: Value Date Calculated Receipt Number 2200600000000001161 2200600000000001161 2200600000000001161 2200600000000001161 2200600000000001161 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 2200700000000000985 2200700000000000985 2200700000000000985 1200700000000000799 1200700000000000799 1200700000000000799 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. Paee 2 of 3 r CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 06/21/2007 APPLIED: 08/03/2006 EXPIRES: 12/21/2007 VALUE: Status ' Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical 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 wilJ remain on the site at all times during construction. Id~ 6/jd 07 Owner or Contractors Signature Date Paee 3 of 3 225 ~ifth,Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00995 COM2006-00995 COM2006-00995 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: Description + 5% Technology Fee + 10% Administrative Fee Renew Mechanical Permit Paid By HOME COMFORT HTG AND AIR City of Springfield Official Receipt elopment Services Department Public Works Department 1200700000000000799 Date: 06/21/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 077586 In Person Payment Total: (' Page 1 of I 2:13:30PM Amount Due 2.25 4.50 45.00 $51.75 Amount Paid $51.75 $51. 75 6/21/2007