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HomeMy WebLinkAboutPermit Mechanical 2005-3-16 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF Snur'luFIELD I Building/Combination Permit PERMIT NO: COM2005-00290 ISSUED: 03/1612005 APPLIED: 03/14/2005 EXPIRES: 09/16/2005 VALUE: SITE ADDRESS: 3210 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO.: 1703221318300 Springfield TYPE OF WORK: Healing System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: GARY BURNETT Address: PO BOX 7547 EUGENE OR 97401 Contractor Type Mechanical Contractor MARSHALLS INC # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone Number: 541.726-7176 I CONTRACTOR INFORMATION I License Expiration Date .TT,,:.'TI"I\" nr",1,f1mw reaulres ~llno05 BUlLDING'JNFORMA:ifIO~ the Oregon utlluy Notification Lg~lt:ll. l\IJse rules are set forth # II' ~\'!r!e.!'~2-001-001 0 through OAI\.~?%'.2p:1- Ht'l;~t~ft~lJ~!1t.\Y'eJblain copies of th!lqlilPM~loor: TYP'C~tl/;l;~,.!fle center. (Note: the teISqtJfl~dFloor: WatWjJ1;t1l.~:for the Oregon Utility NoSijtFtlllJ8\ement: Range TYPlltenter is l-BOO-332-2344Jiq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-747-7445 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMP.ROYEMENTS I ;'HIS 'PLRMIT SHALSiilew8f([T.yp~HE WORK AUTHORIZtD UNDtDO\"~S)J'JirA>VJI~~: NOT COrviMENCtD OR IS A8AI~DUNtU ruR ANY 160 DAY PtRIOD. I Valuation Descriotion , $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!elof2 -1IfIt6,I!!AINq~IKLD.' ,/.. '" 1 .. . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00290 ISSUED: 03/16/2005 APPLIED: 03/14/2005 EXPIRES: 09/16/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ F...... 1:lWIJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25,00 3/16/05 3/16/05 3/16/05 3/16/05 3/16/05 3/16/05 Receipt Numher 1200500000000000338 1200500000000000338 1200500000000000338 1200500000000000338 1200500000000000338 1200500000000000338 Total Amount Paid $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 herehy 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. ~/2/____~_ ---!?--"'--- Owner or Contractors Signature ]-/6- '" 7 ~ Date Page 2 of2 225 Fifth Street Springfield~ Oregon 97477 541-726-3759 Phone . ~: ~, ~ of Springfield Official Receipt .elopment Services Department Public Works Department Job/Journal Number COM2005-00290 COM2005-00290 COM2005-00290 COM2005-00290 COM2005-00290 COM2005-00290 Pnyments: Type of Payment Check 3116/2005 RECEIPT #: 1200500000000000338 Date: 03/16/2005 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALLS INC Item Total: (,;heck Number Authorization Received By Batcb Number Number How Received djb 18505 In Person Payment Total: Page 1 of! 2:26:24PM Amount Due 3.15 4.50 8.00 12.00 25,00 10.00 $62.65 Amount Paid $62.65 $62.65