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HomeMy WebLinkAboutPermit Mechanical 2005-3-16 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00290 ISSUED: 03/16/2005 APPLIED: 03/14/2005 EXPIRES: 09/2412005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3210 RALEIGHWOOD AVE ASSESSOR'S PARCEL NO,: 1703221318300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: GARY BURNElT Address: PO BOX 7547 EUGENE OR 97401 Phone Numher: 541-726-7176 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor JOSEPH BUNCH ELECTRIC INC MARSHALLS INC License 156761 25790 Expiration Date 08/21/2007 12/23/2005 Phone 541-344-8745 541-747-7445 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: R-3 Height of Structure Sq Ft ht Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: ATTEN.~~,~! (!jYIl/lbn law requires you to Sq Ft Garage/Carport follow r,~g~r~~a!b4 by the Oregon Utility Sq Ft Other: Notificati~il't't!\I,f~r!Jqi'l!l!)ll:rules a~e ~~ f?rI!' Occupant Load: j't. 6Eyii:bPi\ikN'foo:oiiMA);ioN:iiB~Y ..;11__. .'!. - .. REQUIRED PARKING calling the center. (Note: the teIB~ho~lII numbeP.'ffi"~~'!;gon Utility Notification Total: t'tlfite. i&'tC8~~i32-2344). Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: FrontyardSetback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: NOTICE: . 'tlu' \\,J\~\{ THIS PERMIT SHALL E)(PIREIF it'. ~\\:)t AUTHORIZED UNDER THIS PERMli \~ COMMENCED OR IS ^Btl.NlJON\:t) Hm ANY 180 DAY PERIOD, Pa2e 1 of3 . . CITY OF SPKlJ"lu1'lli.LD ' Building/Combination Permit PERMIT NO: COM2005-00290 ISSUED: 03/16/2005 APPLIED: 03/14/2005 EXPIRES: 09/24/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspedion Line I Valuation Descrintion I Description Tvpe of Construction 5 Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project l.Fpp< PlIilLI Fee Description Amount Paid Date Paid Receipt Numher -Mechanical Issuance Fee- 510.00 3/16/05 1200500000000000338 + 10% Administrative Fee 54,50 3/16/05 1200500000000000338 + 7% State Surcharge 53.15 3/16/05 1200500000000000338 Air Handling Unit Up to 10,000 58.00 3/16/05 1200500000000000338 Heat Pump 512.00 3/16/05 1200500000000000338 Minimum/Adjustment Mechanical $25.00 3/16/05 1200500000000000338 + 10% Administrative Fee $4.90 3/24/05 2200500000000000333 + 7% State Surcharge $3.43 3/24/05 2200500000000000333 Add, Aller, Extend Circ $43.00 3/24/05 2200500000000000333 Add, Aller, Extend Circ Ea Add 56.00 3/24/05 2200500000000000333 Total Amount Paid 5119.98 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. UelllliredJnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is complete. Palle 2 of3 . . . \...11 f OF ~rKll~ld<IJ<.,LU Building/Combination Permit PERMIT NO: COM2005-00290 ISSUED: 03/16/2005 APPLIED: 03/14/2005 EXPIRES: 09/24/2005 VALUE: Status Issued 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 he 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 Ihe 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 al all times during construction, Owner or Conlractors Signature Date Paee 3 00 . 225 Fifth Street Springlield, Oregon 97477 541-726-3759 Phone . .~.~..d. . ~.... ~ ... J" .' Job/Journal Nnmber COM2005-00290 COM2005-00290 COM2005-00290 COM2005-00290 Payments: Type of Payment CreditCard 3/24/2005 RECEIPT #: 2200500000000000333 Description Add. Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JOSEPH BUNCH ELECTRIC Check Number Batcb Number Received By djb Page I of 1 ~y of Springfield Official Receipt .elopment Services Department Public Works Department Date: 03/24/2005 Item Total: Authorization Number How Received 616499 In Person Payment Total: 9:49:39AM . Amount Due 43.00 6.00 3.43 4.90 $57,33 Amount Paid $57.33 $57.33