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