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HomeMy WebLinkAboutPermit Mechanical 2005-11-29 . .CITY VI' ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2005-01650 ISSUED: 11/29/2005 APPLIED: 11/29/2005 EXPIRES: 10/12/2006 VALUE: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1515 W QUINAL T ST ASSESSOR'S PARCEL NO.: 1703273200154 Springfield TYPE OF WORK: Heating System Contractor Type Electrical Mechanical Contractor C PERKINS ELECTRIC CHITTIM ENTERPRISES I INC TYPE OF USE: New Residential .,: ~ ".~. OlnC1:1Iaw rDlluires you to .' .'__' I.., .h~ nrf'nnn lJltlitv ~', CI.'h9~e Nu~ber:J\(54I~746:4827.h ; C,',l ~c2 CJ1'0:110 through OAR 9S2,001- r ,';J. \'ULI may obtain copies of the r~les_bY 1'.'~\i110 Ule cenler. \I'tUl'Ci. l".... ....''":r:..- . - I CONTRACTOR INFORMATION'.cr for the Oregon Utility NotificatiOn Center is 1_800-332,2344). License Expiration Date Phone 159537 04/15/2008 541-895-4466 47396 03/08/2007 541-461-2101 PROJECT DESCRIPTION: Install heat pump and air handler Owner: Address: JOHN PALMATIER 1515 W QUINALT ST SPRINGFIELD OR 97477 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled 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 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ,',DT1~/I::, 7H n a. IS Pc,,,... I DEVELOPI\II"'''' u'iFORM~TIONIJ,'iED J;ALL EXPIRF II' "t, , ~v'VIIVltNCED DER Ti~~l{lJ\REl:l[Pl\~1;<;H"G ANY 18 OR IS AS' ,,- tKMIT IS N Overlay Dist: 0 DAY PERIO lVolJltNED I'() OT # Street Trees Rqd: 0, Handicapped:R Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of3 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump MinimumlAdjustment Mechanical + 10% Administrative Fee + 8% State Surcharge Add. Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF ~rKll'\jvl'l~LD' Building/Combination Permit PERMIT NO: COM200S-01650 ISSUED: 11/29/2005 APPLIED: 11/29/2005 EXPIRES: 10/1212006 VALUE: I Va,l"ation Oescriotion I IIIII $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Receipt Number Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.68 $43.00 $3.00 11129/05 11129/05 11129/05 11129/05 11/29/05 11129/05 4/12106 4112106 4/12106 4/12106 2200500000000001631 2200500000000001631 2200500000000001631 2200500000000001631 2200500000000001631 2200500000000001631 2200600000000000455 2200600000000000455 2200600000000000455 2200600000000000455 $116.93 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. I~p~ 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. Pace 2 of3 . .CITY OF ~rKll~~"'~LD ' Building/Combination Permit PERMIT NO: COM2005-01650 ISSUED: 11/29/2005 APPLIED: 11/29/2005 EXPIRES: 10/1212006 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 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. Owner or Contractors Signature Date Paee 3 of 3 225 Fifth Street .~ Springfield, Oregon 97477 541-726-3759 Phone . ~~~ <;Aof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journat Number COM2005-0 1650 COM2005-0 1650 COM2005-0 1650 COM2005-0 1650 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: 2200600000000000455 Date: 04/12/2006 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By C, PERKINS ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm 120726 In Person Payment Total: Page I of I 2:22:58PM Amount Due 43,00 3.00 3,68 4,60 $54.28 Amount Paid $54,28 $54.28 4112/2006