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HomeMy WebLinkAboutPermit Mechanical 2005-10-13 I' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRI1'\juN~LJJ Building/Combination Permit PERMIT NO: COM2005-01432 ISSUED: 10/13/2005 APPLIED: 10/12/2005 EXPIRES: 04/13/2006 VALUE: SITE ADDRESS: 4105 VIRGINIA AVE , ASSESSOR'S PARCEL NO.: 1702323310000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New ResIdential PROJECT DESCRIPTION: Install heat pump Owner: Address: Phone Number:s S41,-~'A1"'.A.Ab n\aW\v'-1.....~ .'"l" 'rT1 ATTfNl\ON' Ore(1o the Oregon UtilItY In"OW rule~ adoPte~...b!~p ruleS are se~ j~~~ "n\,l.r.atlon v'" ..-.. 0 through UI'''' ,,~~ -, I CONTRACTOR INFORMA lilOWI u' -001 , ies 01 the rules by Y obtaIn cop I hOne ooqQ. You n,a INnte: the te ep . License\e cEE!fpiration iDateotilP-lioll'e ,m~!i~r lor theO~1p.i~!r~ii52344).541-747-7445 \jenltil '''''' . BUILDING INFORMATION I NICK ROCCAFORTE 4105 VIRGINIA ST SPRINGFIELD OR 97478 Contractor Type Mechanical Contractor MARSHALLS INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description # of Stories: Lot Size: R-3 Height of Structure Sq Ft Ist Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energ1 Path: Sq Ft Other: Sprinkled Buildln!!: nla Occupant Load: ~~~Trl'j:. _ _., I~'f. li1uC l.mRK I DEVELOPMENT INJi'(')1Wj\l'!(l)rt"Il,L~ ;^~\S PERMI11S N01 AU1HUKllcu u,~~s ABANDONW'illJIlU'D PARKING Overlay Dist:COMMENCEO 0 00 Total: # Street Treesffl(hl:1 BO DAY PERI. Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutsfDrains: I Valuation Descriotion , $ Per Sq Ft or multiplIer Square Footage or Bid Amount Type of Construction Value Date Calculated Pa!!e 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01432 ISSUED: 10/13/2005 APPLIED: 10/12/2005 EXPIRES: 04/13/2006 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~~s tlWU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid $10.00 $4.50 $3.15 $12.00 $33.00 Date Paid 10113/05 10/13/05 10113/05 10/13/05 10/13/05 Receipt Number 220050000000000i422 2200500000000001422 2200500000000001422 2200500000000001422 2200500000000001422 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. L.R~nuir~lIlnsnf'rti'\W 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 hereby certify that all information hereon is true and correct, and I further certify tbat any and all work performed sball 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. A5~:-- ~..-~, /0 -/'-3-0 J- Date Owner or Contractors Signature Pae;e 2 of2 225 Fifth Street SNringiield, Oregon 97477 541-726-3759 Phone . .~~.'A.J"~P1'!>-D.c_ .. i Wi;:-". . , ..... I WI" j " - '-'~'",-~ - Job/Journal Number COM2005-0 1432 COM2005-0 1432 COM2005-0 1432 COM2005-01432 COM2005-0 1432 Payments: Type of Payment Check .r :i 10/13/2005 RECEIPT #: ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001422 Date: 10/13/2005 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALL'S INC. Received By njm Page I of I Item Total: Check Numher Authorization Batch Number Number How Received 18878 In Person Payment Total: 11:36:32AM Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid $62.65 $62.65