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HomeMy WebLinkAboutPermit Mechanical 2006-3-30 . . CITY OF ~rKJI'lt.FmLU Building/Combination Permit PERMIT NO: COM2006-00364 ISSUED: 03/30/2006 APPLIED: 03/28/2006 EXPIRES: 09/30/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax " 541-726-3769 Inspection Line SITE ADDRESS: 796 POLTAVA ST ASSESSOR'S PARCEL NO.: 1703342203000 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration ResIdential . PROJECT DESCRIPTION: Replace Heat Pump & Air Handler - Owner: BJM TRUST : 'Address: 796POLTAVAST SPRINGFIELD OR 97477 Owner: BARBARA MANN Address: 796 POL T A V A SPRINGFIELD OR 97477 Phone Numher: 541-747-3923 '. Contractor Type " Mechanical _ __ I...,AI rpnuires yuu ~v iI1(l:Vl" l N\:(;:TORJINFORMkTrION'IJtility tolloW rUle~ auv~'- - . rules are set torth Contractor Notitication c~nt~~<~~o~~u(,I,..iteuSe)52-(EXJliration Date ASSOCIATED HJi:.~lf:~NG:&?~R1q)NI!.llr.m;;19~nse rules by 08/3112006 UI"BuiiiiiNG:INF.ORMArr.ION;le\epnO~i~n ",,,,,,',, - 0 gon UlI"'Y ,~ot\f1ca ,- Ie' '''r the re 344) numll of Stories:. 1_800-332-2 . ""onl~1 I~ Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-683-2590 # of Units: .. Primary Occupancy Group: , Secondary Occupancy Group: _ Primary Construction Type Secondary Constrnction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla Frontyard Setback: SIde I Setback: Side 2 Setback: , Rearyard Setback: : Solar Setbacks: I DEVELOPMENT INFORMATION I 1({0EDist. RE If i~~ \N{)~~ 1-\~lil~ 8.llci,L\.. tX~\~ PERWlli ,~ "~'" "r.~~,.tu I \?:~~lJ.ltmtR :I3ANOONEO flJI' /Wor'I;< ~ff~~:IS" ~~~~~p.n nA'{ PtRIOO. I PUBLIC iMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspoutsffirains: Notes: Paeelof3 -Wli.~A~!3~JlP.Il!' . :. I ~ . . .~ . .---- ~ . . CITY OF SPRIr~ul'l.li,L1J Building/Combination Permit .. Status Issued PERMIT NO: COM2006-00364 ISSUED: 03/30/2006 APPLIED: 0312812006 EXPIRES: 09/30/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project )?pp< tIilIJ . , Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Air Handling Unit Up to 10,000 - Heat Pnmp .. Miscellaneous Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.60 $8.00 $12.00 $25.00 3/30/06 3/30/06 3/30/06 3/30/06 3/30/06 3/30/06 1200600000000000382 1200600000000000382 1200600000000000382 1200600000000000382 1200600000000000382 1200600000000000382 Total Amount Paid $63.10 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. ~rIPlrllnl",I"III~lrotil~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pa~e 2 of3 . . LU r OF I)rKll'jut<l~LD Building/Combination Permit PERMIT NO: COM2006-00364 ISSUED: 03/30/2006 APPLIED: 03/28/2006 EXPIRES: 09/30/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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. 1 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. !~'.., ~kr; )-30-0 b Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springflela, Oregon 97477 541-726-3759 Phone . 8!'~~I~~~_"_____ '.... ~' ; '. . i .'-.". .' . .JiIl.ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200600000000000382 Date: 03/30/2006 2:24:46PM Job/Journal Number COM2006-00364 COM2006-00364 COM2006-00364 COM2006-00364 COM2006-00364 COM2006-00364 Description Heat Pump Air Handling Unit Up to 10,000 Miscellaneous Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Totai: Check Number Authorization Received By Batcb Number Number How Received Amount Due 12,00 8.00 25.00 10.00 3.60 4.50 $63.10 Amount Paid Check :1 ASSOCIA TED HEATING djb 14419 In Person Payment Total: $63.10 $63.10 :c :0 :, :1 , :1 , .l, :0 T :1 ., , " 'l .: 3/30/2006 Page 1 of I .,