HomeMy WebLinkAboutPermit Mechanical 2007-12-10
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01810
ISSUED: 12/10/2007
APPLIED: 12/10/2007
EXPIRES: 06/10/2008
VALUE:
Status
Issued
,225 Fifth Street, Springfie]d, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1 J 50 D ST
ASSESSOR'S PARCEL NO.: 1703351408600
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump
TYPE OF USE: New
Residential
Total:
Handicapped:
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Owner: BARBARA SMITH
Address: 1150 D ST
SPRINGFIELD OR 97477
I, CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR ]NC
License
161742
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATlO~1
X. ~~v"
# o~ ~~ \~:' \'b ~\)\
\\O~~~~~ S~~~ 1~~~t.~ to'"
\~\~i \\\1.t.\l \}~~~fi\~Y
"'\}'~O Ct.Q \Rh ,Ype:
I" \J\\J\t.~ ~ ~ y Path:
C~'i \~~ Q~ Sprinkled Building: nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e I of2
Phone Numher: 541-747-7844
Expiration Date
10/1112008
Phone
541-746-1040
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01810
ISSUED: 12/1012007
APPLIED: 12/10/2007
EXPIRES: 06/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paicl I
Fee Descriotion .
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Heat Pump
MinimumlAdjustment Mechanical
Amonnt Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$14.00
$36.00
12110107
12/10/07
121] 0/07
12/10/07
12110107
12110/07
Receipt Number
2200700000000001810
2200700000000001810
2200700000000001810
2200700000000001810
2200700000000001810
2200700000000001810
Total Amount Paid
$81.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Rellllirecl lnsnections I
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 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 aU required inspections are requested at the proper time, tbat each address is readable from the
street, that the permit card is located atthe front of the property, and the approved set of plans will remain on the site at aU
times during construction.
(~(~~ _n
, /
Owner or Contractors Sig!!.at
m~
/?;//o /ZOO9-
Date
Pa2e 2 of2
225 Fifth Street
Springfi;ld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 181 0
COM2007-0 181 0
COM2007-0 181 0
COM2007-01810
COM2007-0 181 0
COM2007-01810
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200700000000001810
Date: 12/10/2007
Description
Heat Pump
MinimumlAdjustment Mechanical
~Mechanicallssuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BARBARA K SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 7807 In Person
Payment Total:
Page 1 of 1
2:41:34PM
Amount Due
14,00
36,00
20,00
2,50
4,00
5,00
$81.50
Amount Paid
$81.50
$81.50
12/1 0/2007