HomeMy WebLinkAboutPermit Mechanical 2005-1-14
/
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00049
ISSUED: 01114/2005
APPLIED: 01114/2005
EXPIRES: 07/14/2005
VALUE:
225 FIfth Street, SprlOgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon LlOe
SITE ADDRESS 1436 CHEEK ST
ASSESSOR'S PARCEL NO 1703243300103
SprlOgfield TYPE OF WORK HeatlOg System
TYPE OF VSE AddItIOn
Resldenhal
PROJECT DESCRIPTION Gas Fnrnace
Owner JAHN GERALD R & SHIRLEY A
Address 1436 CHEEK ST
SPRINGFIELD OR 97477
Contractor Type
Mechamcal
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
ExpIratIOn Date
08/31/2005
Phone
541-683-2590
# of VOlts
PrImary Occnpancy Group
Secondary Occupancy Group
PrImary Construchon Type
Secondary Construchon Type
# of Bedrooms
# of StorIes Lot SIZe
HeIght of Structure S~ ,- l\a Floor
Type of Heat nN Oregon law requ\re~ 1 tilOor
Water Typ'e' ,~ adopted by the Oregg '. ent
\l\e~
Range TY~'~()n Center Those rules a~~ fJle/Carport
Energy PatH 01 0010 through OA~~ ~r
sp~~n,~~~lIl~J~~ ~~~~I~.:~~\~f ~!'~~ Load
I DEVELOPMEl1lil1~FaN"p.l.';lOlS_ tltlhty Notllic;a1ion
numu!l'1 fJ., I! ~ - -""".2344). REQUIRED PARKING
Center IS 1-800 ".,..
Overlay Dlst Total
# Street Trees Rqd HandIcapped
Paved DrIve Rqd Compact
% of Lot Coverage
Frontyard Setback
SIde 1 Setback
SIde 2 Sctback
Rearyard Setback
Solar Setbacks
Strcet Improvements
Storm Sewer A va dab Ie
SpecIal InstructIOn
',PUBLIC IMPROVEMENTS I
NU' \\"1:, MIT SHALt'rJ(~/lJ.'tTh"'HE WORK
THIS PER :l:' "\:..DCQ~IT I~ NOT
AUTHORIZED UNDEIQL\wn"l'olltSftJt311tS
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
Notes
I Valuation Descnobon ,
DeSCrIptIon
Tvpe of ConstructIOn
$ Per Sq Ft
or multlpher
Square Footage
or BId Amount
Value
Date Calculated
Paee 1 of2
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1 :A IT ;
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00049
ISSUED: 01/14/2005
APPLIED: 01/14/2005
EXPIRES: 07/14/2005
VALUE'
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectIon Lme
Total Value of Project
Fees Paid J
Fee DescriptIon
-Mechamcal Issuance Fee-
+ 10% AdmmlstratIve Fee
+ 7% State Surcharge
Apphance Not Listed
Amount Paid
Date Paid
Receipt Numher
$1000
$450
$315
$45 00
1/14/05
1/14/05
1/14/05
1/14/05
1200500000000000060
1200500000000000060
1200500000000000060
1200500000000000060
Total Amount Paid
$62 65
I, Plan RevIews I
To Request an mspection call the 24 hour recordmg at 726-3769, All inspection requested before 7:00 a,m.
will be made the same workmg day, inspectIons requested after 7:00 a.m, will be made the following work
day.
I, Reouired Tnsnections I
Rough Mechamcal PrIOr to Cover
Fmal Mechamcal When all mechamcal work IS complete
By signature, I state and agree, that I have carefully exammed the completed apphcatIon and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance With
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY wIll be made of any structure Without permissIOn of the Commumty ServIces DIVIsIOn, BUlldmg Safety
I further certify that only contractors and employees who are m comphance With ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUired mspectIons are requested at the proper tIme, tbat each address IS readable from the
street, that the permit card IS located at thc front of the property, and thc approved set of plans Will remam on the sIte at all
tlmesdu ~2tlO"P?:~~ 1-11/- O~
~ Date
Pa2e 2 of2
225 Fifth Street
SpringfiHd, Oregon 97477
541-726-3759 Phone
~:~l
"~
~.;
r<.ty of Spnngfield OfficIal ReceIpt
_velopment ServIces Department
PublIc Works Department
~
~Jnb/Journal Number
COM2005-00049
COM2005-00049
COM2005-00049
COM2005-00049
Payments
Type of Payment
Check
1/14/2005
RECEIPT #,
1200500000000000060
Date: 01114/2005
DescnptlOn
Apphance Nol LIsted
-Mechamcal Issuance Fee-
+ 7% State Surcharge
+ 10% Admmlslratlve Fee
Paid By
ASSOCIATED HEATING
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
dJb 12502 In Person
Payment Total
Page 1 of I
8 09 22AM
Amount Due
4500
10 00
3 15
450
$62 65
Amount Paid
$62 65
$62 65