HomeMy WebLinkAboutPermit Mechanical 2005-8-9
." CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01082
ISSUED: 08/09/2005
APPLIED: 08/09/2005
EXPIRES: 02/09/2006
.V ALUE:
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1514 DIAMOND ST
ASSESSOR'S PARCEL NO.: 1703342301115
Springfield TYPE OF
Heating System
. PROJECT DESCRIPTION: Replace heat pump
TYPE OF USE: Repair
Residential
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I Valuation Descriotion I
: Owner: JOSEPH KREMERS
Address: 1514 DIAMOND
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
oU\O
Contractor e(\u\tes'l utili\'! License
ASSOCIA,;{~IPE)\'f.fflQj(2QQR_j:i,qlllIDTI ONI 06275
..-c:~U:"':do,,\e~i .lil!lffiDiNmNFrl~~ A TIONI
r"\~ ~e~o ,,,d 'ilia llJ'f~iIr1l.
~\d'fl (U ce",et. WtOU9" - l'Ie tl.l'o-' .
# of Units: ~\W\ca.\\Ol\ .o~.oO'~ CO\lil#!tlf~~,Jj~:;)"e
Primary Occupancy ~r~ 9'02 \lft0'O\a.\\~0\elI~glir pf,\\ca,\\OI\
Secondary Occupanc~l\ gO. 'IoU \11 el\\et. ~ 01' iJYjie t't~~at:
Primary Construction qq:~\\\l\g W~e Ote9 O_~Jlte~TYpe:
Secondary Construction tt\'Oet \ot ~et is ,_aO Range Type:
# of Bedrooms: t\U cet"\ Energy Path:
Sprinkled
Contractor Type
Mechanical
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I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Street
Storm Sewer Available:
Speclallnstruction:
Notes:
DescriDtlon
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
1 of 2
. Phone Number: 541-744-7197
Expiration Date
0813112005
Phone
541-683-2590
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
:.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01082
ISSUED: 08/09/2005
APPLIED: 08/09/2005
EXPIRES: 02/09/2006
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
Fees Paid I
Fee Description
....Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical.
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
1200500000000001167
1200500000000001167
1200500000000001167
1200500000000001167
1200500000000001167
Total Amount
$62.65
, Plan Reviews I
To Request an inspection caD 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. wiD be made the following
work day.
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 bt 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 wiD 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 ..located at the front of the property, and the approved set of plans wID remain on the site
X~r~~~ ~f/OJ-
Owner or Contractors Signature
Date
2 of 2
225 Fifth Street
Sprlngfierd, Oregon 97477
541-726-3759 Phone
Job/Journal Nnmber
COM2005-0 I 082
COM2005-0 1 082
COM2005-0 1 082
COM2005-0 1 082
COM2005-0 1 082
Payments:
T)1le of Pa)11lent
Check
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8/9/2005
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RECEIPT #:
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JIlity of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001167
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Received By
djb
1 of 1
Date: 08/09/2005
Item Total:
L:necK Numoer AUtDonzatlOD
Batch Number Number How Received
13404 In Person
Payment Tntal:
I :48:49PM
Amoo DIOne
3,15
4.50
12.00
33.00
10.00
$62.65
Amonnl Paid
$62.65
$62.65