HomeMy WebLinkAboutPermit Mechanical 2006-2-21
i'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
._ CITY OF ~rKll~ut<lJ'..LD
Building/Combination Permit.
PERMIT NO: COM2006-00204
ISSUED: 02/2112006
APPLIED: 02/2112006
EXPIRES: 02/2112006
VALUE:
',SITE ADDRESS: 2352 DUBENS LN
. ASSESSOR'S PARCEL NO.: 1703361104600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump
NOTICE: Phone Number: 541-747-8829
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
.l:4l\'4MfNr,fJ) Hfi l~ ~J:!I\IIIUUNCU ~UH
~'IRM'i(oamRMATI0N I
Owner: MARIE CALICOTT
Address: 2352 DUB ENS LN
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
PACIFIC AIR COMFORT INC
Phone
541-672-9510
, # 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 Setbacks:
. Street Improvements:
. Storm Sewer Available:
Special Instruction:
Notes:
, Description
License
39237
Expiration Date
03/2512006
I BUILDING INFORMATION I
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sp~'Dkled,Building:'egon lawnlaquI'resOccupant Load:
/"\1 I CI\lIIVI\l. I,JI It;; tvu -,J'
"-_"_n. -...-- ---~p-~ ~.. p...r~ uregu[I UlIlIlY
I DEVELOPMENT INFORMATION II t fort
es are se 'REQ G
in OAR 952.001-0010 through OAR 952-001- UIRED PARKIN
OJ'.!'!\!1Y',l!i~t,:nay obtain copies of the rules b~otal:
# Stt'~~\~!r~~Mtq~;ler. (Note: the telephone Handicapped:
Par,~J1:J;>J:iv~~~~B Oregon Utility Notification Compact:
% of Lot C~~m~~~b 1-800.332-2344),
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
I Valuation Descrintion ,
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Type of Construction
Value
Date Calculated
Paeelof2
.
.
I
.1
CITY OF SPRINGFIELD'
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00204
ISSUED: 02/21/2006
APPLIED: 02/2112006
EXPIRES: 02/21/2006
VALUE:
Total Value of Project
F~~s PaW
Fee Description
-Mechanical Issuance Fee-
, + 10% Administrative Fee
+ 8% State Surcharge
. Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.60
$12.00
$33.00
2/21/06
2121106
2121106
2121106
2121106
Receipt Number
3200600000000000080
3200600000000000080
3200600000000000080
3200600000000000080
3200600000000000080
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.
I R~~~ctions 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.
1 further agree to ensure that all required inspections are requested at the proper time, tbat 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 tbe site at all
times during construction.
~(\'~ ~ '\'t (~
. Owner or Contractors Si~ature \
!:;l.!::A1 \o\/)
Date
.,
Paee 2 of2
225tFifth Street
Springfield, Oregon 97477
"541-726-3759 Phone
.
.,p~. "'!".'!.F1.!,I,O '_ _r_ ~.'...
Ilk'
'.', ,
i' ;
~",. J
./iity of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2006-00204
COM2006-00204
COM2006-00204
COM2006-00204
COM2006-00204
Payments:
Type of Payment
Check
.:c:
:l
:l
:0
I "to
:l
'0
J'(
2121/2006
RECEIPT #:
3200600000000000080
Date: 02/2112006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fec-
Paid By
PACIFIC AIR COMFORT, INC
Item Total:
Check Number Authorization
Batch Number Number How Received
Received By
ddk
12274
In Person
Payment Total:
Page I of 1
2:45:22PM
Amount Due
3,60
4,50,
12,00
33,00
10,00
$63.10
Amount Paid
$63,10
$63.10