HomeMy WebLinkAboutPermit Mechanical 2005-2-14
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
. CITY VI' ~rKlNGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-00165
ISSUED: 02/14/2005
APPLIED: 02/11/2005
EXPIRES: 08/14/2005
VALUE:
SITE ADDRESS: 1120 FAIRVlEW DR SPACE 45
ASSESSOR'S PARCEL NO.: 1703273100600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
PROJECT DESCRIPTION: Residence eleclric fan coil unil replacement
Owner:
Address:
Residential
MIKE CREW
1120 FAIRVIEW DR SP 45
SPRINGFIELD OR 97477
Phone Number: 541-746-1319
Contractor Type
Mechanical
NOTICE:
r~~~,~ERMIT SHAll r:v",~_
n,~::'VIl/LtU UN DE "'~ Ir IH/:: Wo
I CONTRACTOR INFORMATION II OR IS ~ THIS PERMIT IS N~:
'''n IOU OAY PEP.'nn BANDONED FOp.
License Expiration Date Phone
77 10/31/2006 541-746-1621
Contractor
HARVEY & PRICE CO
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Selback:
Rearyard Setback:
Solar Setbacks:
Slreet Improvemenls:
Slorm Sewer Available:
Special Instruction:
Notes:
Description
BUILDING INFORMATION I
# of Slories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Waler Type: Sq Ft Basement:
I
Range Type: Sq Ft Garage/Carport
Ene.rgy Path:. ~TTENTION: Orego~f11~tr~91~~~s '1- , 'J
Spnnkled BUIld', I nla t d Occupant Load: , '
ow ru es acoo e oy ln~ urt""u'
I DEVELOPMENT INfoiiKtJtTION,,~ter, Those rules ,"~
L, _, rt'~u L -0010throughiffi'QUIRED PARKING
0090. You may obtain copies 01 i;- L J,
Overtay Dist: J1jallin9 the center. (Note: th:!''!!al::, -
# Street ~rees R . mber for the Oregon Utilit,u.~~~,~~!!"p~~,:
Paved DrIVe Rq : Center is 1.800-332-"S!l~l!act:
% of Lot Coverage:
I PUBLIC IMPROVE~NTS I
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Foolage
or Bid Amount
Tvpe of Construction
Value
Date Calculated
Page 1 of2
"
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 hlu
Minimum/Adjustment Mechanical
Tolal Amount Paid
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00165
ISSUED: 02/14/2005
APPLIED: 02/11/2005
EXPIRES: 08/14/2005
VALUE:
Total Value of Project
Fp.p.~ tiIilU
Amount Paid
Date Paid
Receipt Number
1200500000000000189
1200500000000000189
1200500000000000189
1200500000000000189
1200500000000000189
1200500000000000189
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
2/14/05
2/14/05
2/14/05
2/14/05
2/14/05
2/14/05
$62.65
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.
~uirp.t1l1~~p.diow
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signalure, I slate and agree, that I have carefully examined the completed application and do herehy 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
lhe Ordinances of the City of Springfield and lhe Laws of the Stale of Oregon pertaining to lhe work described herein, and
thaI NO OCCUPANCY will be made of any structure without permission oflhe Community Services Division, Building Safety.
I further certify lhat onj'_contraclors and employees who are in compliance with ORS 701.005 will he used on this project.
I further agree to ensure th' t all re ul~ed inspections are requesled al the proper time, that each address is readable from lhe
street, that the permit car is 10 ted at the front of the property, and the approved set of plans will remain on the site al all
times during co trucf n.
-
~z/~ 15r
Date
')
Paee 2 of2
225 Uifth Street
,Springfield, Oregon 97477
.541-726-3759 Phone
Job/Journal Number
COM2005-00 165
COM2005-00165
COM2005-00165
COM2005-00 165
COM2005-00165
COM2005-00165
Paymenls:
Type of Paymeol
Check
"
2/1412005
.
RECEIPT #:
_~'_.UI
Wi....~....=.....'...............
'. .. '.. -."- ]
- -~:aa;: ,
l,W/: :
..,_.... .....d........... ~.' _. .." "'
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000189
Date: 02/14/2005
Description
+ 7% Stale Surcharge
+ 10% Administralive Fee
Furnace - up 10 100,000 btu
Boiler/Comp Up To 100,000 btu
Minimum! Adjustmenl Mechanical
-Mechanical Issuance Fee-
Paid By
HARVEY & PRICE CO,
Item Total:
Check Number AuthoriZation
Received By Batch Number Number How Received
ddk 83207 In Person
Paymenl Total:
Page I of I
3:04:51PM
Amount Due
3,15
4,50
12.00
12,00
21.00
10.00
$62.65
Amount Paid
$62,65
$62.65