HomeMy WebLinkAboutPermit Mechanical 2004-7-16
Status
Issued
y
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00888
ISSUED: 07/16/2004
APPLIED: 07/16/2004
EXPIRES: 01116/2005
VALUE:
SITE ADDRESS: 1120 FAIRVIEW DR SPACE 18 Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1703273100600
PROJECT DESCRIPTION: Install heat pnmp and air handler
Owner: JIM CHRISTIAN
Address: 1120 FAIRVIEW DR SP 18 SPRINGFIELD OR 97477
:1
Contractor Type
Electrical
Mechanical
# 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 Selback:
Solar Setbacks:
Slreet Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
TYPE OF USE:
New
Residential
Phone Number: 541-726-5054
I CONTRACTOR INFORMATION I
Expiration Date
07/31/2004
10/22/2005
Phone
541-726-0793
541-726-7654
Contractor \dcense
BARRY ELECTRIC ~ 'lO~~~173
EUGENE HEATING & .~~~ltVMJ':",~~~ ~!~
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"Q\l'~Q ~ e fiurPl,:,~ ~o~\\C
~~ 'V' ~\I\\\'!....tA"
... ~.~toT' .
'-:,.\\nQ \lI01~-
~~~path:
Sprinkled Building:
nla
Lot Size:
Sq Ft lsl Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
, DEVELOPMENT INFORMATION I
Overlay Disl:
# Slreet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Tolal:
Handicapped:
Compact:
~O\\~
_r. \t '\"'~ ,"' "0'\
I PUBLIC IMPROVEm>~~S ~ ~",t-.\.\. U-~~~Vt.\\W~ ~O\\
~~~ ~t.~~~Cl \)~~~~~~~~
",\),,,,\J?\ 'l\Ct.Cl ~~~tS/Drains:
C\J~~r.; Cl",'i ~~
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I Valuation Descrintion I
Tvpe of Construction
$ Per Sq Fl
or multiplier
Square Foolage
or Bid Amount
Date Calculated
Pal!e 1 of2
Value
',.
.
. Ll1 i' OF SPRII~uNELD
Building/Combination Permit
PERMIT NO: COM2004-00888
ISSUED: 07/16/2004
APPLIED: 07/16/2004
EXPIRES: 01116/2005
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 P3i.I!J
,
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% Stale Surcharge
Air Handling Unil Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipl Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
7/16/04
7/16/04
7/16/04
7/16/04
7/16/04
7/16/04
1200400000000001093
1200400000000001093
1200400000000001093
1200400000000001093
1200400000000001093
1200400000000001093
Total Amounl Paid
$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.
I Relluirerllns~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I stale and agree, lhal I have carefully examined lhe compleled applicalion and do hereby certify that all
information hereon is lrue and correct, and I further certify thaI any and all work performed shall be done in accordance with
the Ordinances of lhe 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 10 ensure that all required inspections are requested at the proper time, lhal each address is readable from the
street, thalrlermit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during slruclion
VJAA f 7-/(t,-DY
Owner or Contractors Signa lure
Date
Pal!e 2 of2
225 FiftJ1 Street
Swingfield, Oregon 97477
541-726-3759 Phone
.
WIr.!~""l"~IJI.D.....-, -.- ,
...... I
... ~
-~- -'
JiilY of Springfield Official Receipt
"elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00888
" COM2004-00888
COM2004-00888
COM2004-00888
COM2004-00888
COM2004-00888
Payments:
Type of Paymenl
Cash
Change
Job/Journal Number
COM2004-00888
COM2004.00888
COM2004-00888
COM2004-00888
COM2004-00888
COM2004-00888
Payments:
Type of Paymenl
Cash
Change
'"
.
7/16/2004
RECEIPT #:
1200400000000001093
Date: 07/1612004
Description
+ 7% Stale Surcharge
+ 10% Administralive Fee
Air Handling Unit Up 10 10,000
Heal Pump
-Mechanical Issuance Fee-
Minimum/ Adjustmenl Mechanical
Paid By
AUTOMATIC HEAT
AUTOMATIC HEAT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
djb In Person
Paymenl Tolal:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unil Up 10 10,000
Heal Pump
-Mechanical Issuance Fee-
Minimum/ Adjustment Mechanical
Paid By
AUTOMATIC HEAT
AUTOMATIC HEAT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
djb In Person
Payment Total:
Page I of I
8:46:29AM
Amount Due
3,15
4,50
8.00
12,00
10,00
25,00
$62.65
Amounl Paid
$63,00
($0.35)
$62.65
Amount Due
3.15
4.50
8,00
12,00
10.00
25,00
$62.65
Amounl Paid
$63.00
($0.35)
$62.65