HomeMy WebLinkAboutPermit Mechanical 2005-4-28
.
Status
Issued
- 225 Fifth'Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6875 IVY ST
ASSESSOR'S PARCEL NO.: 1802022309400
. CITY OF ~Ytul~GFIELD
Building/Combination Permit
PERMIT NO: COM200S-0049S
ISSUED: 04/28/2005
APPLIED: 04/27/2005
EXPIRES: 10/28/2005
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pu~p and air handler
Owner: LISA JAEHNlG
Address: 6875 IVY ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
Phone Number: 541-736-8762
I CONTRACTOR INFORMATION'
Contractor
CHITTIM ENTERPRISES I INC
Phone
541-461-2101
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
License
47396
Expiration Date
03/08/2007
R-3
BUILDING INFORMATION I
I'.TTCN
# of Stories: 10/1 TION' 0 Lot Size:
. 0_, rut . reg
HeIght ofStt'!f,\gre, es ado on la.~~l! 1st Floor:
Type of He~t:>AR atJon Cent Pted by t,~tJ ~tl2iid~lelri
Water TYIlSitO 952-001_0er. Ihose ~'l, Ff'l!a~~.mJlmo
Range Typ~; '. You rna 010 1hrou Sq'FtG'!I"age/Cllrport
Energy paw,.?lling th y Obtain c . %~ 'FtlQth~r! fOrth
, -r, '''''', e Cent oP/eo 0', v~_n"",
Spnnkled ulliling'or th ernl~VOt OCcupant Loaib.
,.. e ()"._ I e: th~.. ..... IUle.~ J....
I DEVELOPMENT INFoirni:iION11J_~ Utility N~~~:::~ne .
32;2344). /9mQuIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
VN
I PUBLIC,IMPRQYEMENTS I
THIS P-ER'MIT SHA Sidewalk Type:
AUTHO LL EXF'IRF II' TJ-Jr. "'''~''
RilED UNDER THIDownspoutsIDralns:
COMMENCED OR IS ABA::' f'tRMIT IS NOT
ANY 180 DAY PERIOD. NDONED FOR
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 on
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-0049S
ISSUED: 04/28/2005
APPLIED: 04/27/2005
EXPIRES: 1012812005
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
FI'I's P~id ,
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
4/28/05
4/28/05
4/28105
4/28/05
4/28/05
4/28/05
Receipt Numher
2200500000000000509
2200500000000000509
2200500000000000509
2200500000000000509
2200500000000000509
2200500000000000509
Total Amount 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.
~eouire~nSDections 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,
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 is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
\.XY) a. ,uJ ~ fA. 00 J Q...~
Owner or Contracto€)ignature
\-f -2<0 -00
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
S41-72~~7Sg,.Phone
.
..."~I!I!'.'!F1_ "'--'.'1
WiC,--- I
. .;
_.r ._
._.__...~..,.._.
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00495
COM2005-00495
COM2005-00495
COM2005-00495
COM2005-00495
COM2005-00495
, Payments:
Type of Payment
Check
4/28/2005
RECEIPT #:
2200500000000000509
Date: 04/2812005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechani~al
-Mechanical Issuance Fee--
Paid By
JAMES HEATING
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
djb 1366 In Person
Payment Total:
Page I of 1
3:09:28PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65