HomeMy WebLinkAboutPermit Mechanical 2005-12-16
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01727
ISSUED: 12/16/2005
APPLIED: 12/14/2005
EXPIRES: 06/16/2006
VALUE:
Springfield TYPE OF
Heating System
SITE ADDRESS: 5541 IVY ST
,; ASSESSOR'S PARCEL NO.: 1802041101500
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Change out existing furnace & HIP
-:: Owner:
. Address:
METCALF KRISTY
5541 IVY ST
SPRINGF1ELD OR 97478
Contractor Licen~e s'lcEiliJ,!ration Date
CHlTIIM ENTERPRISES I INC . .42.W6\\lI\~A(\ 0\1\I\Q3f,08/2007
I BUILDING INFORMAT.iONI~~~~\e s~~~;Ci\'
"(E.~ ,,- Co aOOV'- "(nose ,J n o~\'. 9 ,\~,,'o'l
~~\~{,litoties(,e{\W\. Ci \n\.o\l<;) .0\ \ne \\~~~.Size:
\Height;O..f\ (lCi\'()Ci\ .(\ co?leS "'e \e\eISqFtlst Floor:
~TY'ile,~f,H"bit:~" .o'o\al ".o\e'.~" ".o'iSq'Ft 2nd Floor:
, ....,. rl\~' I I:-~ .\\\'l I~
'Water'l:ype: ce{\\e. o{\ 0\1 '2-'2>.\;\'Sq Ft Basement:
Rll'~~;:r.YP'e,:,e ''l\e O\e~,,().'2>'2>'2-. Sq Ft Garage/Carport
E r?.Wp, 'th'O~ \. . '\~ov S F 0
nergy" ,i'.: \e\ IS q t ther:
Spriiillled Ce{\ nla Occupant Load:
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
., Front yard Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
Street
Storm Sewer Available:
Special Instrnction:
Notes:
Description
R-3
Type of Constrnction
.,
I CONTRACTOR INFORMATION I
Phone
541-461-2101
VN
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
.\
IPUBLIC IMPROVEMENTSI ~\"~ \f ,\\~ ~~01
"OW'''' ~ ."I1Or12~"~\' \$
,~\S p~\\~~1 ~~~~~ ~n~~O fO"
f>,\)1\\0\\\1\;. D l)?\ ~itwl'lIlDs
tO~~~t\Ct!,..'( p~\OO.
f>,t\'i \&0 0
I Valuation Descriotion I
$ Per Sq Ft
or muItip6er
Square Footage
or Bid Amount
Value
Date Calculated
I of 2
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
Building/Combination Permit.
PERMITNO: COM2005-01727
ISSUED: 12/16/2005
APPLIED: 12/14/2005
EXPIRES: 06/16/2006
VALUE:
'"
Total Value of Project
F~~ PalrI I
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Heat Pnmp
Minimum/Adjustment Mechanical
Amount Paid
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
Date Paid
12/16/05
12/16/05
12/16/05
12116105
12/16/05
12/16/05
Receipt Number
1200500000000001820
1200500000000001820
1200500000000001820
1200500000000001820
1200500000000001820
1200500000000001820
Total Amount
$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.
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 m accordance ,
. with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertamlng to the work described herem,;
and that NO OCCUPANCY wID be made of any structure withont permission of the Community Services Division, .
Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used
. on this project.
I .' I further agree to ensnre that all required inspections are reqnested 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 wID remain on the site
a~all ti ~ring constructi~ n
. A ..v10Al J<1 flJ-. ---;).ec-, / h. 0-5-
- ~. ,---
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
. Spring5ield, Oregon 97477
541-726-3759 Phone
.
.!,~"""~IrI,D._.._ ...
~. ,
-.61.:.:
.... .
_, _,._.. ~ ,0" '
~ity of Springfield Official Receipt
_evelopment Services Department
Public Works Department
Joh/Joornal Number
COM2005-0 1727
, COM2005-01727
,
I COM2005-01727
i COM2005-01727
.. COM2005-01727
., COM2005-01727
. Payments:
i: Type of Payment
Cfeck
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12/16/2005
,
RECEIPT #:
1200500000000001820
Date: 121l6/2005
Description
Furnace - up to 100,000 btu
Heat Pump
MinimumlAdjustmenl Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JAMES HEATING AND AIR
CONDITIONING
Item Total:
Lheck Number AutnOl1zatton
Received By Batch Number Number How Received
djb 1423 In Person
Payment Total:
I of I
11:40:25AM
Amooot Due
12.00
12.00
21.00
10.00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65