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Home My WebLink AboutPermit Mechanical 2004-8-20 -e Status Issued .. CITY OF SPKll'l\.d'lELD Building/Combination Permit PERMIT NO: COM2004-01038 ISSUED: 08/20/2004 APPLIED: 08/20/2004 EXPIRES: 02/20/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6923 JESSICA DR ASSESSOR'S PARCEL NO.: 1802022601900 Springfield TYPE OF WORK: Heating System . TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace heat pump and air handler Owner: REEVES KAREN L Address: 6923 JESSICA DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 Expiration Date OS/3112004 Phone 541-6S3-2590 , BUILDING INFORMATION I # of Units: . #o,~t~fi~1~\'l Priman' Occupancy Group: R-3 \a:,"le~ig!1l\1>t:Structure . n ," fiI!.e'Qv d"l\'" Secondary Occupancy Group: . Q~.~O \ne ...ype'fJlleat: 0\- Primary Construction T~\O~' dw\ed b'l e I\.Wittr~\JlPe:O 'O'l Secondary Constructi~t~~u\eS III l\\el. \\'I0~0\.l~bfeJ-?pe:3S # of Bcd rooms: \0\\0 "IOt' ce '\ "0'\0\\'1 ,,\l!;nclg'f pJ\tb:)l\e ,rICa;; 00 -v 'CO,. .,?\~,.. ""n ~O\\I ., 90'1.- ob\aln ~~piIiiKle,\~.gililing: I'\t>.'r> _",\I INO ..'." NO "~090. :v; \~e cel\\~DEwi.!;)''iiMENt INFORMATION I ca\\\n \01 \ne. .:. .o\"w ll\'Oel ~el IS t\\.l Cel'l , Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Setback: Side 1 Sctback: Side 2 Sctback: Reary:ml Setback: Solar Sctbacks: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewcr Available: Special Instruction: _ '{IC\~V- I PUBLIC IMPROVEMENTS' 'j..'i'\'i'-.'t. W '\ ~1 \'::> \,\Q'\ ..\\)'\C~. .~\\S!tt~~1~:'i''t.~~\) fQ? . ~ o't.~' ,\~~ .~Q~ \\\\'::> \ Q'i'-.\1't.1J>~~81jt.'StDl'liIDs: r-1J\'\l\'t.\'\c,'t.\) 'i''t.?\Q\). c,OWl '\ CO\) \)r-'l r-~'l Notes: I Valuation Descriotion I Descrilltion Type of Construction $ Per Sq Ft or multiplier Square Footage . ,or Bid Amount Value Date Calculated Total Value of Project Paee 1 of2 . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee D('srription ....Mechanicallssuance Fee- + 100;;, Administrative Fee + 7% Slote Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimllm/ Adj ustment Mechanical Total Amount Paid I Fees tlWU Amount Paid Date Paid . LI1 i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01038 ISSUED: 08/20/2004 APPLIED: 08/20/2004 EXPIRES: 02/20/2005 VALUE: Receipt Number 1200400000000001242 1200400000000001242 1200400000000001242 1200400000000001242 1200400000000001242 1200400000000001242 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. $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 S/20/04 S/20/04 8/20/04 8/20/04 S/20/04 S/20/04 $62.65 I Plan Reviews , I Reouired Insnections,J Rnllgh Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signal lire, I state and agree, that I have carefully examined the completed application and do hereby certify that all informal ion hcrcon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Onlinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described berein, 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, Ihat 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. dAV7' ~ Owner or Contractors Signature Paee 2 of2 ~/Z;l6Y Date ~ 2250Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone . ~~,""',;,. ~: ~.: IfIiijty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200400000000001242 Date: 08/20/2004 II:19:14AM Job/Journal Number COM2004-0 I 038 COM2004-0 I 038 COM2004-0 I 038 COM2004-0 I 038 COM2004-0 I 038 COM2004.0 I 038 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 8.00 12.00 25.00 10,00 $62.65 Amount Paid Check ASSOCIATED HTG djb 11908 In Person Payment Total: $62.65 $62.65 8/20/2004 Page I of I