HomeMy WebLinkAboutPermit Mechanical 2006-3-6
:, Status: Issued
!i 225 F1ftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
'.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00200
ISSUED: 03/06/2006
APPLIED: 02/1712006
EXPIRES: 09/06/2006
VALUE:
*
SITE ADDRESS: 1137 KINTZLEY AVE
ASSESSOR'S PARCEL NO.: 1802062403200
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
TYPE OF USE: New
Residential
Owner:
Address:
STANLEY ROBERTS
1137 KlNTZLEY
SPRINGFIELD OR 97477
Contractor License Expiration Date
CHlTIIM ENTERPRISES IINC", ,-" ',_ 47396, t,""~ ',;, 03/08/2007
o 1',BUIiinNG'INFoRMA:i.iol'i.' J!JE:J!IIJON
-- "'G, UUOElJO ' nJ "101/01
# of Stories: 'NOI1N3111/
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
.'
!) Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
, # of Bedrooms:
" Front yard Sethack:
" Side 1 Setback:
'~Side 2 Setback:
:' Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
" Description
Tvpe of Construction
.' I CONTRACTOR INFORMATION I
R-3
VN
nla
I DEVELOPMENT INFORMATION I
NOTICE:Overlay Dist:
THIS PERfI1ffrOOlf~teEXPIRE IF THE WORK
AUTHORI!'erf'!1M'li?Ji 'ffl13 PERMIT IS NOT
COMMENC1:11 bIWso.A:rmMiONED FOR
ANY 180 DAY PFRIOn,
IPUBLIC IMPROVEMENTS I
Phone Number: 541-747-7106
'J
Phone
541-461-2101
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
I Valuation Descriotion I
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
1 of 2
"
Value
Date Calculated
.
-
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
PERMIT NO: COM2006-00200
ISSUED: 03/06/2006
APPLIED: 02/17/2006
EXPIRES: 09/06/2006
VALUE:
!'
Total Value of Project
Ff'f'S Paid I
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10,00
$4.50
$3.60
$8.00
$12.00
$25,00
3/6/06
3/6/06
3/6/06
3/6/06
3/6/06
3/6/06
Receipt Number
1200600000000000255
1200600000000000255
1200600000000000255
1200600000000000255
1200600000000000255
1200600000000000255
Total Amount
$63,10
I Plan Reviews I
To Request an inspection can 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. win 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 pertaming to the work described herem;
and that NO OCCUPANCY wiD 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 ,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 ofthe property, and the approved set of plans wiD remain on the site
at all ~es du~, c?~truction. A ,_ / /
~ /}. fI-r-~v--...... ..s /6/ oG
~er &nt;acto;; Signature -...... Date.' /
2 of 2
'1
2J5 Fifth Street
Sprlnglteld, Oregon 97477
541-726-3759 Phone
.
.~!
IIAit - ,
t1IiiJj.ty of Springfield Official Receipt
Whelopment Services Department
Public Works Department ' ,
(.!
Job/Journal Number
COM2006-00200
COM2006-00200
COM2006-00200
COM2006-00200
COM2006-00200
COM2006-00200
Payments:
T)1le of Payment
Check
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3/6/2006
RECEIPT #:
1200600000000000255
Date: 03/06/2006
Description
+ 8% Stale Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING
ReeeI vOO By
djb
1 of I
Item Total:
L:nei:K NumDer AuUlonwlon
Batch Number Number How Received
1434 In Person
Payment Total:
1:32:2SPM
Amount Due
3,60
4.50
8.00
12.00
25.00
10.00
$63,10
Amount Paid
$63.10
$63,10
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