HomeMy WebLinkAboutPermit Mechanical 2005-2-25
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00190
ISSUED: 02/25/2005
APPLIED: 02/1712005
EXPIRES: 08/2512005
VALUE:
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'*
SITE ADDRESS: 1095 KINTZLEY AVE
ASSESSOR'S PARCEL NO,: 1802062402800
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump and air handler
TYPE OF USE: New
Residential
Total:
Handicapped:
Compact:
'-NO\'\\\.
",,..,,o.\', \I' :\~~ Ie. ~O:\
I PUBLIC IMPROVEI\1EN'I1S;'~\.\,\\..~~\S ?t.~~D' to\'\
U\::> ,~' n \)"v<' - . \<.11)01'
:\, \ \'\O\,\\lt:u 0\'\ \s rSidewalk Type:
r>-\i~W-t.~c.\:~ ?\:\,\\OUownspoutslDrains:
C. ,,\'O(J I)f\
r>-~'
Owner: CHRIS WILHITE
Address: 1095 KINTZLEY AVE
SPRINGFIELD OR 97478
_'I'
I CONTRACTOR~)10RMATION I
~eo..v' O{l ~ \O~I'
Contractor o~ \V>~ 0 QleQ! 10 s~\ ,()\Dfcense
ASSOCIA TEI!~~ ~lfu~'Q.~QmK9lKh75
...&~\~ v>6.:~J .':;~:'\I9'fN-il@RMlmIO~"
",- (U''''' 'J' J , /I I
r ~\11l' ~ (fl." ;:!"i". co~'-. \~e ,~' 'I..\\\C'3-"-
# of Units: \0 ~~~~o rt.S)O' o'Ctal?:;;..~s: ~\'l ~o
Primary Occupancy Group: ~O Q~~ ~ ((I'<>'l ~gh't(\\('Stil,~~!U;..\'~'
Secondary Occupancy Group: \~ 1).-0(0 ~0 e0 Jl'Jl~~t.ijealf
Primary Construction Type ()O~\(\~ \ \01 ~W\'!1~r"1"'ype:
Secondary Construction Type: ~((I'00 (j0(\\'ltange Type:
# of Bedrooms: t" Energy Path:
Sprinkled Building:
Contractor Type
Mechanical
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Descrip\ion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Paeelof2
Phone Number: 541-746-5564
Expiration Date
08/31/2005
Phone
541-683-2590
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
Total Amount Paid
.
Total Value of Project
l.Fp.p.s PaidJ
Amount Paid
$10,00
$4,50
$3,15
$8,00
$12,00
$25,00
$62,65
I Plan Reviews I
Date Paid
2/25/05
2/25/05
2/25/05
2/25/05
2/25/05
2125/05
. CITY OF SPRINGFIELD
, Building/Combination Permit
PERMIT NO: COM2005-00190
ISSUED: 02/25/2005
APPLIED: 02/1712005
EXPIRES: 08/25/2005
VALUE:
Receipt Number
2200500000000000224
2200500000000000224
2200500000000000224
2200500000000000224
2200500000000000224
2200500000000000224
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.
L...Peauired Ifsnp."tio~
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 consin,
~A JJK~
Owner or Contractors Signature
---".
r-
Pa!!e 2 of2
'?!7~>ln ~'
Date I '
225 Fifth Street
Springfifld, Oregon 97477
541;>726-3759 Phone
Job/Journal Number
COM2005-00190
COM2005-00190
COM2005-00 190
COM2005-00 190
COM2005-00 190
COM2005-00 190
Payments:
Type of Payment
Check
2/25/2005
.
RECEIPT #:
DescriptIon
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
8P~RJ~_~~.~ _ _.' _,. '.'
Wi:' ,
, -~._ 1
. ~ I
. -...-~'"~. ..-.,
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000000224
Date: 02/25/2005
Item Total:
Check Number Authorization
Received By . Batcb Number Number How Received
djb
12689
In Person
Payment Total:
Page I of 1
2:38:14PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65