HomeMy WebLinkAboutPermit Building 2004-1-8
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Status
Issued
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00025
ISSUED: 01108/2004
APPLIED: 01108/2004
EXPIRES: 07/08/2004
VALUE:
i
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 118
ASSESSOR'S PARCEL NO.: 1703271004400
SPRINGFIE TYPE OF WORK: Manufactured Home in
Park
. TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Replace heat pump.
Owner: WHITING CLIFFORD ERNEST
Address: 2150 LAURA ST SPACE 118 SPRINGFIELD OR 97477
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Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
I BUILDING INFORMATION I
Expiration Date
08/31/2004
Phone
541-683-2590
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft.tst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-l
-,
...,0 _\
,*,<0'<'~EVELOPMENT INFORMATloitf'\o<o
.1:v c..."f; ,,"' ~, <00' s:s ,
'\.,-:\.,J~ ~ 0<:$1-,0 ~q; 0<0
Frontyard Setback: ~ ~ <<,\5 Overlay Dist:' ~ <,0 0" fi> 'b' ~ OJ <,~ {::-0 {::-
Side 1 Setback: 9..~ ~4f {S> # Street Trees Rq'll:;s-0 ~0 0" ;s-0 ~o ,j}>o
Side 2 Setback: <tf..:f:? ~<0~ Paved Drive ~~lQ~ i:' rf ~ ,<lJ0 ~v
, " '\.,- ~ 1-,0....l> 0 ov.0<o 0 ~o
Rearyard Setback: ~~ ~ ~"f- % OfL~~b"l~gil.'l:' ~ o~'< .~.~ ti'.
SolarSetbacl\s: :\.C;j~ ~ ~. -P ~~ _.....~.........<:;)./j o-0....~ n']!
_ (,. _ '" " ().. ,<" /;, .. ,"" "v r"'~ '-J ,,<1.
~v Q,0'ffv<s>"", Q,<v'<" I PUBL~jiQ.v~kNitit".~<l>O~~f'
,.. ,~ ,\S'-,~ ~ ' .... ~,~.~. .t~" 9'
Street Jinl!J"j)v~me,,-ts:$:) ~ ....~ .~v OJ,) 0 v :.<::00 . e'" Sidewalk Type:
~ ,,~.q.; ~ $'4,0 ~ 1-,-': "
Storm Sewer Availabfe: ~O 0,#" . ^<l>....0 ("~ DownspoutsIDrains:
v ~ <' ~. I-, ~.
Special Instructi~. if} ~0 ('
"5 v ~
<,v
SETBACKS
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
'"
Total Value of Project
Paee 1 of2
~,
.
\,
,
J
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I F~~~ Paill .
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Fee Description
-Mechanical Issuance Fee-
+ I 0% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
$10.00
$4.50
$3.15
$12.00
$33.00
Total Amount Paid
$62.65
I Plan Reviews I
Date Paid
118/04
118/04
118/04
118/04
1/8/04
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00025
ISSUED: 01108/2004
APPLIED: 01108/2004
EXPIRES: 07/08/2004
VALUE:
Receipt Number
2200400000000000015
2200400000000000015
2200400000000000015
2200400000000000015
2200400000000000015
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.
'4.
I Reauir~II'ln~ne"tion~ I
I Rough Mechanical: Prior to Cover
2 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.
~ tl/~[J./dk;.d'uv~--
Owner or Contractors Signature
".
Paee 2 of2
j ~tJ!/
Date
225 Fifth Street ,,-.1
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00025
COM2004-00025
COM2004-00025
COM2004-00025
COM2004-00025
Payments:
Type or Payment
Check
ii~!
Receipt #: 2200400000000000015
Description
Minimwnl Adjustment Mechanical
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Check Number
Batcb Number Autborization Number
Paid By Received By
ASSOCIATED HEATING & AlC, Jmp
INC.
011125
.7 City of SPrin~eld o-d'~eiPt ,"
Development Services Department
Public Works Departmeiit
Date: 01/08/2004 I2:25:47PM
Amount PaId
Item Total:
33.00
12.00
10.00
3.15
4.50
S62.65
How Received
In Person
Amount Paid
$62.65
Payment Total:
S62.65
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