HomeMy WebLinkAboutPermit Mechanical 2005-6-22
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.- CITYOFSPRlNGFIELD
\l!G'I!CE: Building/Combination Permit
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Status: Issued AUT~H'ORI'ZED UNDER THIS PERMIT IS N(P,ERMIT NO: cOM2005-00752
225 Fifth Street, Springfield, OR~OMIViENCED OR IS ABANDONED FOR ISSUED:. 06/22/2005
541-726-3753 Phone . AI~Y 180 DAY PERIOD, APPLIED. 06/17/2005
541-726-3676 Fax EXPIRES: 12/22/2005
541-726-3769 Inspection Line VALUE:
SITE ADDRESS: 2599 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251407400
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: HELEN STONE
Address: 1872 16TH ST
SPRINGFIELD OR 97477
Phone Number: 541-746-6908
ICONTRACTOR INFORMATION I
Contractor Type
Mechnnical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06/2512007
Phone
541-345-2838
I BUlLDINGINFORMATI0NI
# of Uni":
PrImary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
'DEVELOPMENT INFORMATION"
Front yard Setbnck:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
ATTCf\ITI("\,,,,. 1""\.................... I....... ~_.....:..__ \........._
- , .
follow rules ado"RUB~(J1IMP.R(j)YEMIDl\iITSI
Str t Notification Center. I nbse rUles arEt ~~I f\:;Mn
00 in OAR 952-001-0010 through OAR 952-001-
Storm Sewer A~ailable: 0090, You may obtain copies of the rules by
Special Instruction: calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Sidewalk Type:
Downspouts/Drains
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
ormnltlplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
1 of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM200S-00752
ISSUED: 06/22/2005
APPLIED: 06/17/2005
EXPIRES: 1212212005
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.F~~s Paid I
'. Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/AdJustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
6/22/05
6/22/05
6/22/05
6/22/05
6/22/05
Receipt Number
1200500000000000886
1200500000000000886
1200500000000000886
1200500000000000886
1200500000000000886
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 signatnre, 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 1 fnrther certil)' 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 wiD be made of any structnre without permission of the Community Services Division,
Building Safety. I further certil)' 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 ~ located at the front of the property, and the approved set of plans wID remain on the site
at all times during constructiolL
, Owner or Contractors Signature Date
O,""c..-~k.. S\~~,4-WA-c.tft1)
G( ~ -z(4A-- 'h.!t'
2 of 2
06/17 /05 FRI 11: 39 FAX
5411689
CITY OF SPRINGFIELD
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....... .:
CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Pending
225 Fifth Street, Springfield, OR
541-726-.3753 Phone
. 541-726-3676 Fax
541-716-.3769 Impeetlon Line
PERMIT NO: C0M2005-00752
ISSUED:
APPLmD:
EXPIRES:
VALUE:
0611712005
12117/2005
Totnl Value of Project
Fees PaW
Fee Descriptioo
Amoont Paid
Date Paid
Receipt Number
Totnl Amount
50.00
I Plan Reviews ~
To Request an inspection call the 24 hour recording at 726-3769. AU inspection requested before 7:00
a.m. will he made the same working day, inspections requested after 7:00 lI.m. win be made the following
work day.
I Reauir~Jnmection~_
Rongh Mechanien\: Prior to Cover
Final Mechanien1: When all mechanical work b complete.
By signatnre, I Sl3te and agree, that I have QrefuUy examined Ibe completed applieatlon and do hereby certify thot all
InJormation hereon Is true and correct, and I further certilY that any IIDd all work performed mall be done in accordance
with the Ordinance. of the City of Springfield IUld the Laws of the Stall: of Oregon pertainIng to the work described herein,
and that NO OCCUPANCY wiQ be made of any strneture without permission ofthe Community Services Division,
Building Safety. I further certifY that only eontrnctors and employees who are In compliance with ORS 701.005 will be osed
., 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 pennit card is localed nt the fJ;Ont of the Droperty, and the approved set of plans wiD remain on tho site
ataU~~~f ~ ~-/7-0S
o.~'""U:::J---- no.
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541'"726-3759 Phone
Job/Journal Number
COM2005-00752
COM2005-00752
COM2005-00752
COM2005-00752
~'~ COM2005-00752
'.....
I
I Payments:
T,ype of Payment
Check
.
.~
...
:1
,i.
"'"
~....
:1
6/22/2005
.
RECEIPT #:
.........irii'...~... ...'
~i
.'''!
"*ity of SPrin. gfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000886
Descrlptlon
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
HOME COMFORT HTG
Reeeived By
djb
1 of 1
Date: 06/22/2005
Item Total:
LDecK Number AuUlOlization
Balch Nwnber Number How Received
13571 In Person
Payment Total:
9:05:45AM
Amount Due
3,15
4,50
12.00
33.00
10.00 '
$62.65
Amount Paid
$62.65
$62.65