HomeMy WebLinkAboutPermit Mechanical 2005-11-1
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01156
ISSUED: 11/01/2005
APPLIED: 08/25/2005
EXPIRES: 05/01/2006
VALUE:
,I
. Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4550 HOLLY ST
ASSESSOR'S PARCEL NO,: 1802051207000
Springfield TYPE OF
Heating System
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Install AC unit
Owner: MARILYN NAGY
Address: 4550 HOLLY ST
SPRINGFIELD OR 97478
Phone Number: 541-746-1859
I CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC
CHITflM ENTERPRISES IINC
License
159537
47396
Expiration Date
04/1 5/2008
03/08/2007
Phone
541-895-4466
541-461-2101
I BUILDING INFORMA TlONI
VN
# of Stories: . eS ~.JlJ Size:
Height of on laW reql.l,r o,~q\!1t'rst Floor:
Type of Heat:-.\.. ore9 b \"e ore9 Sq,Ft2iJ'd Floor:
'-"'\jN"~' led 'I areo".
Water Type:s adO? hose rl.lles S!I!.).FtlBasement:
.. .., (Wo. I" 0i'.1'\" ~
Rling~!~~A:' cenler. l"roI.l9" ~~\f:Wa.;age/Carport
Energy'Path: 00\.00\0 o",es 01 I"Sq Ft Other:
" .nB~t.- 'ne l"" \~IH\':.)I.....
SPriiikled .....a" obtaI .1 iJ/a I"e leOccuP'!nt Load:
\..~....^ "n\.1'"'' ....... h"OlIJ' d. ....\('\,\'\C~~l.....-
....- ..-.... . ..... - 'J\I"~J
I DEVELOPMENifo'INFO~'f.IeN 1,32.2344).
f\1.l[nuv'cenler \5 \'U~-
Overiay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
R-3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
. Solar Setbacks:
Total:
Handicapped:
Compact:
IPUBLlC IMPROVEMENTS 1
Street
Sidewalk Type:
DownspoutslDrains
Storm Sewer Available:
Special Instruction:
E' r 1\-1E WORt(.
~~~\~tP.M\1 S\-Ir-.\~ ~J\~~~RM\1 IS N01
r-.U1\-10RIIEO UN~ IS f>.Bf>.NOONtO rOR
COMM~ONCO~~ ~ERIOO.
f>.N'{ 1"
Notes:
1 of 3
.
Status:' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or muitip6er
Square Footage
or Bid Amount
Total Value of Project
Fees t.lW!J
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Boiler/Comp Up To 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$12.00
$33.00
10/5/05
10/5/05
10/5/05
10/5/05
11/1105
11/1105
1111/05
11/1105
11/1105
Total Amount
$116.47
I Plan Reviews ,
. CITY OF M"Kll'iul'lliLJJ
Building/Combination Permit
PERMIT NO: COM2005-01156
ISSUED: 1110112005
APPLIED: 08/25/2005
EXPIRES: 05/0112006
VALUE:
Value
Date Calculated
Receipt Number
2200500000000001377
2200500000000001377
2200500000000001377
2200500000000001377
1200500000000001656
1200500000000001656
1200500000000001656
1200500000000001656
1200500000000001656
To Request an illSpection caD 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. wiD be made the following
work day.
Ueouire'Unsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01156
ISSUED: 11/01/2005
APPLIED: 08/25/2005
EXPIRES: 05/01/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-3769 Inspection Line
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 certity that any and all work performed shall he 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 he made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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 wiD remain on the site
at a~l ".es during construcl\oIL
~~ A. ~/..JbL 1;/' lac.-
V I - I
Owner or Contractors Signature Date
3 of 3
225 Fifth Street
Spr.H1gfiekl, Oregon 97477
541-726-3759 Phone
.
a~
'~f
~
City of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005.01156
COM2005-01156
COM2005-01156
COM2005.01156
COM2005-01156
Payments:
Type of Pal'1lent
Check
'i
:i.
11/1/2005
RECEIPT #:
1200500000000001656
Date: 11/0112005
2:52:54PM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Boiler/Camp Up To 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING
Received By
djb
1 of 1
Item Total:
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
LnecK i"(umoer Autllonzatlon
Batch Number Number How Received
1414 In Person
Payment Total:
Amount Paid
$62.65
$62.65