HomeMy WebLinkAboutPermit Mechanical 2005-11-1
.
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-01538
ISSUED: 11101/2005
APPLIED: 10/31/2005
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
SITE ADDRESS: 7289 HOLLY ST
ASSESSOR'S PARCEL NO.: 1802021203900
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Change out heat pump and air handler
. Owner: LAWRENCE CLIFFORD
Address: 7289 HOLLY ST
SPRlNGFlELD OR 97478
Phone Number: 541-746-7335
I CONTRACTOR INFORMATION I
ATTENTION' 0
Contractor Type Contractor follow rul 'n regon law relJii:en~eJU to Expiration Date Phone
Mechanical CHlTTIM EN1]~!M&I):~XI&!;'lPte..9 by the (47/326n Utilitv 03/0812007 541-461-2101
in 01\'BUruDING~iNIiQRMATiONI~ set forth
009C,. rou may obtain . - - ... 952.001_
# of Units: calling t#,gt~Wr.!~s:( copIes of the rules by Lot Size:
PrImary Occupancy Group: .R-3 number itle~g~ of' Note. the telephone Sq Ft 1st Floor:
Secondary Occupancy . ciyne.ocIreRgn Utility Notification Sq Ft 2nd Floor:
W. '~'" '''TJ'I:lI!O.332-2344)
Primary Construction Type VN ater ype, . Sq Ft Basement:
Secondary Construction Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
e Sprinkled nla Occnpant Load:
I DEVELOPME". ",~-ORMA TlON I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Special Instruction:
IPUBLlC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERMIT SHALL EXPIRE IF THE W~poutslDrainS
AUTHORIZED UNDER THIS PERMIT IS"l'lu I ..
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
.
.
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: COM2005-01538
ISSUED: 11101/2005
APPLIED: 10/31/2005
EXPIRES: 05/01/2006
VALUE:
Total Value of Project
Fees P"IWJ
: Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10,00
$4,50
$3,15
$8,00
$12,00
$25,00
111l/05
111l/05
111l/05
111l/05
111l/05
111l/05
Receipt Number
1200500000000001652
1200500000000001652
1200500000000001652
1200500000000001652
1200500000000001652
1200500000000001652
..
Total Amount
$62,65
I Plan Reviews I
To Request an inspection 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.
~f11n<n~
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 1 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 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 further agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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
~t all ' .es during constructioff ^
; ,A-. ~~__ /////05'
,
wner or Contractors Signature Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~.,.',--)
~l
...ity of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Joornal Number
COM2005-0 I 538
COM2005.0 I 538
COM2005-0 1538
COM2005-0 1538
COM2005-01538
COM2005-0 1538
Payments:
TWe of Payment
Check
.f.
:,
'(.
:(
1'1,
"
'I
11/1/2005
RECEIPT #:
1200500000000001652
Date: 11/0112005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING
Received By
djb
1 of I
Item Total: .
Lbeck. Number AuUlorization
Batch Number Number How Received
1414 In Person
Payment Total:
2:50:17PM
Amoont Due
3.15
4.50
.8.00
12.00
25.00
10.00
$62,65
Amount Paid
$62.65
$62,65