HomeMy WebLinkAboutPermit Mechanical 2005-10-27
[I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
S41-726-3769 Inspection Line
.
., Li1 ~ OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005.01496
ISSUED: 10/27/2005
APPLIED: 10/21/2005
EXPIRES: 04/27/2006
VALUE:
SITE ADDRESS: 7037 GLACIER DR
ASSESSOR'S PARCEL NO.: 1802022300800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
N(JTlI'';:.
THIS PERMIT SHALL EXPIRE Phone Number:
~~~~E~~~~ ~~DI~R^ ~~I~:i~~~E,~~~:
.l'IIU Hl.O OAY ~" ' . '-w run
I CONTRACTOR INFO ~WON I
'. Owner:
. Address:
DEAN HIGGINSON
7037 GLACIER DR
SPRINGFIELD OR 97478
541-746-3939
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvemeuts:
Storm Sewer Available:
Special Instruction:
Notes:
-
.
Description
Tvpe of Construction
Expiration Date
08/31/2006
Phone
541-683,2590
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla '
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
, yc.REQUlRED PARKING
HTENTION: Oregon law requires ':a;;,.
OverlaY,Dist: rlllp.~ adopted by the Oregon LTotal:
'"'IIUW .. . .J,.v1h
# Street Trees Rqd:Center Those rules are SlHanoleapped:
"lr.<tITlr::~U',II' R9r::- nn-t
Paved Drl,:e Rqd:2.001-001 0 through OA -Compact:
% ofLli" ciN~i1.~e: obtain copies of the rules by
0090, YOu rnay I h ne
r~lIinn the center, (Note: the te e~ 0..__
I PUBLIC IMPROVEM~TSri~~~i~~~~;~~~;~;;'."--:.
Sidewalk Type:
Downspoutsmrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal1e I of2
.
. CITY OF SPKll'ltd'lJi.LD
Building/Combination Permit
PERMIT NO: COM2005-01496
ISSUED: 10/27/2005
APPLIED: 10/21/2005
EXPIRES: 04/27/2006
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
F~~r~ P~litl ·
III (III'"
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
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
Date Paid
10/27/05
10/27/05
10127/05
10127/05
10127/05
10/27/05
Receipt Number
2200500000000001507
2200500000000001507
2200500000000001507
2200500000000001507
2200500000000001507
2200500000000001507
Total Amount Paid
$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.
~uir~tI rn~\lf\;t\lw.l
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 orthe property, and the approved set of plans will remain on the site at all
times dUri~g cons~ruc~---?~/#
_ - ~~ /O'?7~ 0:)/
Owner or Contractors Signatur
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
.541-726-3759 Phone
Job/Journal Number
COM2005-0 1496
COM2005,Ol496
COM2005,01496
COM2005-0 1496
COM2005-01496
COM2005-01496
Payments:
Type of Payment
Check
:'
"
'11
,\
"
10/27/2005
.
RECEIPT #:
iif~i
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001507
Date: 10/27/2005
Descriptiou
+ 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 &
AlC INC
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
ddk 13776 In Person
Payment Total:
Page I of 1
1 :30:50PM
Amount Due
3,15
4.50
8,00
12,00
25,00
10,00 .
$62.65
Amount Paid
$62,65
$62.65