HomeMy WebLinkAboutPermit Mechanical 2006-7-26
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. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00922
ISSUED: 07/26/2006
APPLIED: 07/21/2006
EXPIRES: 01/26/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 187 GREENV ALE DR
ASSESSOR'S PARCEL NO,: 1703262200202
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
DONALD ROGERS
187 GREENVALE DR
SPRINGFIELD OR 97477
...../ 'CIV "U","'f"'i!ui, '''''PII1I//e'NltinbeI'.v541-747-5346
fo~l?w ~ules adopted by the Oregon Utility
Notification Center. Those fules are set fort
In OAR Q<;?f\f\1.IV\./.....__.._c _. _ h
OQql} V/"J ~~.. .-10-,,_' --0.. -... I tilvC..UUI
I CONTRACTOR.INEORMATfON"I'1 copies of the rules b
. ~Note: the telephone
Contractor llumbe~orl~2eRfQgon~lr!tiloitilJ)\\~ Phone
CHITTIM ENTERPRISES IINC e"4739~ -flnn.~~2-93hW2007 541-461-2101
Contractor Type
Mechanical
I BUlLuu'''; INFORMATION I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary Construction Type:
# of Bedrooms:
R-3
n/a
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I D~VBIC6PMENT INFORMATION I
THIS PERMIT SH
AUTi~,),f,r,!~,niS\::ALL EXPIRE IF THE WORK
GOM~,~lr,~t~rJ~Clf(jd:THIS PERMIT IS NO
Pa~dlfiH~~fR@\4BANDD T
ANY ~AlldtilNf9~Ymm:: NED FOR
REQUIRED PARKING
Total:
Haudicapped:
Compacl:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pace 1 of 2
~;; . ~
.
Status
Issued
225 Fiftb Slreet, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Amount Paid
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcbarge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
Date Paid
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
7/26/06
7/26/06
7/26/06
7/26/06
7/26106
7/26/06
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00922
ISSUED: 07/26/2006
APPLIED: 07/21/2006
EXPIRES: 01/2612007
VALUE:
Receipt Number
2200600000000001052
2200600000000001052
2200600000000001052
2200600000000001052
2200600000000001052
2200600000000001052
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.
$63.10
I Plan Reviews I
l..Rp.olJirp.d Insoedion. I
Rough Mecbanical: Prior to Cover
Final Mecbanical: When all mechanical work is complete,
By signature, I stale and agree, thai I have carefully examined the completed application and do bereby certify that all
information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance with
the Ordinances of the City of Springfield and the Laws of tbe State of Oregon pertaining to the work described berein, and
that NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety,
I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure tbat all required inspections are requested at tbe proper time, that each address is readable from the
street, tbat tbe permit card is located at tbe front of the property, and tbe approved set of plans will remain on tbe site at all
times during construction.
::fd:"~:n ~.~: ~ Q "-
Paee 2 of 2
Jlfl~/n('7
I
Date
II 1" ....
225 Fifth Street
:Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00922
COM2006-00922
COM2006-00922
COM2006-00922
COM2006-00922
COM2006-00922
Payments:
Type of Payment
Check
cReceinl1
RECEIPT #:
.
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~' ,
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_....-. ...~
~ of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200600000000001052
Date: 07/26/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
Ikw 1454 In Person
Payment Total:
Page I of I
2:38:02PM
Amount Due
3.60
4.50
8.00
12.00
25.00
10.00
$63,10
Amount Paid
$63.10
$63,10
7/26/2006