HomeMy WebLinkAboutPermit Mechanical 2005-6-24
-.
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-00800
ISSUED: 06/24/2005
APPLIED: 06/24/2005
EXPIRES: 12/24/2005
VALUE:
Status: Issued
225 Fiftb Street, Springfield, 'OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2288 GREENBRIAR ST
ASSESS'OR'S PARCEL N'O.: 1703252100500
Springfield TYPE 'OF
Heating System
TYPE 'OF USE: New
Residential
PR'OJECT DESCRIPTI'ON: Install heat pump and air handler
'Owner: WESLEY DEJ'ONGH
Address: 2288 GREENBRIAR DR
SPRINGFIELD 'OR 97477
Phone Number: 541-484-6467
I C'ONTRACT'OR INF'ORMA TI'ON I
Contractor Type
Mechanical
Contractor
CHITTIM ENTERPRISES I INC
License
47396
Expiration Date
03/08/2007
Phone
541-461-2101
I BUILulm" INF'ORMA n'ONI
# of Units: # of Stories:
Primary 'Occupancy Group: R-3 Height of
Secondary 'Occupancy Type of Heal:
Yrimary Construction Type VN Water Type:
Secondary Construction Range Type:
# fB d ""-,,,0:. E n tb
o e rooms: 1\... \ ;oJ!;;. IRE \ nergy,'1a :,
lHIS PEHhHT SHilLL EXP Sp'rl"'kIed~OT
__ ~ ,,,,ncO TI-lIC: PFnl~111 I" '.
J.\U I rlUlllL.I-...... ......-- -- ~n..
CGIVII\IENCED OR IS II'DEVEU'OPlh"n I ',n..ORMATI'ON I
ANY lBO DAY PERIOD, .
Frontyard Setback: 'Overlay Disl:
Side 1 Setback: # Street Trees
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: ATTENTION: OI'Vc;'J6f1loru6'VI!tlil1S:You to
Solar Setbacks: follow rules adopted by the Oregon Utility
"l.....+:~:........+:....... ,..--~-~ T....___ _..1_.- - - - '1 U
in OAR 95al:u,u.J1U'IMiR.O~-';-01~
. "I.,J.,ro_. ,\I'" \
0090,You may OOlatn copies 0 the rules by Sidewalk Type:
calling the center. (Note: the telephone
number for the Oregon U1i1ity Notification DownspoutslDrains
Center is 1-800-332-2344);
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft 'Other:
. 'Occupant Load:
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
S Per Sq Ft
or multipUer
Square Footage
or Bid Amount
Value
Date Calculated
I of 2
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMITNO: COM2005-00800
ISSUED: 06/24/2005
APPLIED: 06/24/2005
EXPIRES: 12/24/2005 .
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees Paid.1
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
6/24/05
6/24/05
6/24/05
6/24/05
6/24/05
6/24/05
Receipt Number
1200500000000000903
1200500000000000903
1200500000000000903
1200500000000000903
1200500000000000903
1200500000000000903
Total Amount
$62.65
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 signature, 1 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 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 readable from
the street, that the permit card is located at the front ofthe property, and the approved set of plans wID remain on the site
at a~mes during C"",ruCtiOIL
--1L1n-;.) A ..x;AA.uu~ (/1-!J.. t.{ - OS-
~~er or Contractors Signature Date
2 of 2
225 Fifth Street
Springfidd, Oregon 97477
54J;..726-3759 Phone
.
~,IIL9" .,',
~
Job/Joornal Number
COM2005-00800
COM2005-00800
cOM2005-00800
cOM2005.00800
C0M2005-00800
COM2005-00800
Payments:
Type of Payment
Check
6/24/2005
IiiJty of Springfield Official Receipt
.velopment Services Department :
Public Works Department
RECEIPT #:
1200500000000000903
Date: 06/24/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjusnnent Mechanical
-Mechanical Issuance Fee--
Paid By
JAMES HEATING
Received By
djb
I of I
Item Total:
Lbeck Number AutDonzalloD
Balcb Nnmber Number How Received
1386 In Person
Payment Total:
2:59:27PM
Amoont Due
3.15
4.50
8.00
12.00
25.00
10,00
562.65
Amonnt Paid
562,65
562.65