HomeMy WebLinkAboutPermit Mechanical 2005-7-20
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-00924
ISSUED: 07/20/2005
APPLIED: 07/1812005
EXPIRES: 01120/2006
VALUE:
SITE ADDRESS: 1625 HENDERSON AVE SPACE E7 Eugene
ASSESSOR'S PARCEL NO,: 1703344313302
TYPE OF
Heating System
PROJECT DESCRIPTION: Replace air handler and ac
TYPE OF USE: RepaIr
Residential
Owner: BETTY MILLER
Address: 1625 HENDERSON AVE E7
EUGENE OR 97403
Contractor Type
. .
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
, Front yard Setback:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Sethack:
SoIar Sethacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
'CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIONI06275
, BUILDING INFORMATION'
# fSlII'i'ln' 'ires you to
A iTtRl"3\ON'. ore~~~~lItI6f3~egon Uti\it~h
tollow rules adop :r)l~\toflfieat:>re set to '_
. , . n Center. , , oAR 952-00 I
Notlhc~) Water,(UyPe<
. OAR 952-001-00Wt~;;e_Tcype!; the rules by
In bt~"(!>''''' h e
0090. You may 0 !',\~~l9.'f!.~tb:telep on
calling the centesl)lW,~!s~lity Notilicatlon nla
,__ ...." Or",q _ _ ..,
nUl II u..... , . - . ~........ ~ -..-,-~.;~
('tDEVELOPMI!.'" ",,,ORMATION I
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
"!~j;:" IPUBLICIMPROVEMENTSI
';'tl'i~ '~(RNilT SHALL EXPIRE IF THE WORK
"U1 rlURiZED UNDER THIS PERMIT IS NOT
C0i'"",EI~CEO OR IS ABANDONED FOR
AI~Y 180 DAY PERIOD.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
1 of 2
Phone Number: 541-285-3400
Expiration Date
08/3l/2005
Phone
541-683-2590
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport .
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Dralns
Value
Date Calculated
.
. CITY OF SrKll'lu1<IELD
Building/Combination Permit
PERMIT NO: COM2005-00924
ISSUED: 07/20/2005
APPLIED: 07/18/2005
EXPIRES: 01120/2006
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
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
BoilerlComp Up To 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
7120/05
7120/05
7120/05
7120/05
7120/05
7120/05
1200500000000001052
1200500000000001052
1200500000000001052
1200500000000001052
1200500000000001052
1200500000000001052
Total Amount
$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.
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 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 of the property, and the approved set of plans wiD remain on the site
;~~~ tV/1M-
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Spr.ngfieN, Oregon 97477
541-726-3759 Phone
Job/JourDJII Number
COM2005-00924
COM2005-00924
COM2005-00924
COM2005-00924
COM2005-00924
COM2005-00924
Payments:
T~e of Payment
Check
.,
-
<
:
7/20/2005
.
RECEIPT #:
1Iir:~1
...~
n____._... ..
1iJ..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001052
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Boiler/Comp Up To 100,000 btu
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Received By
djb
1 of 1
Date: 07120/2005
Item Total:
L:necK Numoer AuUlonzatlon
Batch Number Number How Received
13330 In Person
Payment Total:
2:39:53PM
Amouot Due
3.15
4.50
12.00
8.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62,65