HomeMy WebLinkAboutPermit Mechanical 2008-5-29
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5660 DAISY ST 11
ASSESSOR'S PARCEL NO.: 1702334401417
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00757
ISSUED: OS/29/2008
APPLIED: OS/29/2008
EXPIRES: 11/29/2008
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Replace air handler add heat pump
Owner: CULLAR DAVID A & YOLANDA L
Address: 5660 DAISY ST #7
SPRINGFIELD OR 97478
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION'
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATIO~
VB
Expiration Date
08/31/2008
Phone
541-683-2590
n/a
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
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
l.&..L.."mnN. nr~g"n Ie"., ..~C!' 1'"'' fA
follow rules adOP~Mf.~TS I
Notification Center. I.... ~"" 00' 1;:',,1.
Street Improvements: in OAR 952-001-0010 through OAR 952-001-
Storm Sewer Available: 0090.. You may obtain copies of the rules by
Special Instruction' calling the center. (Note: the telephone
. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
Description
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2;e 1 of 2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00757
ISSUED: OS/29/2008
APPLIED: OS/29/2008
EXPIRES: 11/29/2008
VALUE:
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
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
5/29/08
5/29/08
5/29/08
5/29/08
5/29/08
5/29/08
5/29/08
Receipt Number
2200800000000000778
2200800000000000778
2200800000000000778
2200800000000000778
2200800000000000778
2200800000000000778
2200800000000000778
Total Amount Paid
$83.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reouired Insoections I
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Iw
q
(~A
Owner oJ:on.r.c!ors Sign.'ure
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00757
COM2008-00757
COM2008-00757
COM2008-00757
COM2008-00757
COM2008-00757
COM2008-00757
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000778
Date: OS/29/2008
DescnptlOn
AIr Handlmg Umt Up to 10,000
Heat Pump
MImmum! Adjustment Mechamcal
~Mechamcal Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmIstratIve Fee
Paid By
ASSOCIA TED HEATING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
17944
In Person
Payment Total:
Page I of 1
1 :50:49PM
Amount Due
900
1400
2700
2000
250
600
500
$83.50
Amount Paid
$83 50
$83.50
5/29/2008