HomeMy WebLinkAboutPermit Mechanical 2005-4-4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 996 ISLAND ST
ASSESSOR'S PARCEL NO,: 1703342100316
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00373
ISSUED: 04/04/2005
APPLIED: 03/31/2005
EXPIRES: 10/04/2005
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New I to Residential
PROJECT DESCRIPTION: Install heat pump and air handler MfENTIOlif: Oregon law requ res you. .
#6fI'ow fiJles adopted by the Oregon Utility
Nbti1icatlOn \;.terllttl. 1 IIU.;Jg I.....:W... -. ~ .:.)~ ~:'"""":
jfi I3AFi 952-001-001 0 ti\'~t\"I8I1I!\~62W1147-0381
6699; You may obtain caples of the rules by
>:;;ilifin In.. "Anler. (Note; the telephone
RlIFl>;"J'lt 1\'1'1 Oregon Utility NOtlllCBuon
I CONTRACTOR INFORMMlON.J1l1-800-3S2-2344).
Owner:
Address:
SHANNON HAMILTON
996 ISLAND ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
CHITTIM ENTERPRISES I INC
Phone
541-461-2101
, # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
, Primary Construction Type
. Secondary Construction Type:
# of Bedrooms:
Frontyard Sethack:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notcs:
Description
Tvpe of Construction
License
47396
Expiration Date
03/0812007
BUILDING INFORMATION I
R-3
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: NOTICE' Sq Ft2nd Floor:
Water Type: . Sq Ft Basement:WnR
Range Type: THIS PERMIT SHALL ISW~6Jta~t1Ca!1!ortl(
Energy Path: AUTHORIZED UNDER sl{Ft o'tti'MT IS NU r
Sprinkled Build!'!.l::AMENCE[!I/~R IS {@ctupWitIL~ad8R
VN
.",.. ...... .~. 11...111\,1,"".
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsffirains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Palle 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00373
ISSUED: 04/04/2005
APPLIED: 03/31/2005
EXPIRES: 10/04/2005
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
Fp.p.s PlIirll
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
Date Paid
$10.00
$4.50
$3.15
$8.00
$12,00
$25.00
4/4/05
4/4/05
4/4/05
4/4/05
4/4/05
4/4/05
Receipt Number
1200500000000000418
1200500000000000418
1200500000000000418
1200500000000000418
1200500000000000418
1200500000000000418
Total Amount Paid
$62,65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. AIl 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.
~..np.rti'W
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 herehy certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall he done In accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrlhed herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are In compliance with ORS 701.005 will he 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,
#: A. )SIJM5JQ~
~ner or Contractors Signature
A .o~O
j,
Date
~
c:J.5-
Page 2 of2
r
225 Fifth Street
,Springfield, Oregon 97477
541-726-3759 Phone
-~
Job/Journal Number
COM2005-00373
COM2005-00373
COM2005-00373
COM2005-00373
COM2005-00373
COM2005-00373
Payments:
Type of Payment
Check
i.1
"
4/4/2005
.
RECEIPT #:
&.--' "
Wi"......-,',.,','..."',..."'.,
_.: _'__n..._ I
~ d ;'" " {
r .~
- '",__0.
~ty of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000418
Date: 04/04/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,600
Heat Pump
Minimwnl Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING & AIR
COND
Item Total:
t::beck Number Authorization
Received By Batch Number Number How Received
nJm 1355 In Person
Payment Total:
Page 1 of I
1 :34:02PM
Amount Due
3.15
4.50
8.00
12,00
25,00
10.00
$62,65
Amount Paid
$62.65
$62.65