HomeMy WebLinkAboutPermit Mechanical 2005-07-08Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-7263676Fax
541:7 26-37 69 I nspection Line
CITY OF SPRINGFIELD
Buildin g/Co mbination Permit
PERMIT NO: COM2005-00871ISSUED: 07/08/2005APPLIED: 07/08/2005E)PIRES: 01/0812006
VALUE:
SITE ADDRESS: 1095 MT VERNON CEMETERY
ASSESSOR'S PARCEL NO.: 1802044200500
PROJECT DESCRIPTION: Replace air handler and heat pump
Springfield TYPE OF
TYPE OF USE:
Heating System
Repair
Owner:
Address:
Contractor Type
Mechanical
NEAL HILL
1095 MT VERNON CEMETARY RI)
SPRINGFIELD OR 97478
Contractor License
ASSOCIATED HEATING & AIR CONDITION1O6275
Expiration Date
08/31/200s
PhoneNumber: 541-
Residential
Phone
541-683-2590
CONTRACl
m
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
S{LE'# Ji$9
o - 3 3 2 - 23 4 4 )'
# Street Trees
Paved Drive Rqd:
Yo ofl,ot Coverage:
Lot Slze:
Sq Ft lst Floor:
law requires You to Sq Ft 2nd Floor:
the Orego n Utility Sq Ft Basement:
rules are Sq Ft Garage/Carport
rough o AR 952-001- Sq Ft Other:
ies of tt"re r0/0s uY occuPant r'oed:
n
R-3
YN
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sebacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
lollow ru
Notificatio
in OAR
$ Per Sq Ft
or multipfier
Sidewalk Type:
DownspoutMDrains
REQUIRED PARKING
Total:
Handicapped:
Compact:
Square Footage
or BftI Amount
PUBLIC IMPROVEMENTS
Descriptbn Tvpe of Construction
lof2
Value Date Calculated
1H\S T
AUI'ri(
t\1
ED
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Frx
541 :l 2G37 69 Inspe ction Lin e
PERMIT NO: COM2005-00871ISSUED: 07/08/2005
APPLIED: 07/08/2005E)CIRES: 01/0812006
VALUE:
" Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7o/o Stile Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount
Amount Paid
$10.00
$4.50
$3.1s
$8.00
$r2.00
$25.00
$62.65
Total Value of Project
Date Paid
7t8t05
7t8t05
718t05
7t8t05
7t8t0s
7t8t0s
Receipt Number
1200500000000000971
1200500000000000971
1200s00000000000971
1200s00000000000971
120050000000000097r
1200s00000000000971
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
. work day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature,I state and agree, that I have carefully examined the completed applicdion and do hereby certify that all
information hereon is true and correct, and I further certi$ that any and all work performed shall be done in rccondance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPAI\CY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiS 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
Owner or Contractors Signature
2of2
Date
-TE}-
Iees raro I
Keourreo tnsDecnons I
225Fitth Street
Spriryfield, Ore gon 97 477
5tl:126-3759 Phone
Ctty of Springfield Official Receipt
'velopm ent Services Department
Public Works Department
RECEIPT #: 1200500000000000971 Date: 0710912005 3:23:50PM
Job/Jurnal Number
coM2005-00871
coM2005-00871
coM200s-00871
coM2005-00871
coM200s-0087r
coM2005-00871
Description
+ 7Yo State Surcharge
+ ljYo Adminishative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
Item Total:$62.65
Payments:
Type of Payment Paid By Received By
CheckNumber
Batch Nurnber
Authrization
Number How Received Amount Paid
Check ASSOCIATED HEATING djb 13279 In Person
Payment Total:
$62.6s
$62.6s
718/2005 lofl
smi*n