HomeMy WebLinkAboutPermit Mechanical 2005-08-09Status: Issued
225 Fifth Street, Springfield, OR
54l:7263753 Phone
541-7263676Fax
541:7 26-37 69 Inspection Line
F PRINGFIELD
Buildin g/Co mbin atio n Per mit
PERMIT NO: COM2005-01081ISSUED: 08/09/2005
APPLE,D: 08/09/2005E)GIRESt 0210912006
VALUE:
SITE ADDRESS: 2392 OTTO ST
ASSESSOR'S PARCEL NO. : 17032 44401700
PROJECT DESCRIPTION: Replace heat pump and air handler
Springfield TYPE OF
TYPE OF USE:
Heating System
Repair Residential
Owner:
Address:
DARMEL MEDT'NA
2392 0TTO ST
SPRINGFIELD OR 97477
Phone Number: 541-747-0487
Contractor Type
Mechanical
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Contractor follow rules adoPted bY the
ASSOCIA
calling center.
n UtilitY Notification
1-800'332-2344,
lity
fortExpiration Date
- 08/31/2005
Phone
s41-683-2590
rules bY
phone
R-3
Water Type:
Range Type:
Energy Path:
Sprinkbd
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Vo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
).
VN
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
nla
Sidewalk Type:
Downspouts/Drains
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or muftiplier
Square Footage
or Bful AmountDescription Tvpe of Construction
lof2
Value Date Calculated
IrLlL
$,ftW
Valuation Descrintion I
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Status: Issued
225 Ftfth Street, Springfield, OR
541:7264753 Phone
541-726-3676Fax
541 :7 26-37 69 I nspe ction Line
OF
Buildin g/Co mbinatio n Permit
PERMIT NO: COM2005-01081ISSUED: 08/09/2005APPLB,D: 08/09/2005E}PIRESz 0210912006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Total Value of Project
Date PaidAmount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$2s.00
$62.65
Receipt Number
1200s00000000001166
1200s00000000001166
1200500000000001166
1200500000000001166
1200500000000001166
r200s00000000001166
8/9/0s
8/9/0s
8/9/0s
8/9/0s
8t9t05
8t9105
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ that any and all work performed shall be done in 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 certiff 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.' \ ",'/l/ur-\-r:.r,-l- - )tt,.(-;fi71 c.',- "/ t1
Owner or Contractors Signature
2of2
Date
-\LLl
Fees rato I
_t(eqrureo lnspecnons I
225Bifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
.City of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT#: 1200500000000001166 Date:09/09/2005 1:47:38PM
Job/Journal Number
coM2005-01081
coM2005-01081
coM2005-01081
coM200s-01081
coM2005-01081
coM200s-01081
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.ls
4.s0
8.00
12.00
25.00
10.00
Item Total:$62.65
Payments:
Type of Payment
LnecKNumDer Aumonzanon
Paid By Received By Batch Number Number How Received Amount Paid
Check ASSOCIATED HEATING djb 13404 In Person $62.65
PaymentTotal: ----Sffi
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8/9/2005 lofl
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