HomeMy WebLinkAboutPermit Mechanical 2005-12-20SPRIN
Building/Combination Permit
Status: Issued
225 Fifttt Street, Springfi eld, OR
541:7264753 Phone
541-726-3676Fax
S4l:7 2647 69 Inspection Line
PERMIT NO: COM2005-01743ISSUED: 1212012005APPLIED: 12/75/2005E)GIRES: 0612012006
VALUE:
a
SITE ADDRESS: 1054 4TH ST
ASSESSOR'S PARCEL NO.: 1703352103900
PROJECT DESCRIPTION: Replace heat pump
Springfield TYPE OF
TYPE OF USE:
Heating System
Repair Residential
Owner:
Address:
Contractor TVpe
Mechanical
JOHN MARTIN
IO54 4TH ST
SPRINGFIELD OR 97477
I{OTICE:Phone Number: S4l-747-6117
THIS PEBMTT SHA L L EXPIRE II THE WORK
IS AEANDO NED FOR
Contractor
COMFORT FLOW
License
460
Expiration Date
06t27t2007
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Ptimary Construction Type
Secondary Construction
# of Bedrooms:
Frontyrrd Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
R-3
VN
nla
rt )y th
Sidewalk Type:
DowrspoutVDrains
$ Per Sq Ft
or muftip[er
Square Footage
or Bftl Amount
Descriptbn Tvpe of Construction
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Value Date Calculated
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a
OF
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:7263753 Phone
541-726-3676Fax
541:7 26-37 69 Inspection Line
PERMIT NO: COM2005-0I743ISSUED: 1212012005
APPLIEDz l2ll5/2005E)GIRESz 0612012006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 1Yo State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
$10.00
$4.s0
$3.15
$12.00
$33.00
$62.65
Total Value of Project
Date Paid
12t20t05
12t20t05
12120t05
t2t20t0s
12t20t05
Receipt Number
1200500000000001830
120050000000000r$0
1200500000000001830
1200500000000001830
1200500000000001830
To Request an inspection call the24hour recording
a.m. will be made the same working day inspection"swork day.
at 726-3769. All inspection requested before 7:00requested after 7:00 a.m. will be made the following
Rough Mechanical: prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that allinformationhereon is true and and I further certiS that any and aII work performed shall be done in accordance
correct,
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work describedand that NO OCCUP ANCY will be made of any structure without permission of the Community Services
herein,
Building Safety.I further certify that only contractors and employees who are in compliance with ORS 70f .005 will be used
Division,
on this project.
I further agree to ensure that all required inspections are requested at the prqper time, that each address is readable fromcard is located at the front of the prope rty, and the approved set of ptans will remain on the siteat all times during
F ees
0wner or Signature
2of2
Date
Z.ZE _o5
rll
I
the street, that the
225 Fift\ Street
So.ingn.fd, OreSon 9 I 411
s4l.:t26'3159 Phone
'*v of Springfield OfficiatReceipt
l,.r"ril.dServices D eP artm ent
"'"t ;;;Iic works D eP artm ent
Jd/Journal Number
'o.cpM2005-01743
coM2005-01743
coM2005-01743
coM2005-01743
coM2005-01743
RECEIPT #:
DescriPtion
+ 7Yo State Surcharge
+ l}oh Administrative Fee
Heat PumP
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Item Total:
Date:1212012005
9:10:12AM
Amount Due
3.15
4.50
12.00
33.00
10.00
-$a-"6't
Number
Payments:
Type of Palment Received BY Bdch Number Number How Received Amount Paid
Paid By
COMFORT FLOW HEATING ddk
CO
32293 In Person
Payment Total:
Check
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