Loading...
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 lof2 Value Date Calculated DUrr .utll\\J r1\I (,I(iY!,{]_!!2Nl 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 ?t ,1 ,I "L .,t ri i t2/20/200s I of I rrplcnr"o