HomeMy WebLinkAboutPermit Mechanical 2004-07-14Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00875ISSUED: 0711412004APPLIEDz 0711412004
EXPIRESz 0111412005
VALUE:
SITE ADDRESS: 6732 SIMEON DR
ASSESSOR'S PARCEL NO.: 1702341104200
PROJECT DESCRIPTION: Add ac to house.
Owner: NEWMAN CHERIE ANN
Address: 6732 SIMEON DR SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration Residential
Contractor Tvpe
Mechanical
Contractor
PACIFIC AIR COMFORT INC
License
39237
Expiration Date
03t2st2006
Phone
s4t-672-9510
CONTRACTOR INFORMATION
IINFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
R-3
# of Bedrooms:
Frontyard
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
10
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Energy Path:
Sprinkled Building:
Overlay
# Street
.e{
d\o
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Description Type of Construction
Total Value of Project
Value Date Calculated
-Ii,lL.I
of Stories:
of Structure
$of Heat:
Type:
Valuation Descrintion I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-00875ISSUED: 0711412004
APPLIEDT 0711412004EXPIRES: 0111412005
VALUE:
Fees Paid
Fee Description
-Mechanical Issuance Fee-
+ llYo Administrative Fee
+ 1oh State Surcharge
Boiler/Comp Up To 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid Date Paid
7fi4104
7n4t04
7n4t04
7n4t04
7n4t04
$10.00
$4.s0
$3.1s
$r2.00
$33.00
Receipt Number
2200400000000000921
2200400000000000921
2200400000000000921
220040000000000092r
2200400000000000921
$62.6s
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. AII 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 certify 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 certify 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.
Owner or Contractors Signature
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Pacific Air Comfort, lnc.
4680 Main Street
Springfield, OR 97478
Phone 541-342-5300&830q237
IvTECHANICAL P}lf,.ll,IlT
furnuce
lxheusl lloo.l
\,'cnl lan No.
Wood $t:vc,/lnscrt,' I'irc!.litcc t.lni t
lvlcchaniuul Perrnit
Statc [ssuanec
Adnrinislrative ltc'
Statc Surchrrge
i'otal ]ltcclreniciil ['crntit ]'cc.s
M]SCELIANEOI"IS FEIiMJ'TS
[)cnrolition
slatc lssuallcc
Adnrini.slrativc ['ce
r^talc Surcharyc
'l'otjl Miscullaneou.s Perrn il s
PLTII\,IBING PERI\UT
rta\t
l'ixtures
Rrrsidential Bglh(sl &-
Sunitary Sover ff. --
Walcr IT. -
Stornr Scwcr l'1. -
llumbing [irtnit
Adrrrirri.stratir'c lee lC?t
Slrrle Surcha13a 4".t
'Iotal I'luurbing [ces
'fi,rtal itilich an ical lcrrn its
Tolal PlunrbinS, I'srntits
'l'crlat I\1ix'cll:tnccus ltrnt its
,I'OTAL
T'ET:
Mechanical' P lurnbing' V{iPff}13S,P,*9.}"p-
+----_-. -- t
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
city of Springfield Official Receipt
,velopment Services Department
Public Works Department
RECEIPT #: 2200400000000000921 Date: 0711412004 9:50:30AM
Job/Journal Number
coM2004-00875
coM2004-0087s
coM2004-00875
coM2004-0087s
coM2004-00875
Description
Minimum/Adj ustment Mechanical
Boiler/Comp Up To 100,000 btu
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ lj%o Administrative Fee
Amount Due
33.00
12.00
10.00
3.15
4.50
Item Total:$62.65
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check PACIFICAIRCOMFORT,INC. jmp 08471 In Person
Payment Total:
$62.65
-56t6-t
7/14/2004 Page I of 1
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CitY of SPringfield
225 Fifth Street, Springfield, OR91477' 541-726-3759 Phone
541-726-3676Fax
January 06, 2005
NEWMAN CHERIE ANN
6732 SMEON DR
SPRINGFIELD OR
Job Number:
Location:
97478
coM2004-00875
6732 SIMEON DR
Add ac to house.
The Springfield Building Safety code Administrative code provides that in order for a permit toremain valid, the work which has been authorized by the permit must begin within lg0 days of the dateof issuance, and an inspection must be requested at ieast rr.ry 1g0 days.
According to our records, you obtained a permit for a projec t at 6732sMEoN DR which is set toexpire on l/14/2005' our records indicate that you have not requested an inspection within the pastfive (5) months' This letter is written to notiff you that your permit(s) will be expiring shortly. If youare ready to request an inspection for your proiegt, ptease phon. the inspection line at 541-726-3769. ffyou do not request an inspection prioito ttre expiraiio" auit., your permit(s) will expire and additionalpermit fees will be required in order to compleie your prolect.
If you have any questions, please feel free to phone me at 541-726-3790.
Project:
Dear Permit Holder:
Sincerely,
Lisa Hopper
Building Safety Supervisor