HomeMy WebLinkAboutPermit Mechanical 2004-11-18Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01425ISSUED: llll8l2004APPLIED: 11/1812004
EXPIRES: 05/1812005
VALUE:
SITE ADDRESS: 576 S 34TH ST
ASSESSOR'S PARCEL NO.: 1702313403204
PROJECT DESCRIPTION: Heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Owner: JACOB GREEN
Address: 576 S 34TH ST SPRINGFIELD OR 97477
Phone Number: 541-741-2197
Contractor Type
Mechanical
Contractor
PACIFIC AIRCOMFORT INC
License
39237
Expiration Date
0312512006
Phone
541-672-9510
V
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
hw requires You to Lot size:
R-3 Oregon
Those rules are s
UtititY
Square Footage
or Bid Amount
Ft lst Floor:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Sq
Sq
VN
Ft 2nd Floor:
0throug h OAR 952-00bq Ft Basement:
copies of the rules bgq Ft Garage/Carport
the telephone Sq Ft Other:
N61{fi catronoccuPant Load:
h
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
IT SHALL EXPIRE IF THE WORK
BANDONED FOR
0090.
$ Per
or multiplier
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
NOTICE:
THIS PERM
Sidewalk Type:
Downspouts/Drains:
Total Yalue of Project
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase 1
Value Date Calculated
I
UUN ltrN I
lIU tl,frrl\ \, ll\I (rt(lYrA r rU1\ |
F
Status 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: COM2004-01425ISSUED: llll8l2004APPLIED: 11/1812004
EXPIRES: 05/18/2005
VALUE:
['ees Pa
Amount Paid
$10.00
$4.s0
s3.15
$8.00
$12.00
$25.00
$62.6s
Date Paid Receipt Number
1200400000000001627
1200400000000001627
1200400000000001627
1200400000000001627
120040000000000r627
1200400000000001627
Fee Description
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 7%o State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
rut8t04
tut8t04
tut8t04
tut8l04
rut8t04
tut8t04
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 signaturer l 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
times during construction.
is located at the front of property, and the approved set of plans will remain on the site at all
Date
nsnections
Owner or
Pase2 of2
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^ity of Springlield Official Receipt
_ evelopment Services Department
Public Works Department
RECEIPT#: 1200400000000001627 Date: llll8l2004 1l:48:1eAM
Job/Journal Number
coM2004-01425
coM2004-0142s
coM2004-01425
coM2004-01425
coM2004-0142s
coM2004-01425
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment 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
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check PACTFTC ArR COMFORT INC djb 9070 In Person
Payment Total:
$62.65
-s6fi
tUtS/2004 Page I of I
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