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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 .DSIBTSD