HomeMy WebLinkAboutPermit Mechanical 2004-10-25Status Issued
225 Fifth Street, Springlield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-01320ISSUED: 1012512004APPLIED: 1012512004
EXPIRESz 0412512005
VALUE:
SITE ADDRESS: 2524 35TH ST
ASSESSOR'S PARCEL NO.: 1702194200500
PROJECT DESCRIPTION: Install heat pump and air handler
C)wner: KENNETH MEINyCHUK
Address: 2524 35TH ST SPRINGFIELD OR 97477
lto.tt
1H\S PE'
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Phone Number: 541-746-0829
1H\SContractor Type
Mechanical
Contractor
C&D
\ZED
D
$ Per Sq Ft
or multiplier
UNDER
OR \S ABAN'00
15095r
Expiration Date
0610u2006
Phone
s41-688-1657
ANY
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
R-3
YN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street
Paved
Vo of
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
ot tho
Downspouts/Drains:
PARI(NG
nla
0
.001
Square Footage
or Bid AmountDescription Type of Construction
Total Value of Project
Value Date Calculated
D
L},-
I
t-r[ v t1_L(rrryl-I!i\ I rN r (rr(YrA r rur\ |
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-01320ISSUED: 1012512004APPLIEDz '1,012512004
EXPIRESz 0412512005
VALUE:
Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$2s.00
$62.65
Date Paid Receipt Number
120040000000000r509
1200400000000001509
1200400000000001509
1200400000000001s09
1200400000000001509
1200400000000001s09
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7oh State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
10t25t04
10t25t04
10t25t04
10t25t04
t0l2sl04
10t25t04
Plan Reviews
To Request an inspection call the 24 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 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.
'{4-
Own4 o, Contractors Signature Date
nsnections
Pase2 oI2
\t3L.,
l/
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
rity of Springfield Official Receipt
_ ;velopment Services Department
Public Works Department
RECEIPT #: 1200400000000001509 Date: 1012512004 1:57:5ePM
Job/Journal Number
coM2004-01320
coM2004-01320
coM2004-01320
coM2004-01320
coM2004-01320
coM2004-01320
Description
+ 7o/o State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
MinimumiAdjustrnent 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
checl(Number AuthorEatron
Received By Batch Number Number How Received Amount Paid
Check C&D HEATING INC djb 3014 In Person
Payment Total:
$62.6s
-$6-2^6-f
t0/2512004 Page I of I
MD