HomeMy WebLinkAboutPermit Mechanical 2005-10-19ttti,D
Building/Co mbination Permit
Status: Issued
225llfth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I ns pe ction Line
PERMIT NO: COM2005-01469ISSUED: 1011912005APPLBD: 10/1912005E)CIRESt 0411912006
VALUE:
SITE ADDRESS: 2484 37TH ST
ASSESSOR'S PARCEL NO.: 1702194206300
PROJECT DESCRIPTION: Install heat pump and furnace
Springfield TYPE OF
TYPE OF USE:
Heating System
New
Owner:
Address:
Contractor Type
Mechanical
Contractor
J CO ENTERPRISES INC
Expiration Date
09t09t2007
Residential
Phone
541-689-1667
RALPH HOLLEMBAEK
2484 37TH ST
SPRINGITIELD OR 97477
PhoneNumber: 541-953-4498
License
156807
CONTRACTOR INFORIT{ATI ON
* # of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
R-3
# of Stories: Lot Size:
Height of Sq Ft lst Floor:
Type of Heat Sh Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Tfpe: 9q Ft Garage/Carport
Energy Path: , Sq Ft Other:
Sprinkled n/a , :rOccupant Load:
VN
Frontlard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm SewerAvailable:
Special Insfruction:
Notes:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WOBK
AUTHORIZED UNDEB TH]S PEBMIT IS NOT
Sidewalk Type:
DownspoutVDrains
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or muftiplier
Square Footage
or BkI Amount
PUBLIC IMPROVEMENTS
Descripthn Type of Construction
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Value Date Calculated
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AFIILS
D
Buitdin g/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fa,x
541:7 2637 69 Inspection Line
PERMIT NO: COM2005-01469ISSUED: 1011912005APPLIED: 10/1912005E)?IRESz 0411912006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/" Administrative Fee
+ lYo State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
$62.65
Total Value of Project
Date Paid
10/19/05
10/19/05
10/r9l0s
10/19/0s
r0/19/05
10/19/05
Receipt Number
1200s00000000001570
1200500000000001570
1200s00000000001570
r200500000000001s70
1200500000000001570
1200s00000000001570
Fees Pa
Plan Reviews
To Request an inspection call the24 hour recording at 72G3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reouired fnsnections
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPAI\CY 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 loc'frle*atJhqfront of the property, and the approved set of plans will remain on the site-\_ilallnmffy:ns construction"
Owner or Contractors Signature
2of2
Date
t2
225Fifth Street
Sp4ngfieH, Oregon 97 477
541-72G3759 Phone
City of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 1200500000000001570 Date: l0llgl2005 1:45:14PM
Job/Journal Number
coM2005-0r469
coM2005-01469
coM200s-01469
coM2005-01469
coM2005-01469
coM2005-01469
Description
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3. l5
4.50
12.00
12.00
2l.00
10.00
Item Total:$62.6s
Payments:
Type of Payment
unecKNumDer Aumonzauon
Paid By Received By Batch Number Number How Received Amount Paid
CreditCard BRIAN TILLER djb 246829 In Person
Payment Total:
$62.6s
-$62^6-f
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