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Home My WebLink AboutPermit Mechanical 2004-12-14Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01534ISSUED: 1211412004APPLIED: 1211412004 EXPIRES: 0611412005 VALUE: SITE ADDRESS: 275 44TH ST ASSESSOR'S PARCEL NO.: 1702323101800 PROJECT DESCRIPTION: Install Electric Air Handler Owner: VINCENT VICTOR E Address: 33861 ROW RMR RD COTTAGE GROVE OR 97424 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residential Contractor Type Mechanical Contractor PACIFIC AIRCOMFORT INC License 39237 Expiration Date 03t25t2006 Phone 541-672-95t0 law by th ose ru les are set hIfle Type: #of tsszoot-oolo through OAR 952-e0CrgY Path: You obtain coPies ol th€ rule$tsIkled Building:nla number fortheOregon Utility # of Units: Primary Occupancy Group: Center Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Height of Structure reqUlres you $,pe of Heat: e Oregon Utilifl61s1 1rr.' # of Stories: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o oILot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Street rmprovements: t{0TlCE: Storm sewer Avaitable: THIS PERMIT Specialrnstruction: AUTH0RIZEDNo'fes: iRUT;J8il SHALL EXPIRE IF THE WORK ';r[-^ltiJ5[$if'-*" PERIOD. REQUIRED PARIilNG Total: Handicapped: Compact: is 1-800-332-2344 ) $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains PUBLIC IMPROVEMENTS Description Tvpe of Construction Total Value of Project Value Date Calculated LJ'.t_Jr t ulLull\ (J rl.l -r ul(]u.q. r. r.gllJ Yaluation Descrintion sPBrI'GFI&I.D Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line Building/C ombination Permit PERMIT NO: CO ISSUED: APPLIED: EXPIRES: VALUE: 12n4t2004 12n4t2004 061141200s f,'ees Pa: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $2s.00 $62.6s Date Paid t2t14l04 12fi4104 t2n4l04 tzlt4t04 t2n4t04 tztr4l04 Receipt Number 120040000000000r745 1200400000000001745 1200400000000001745 1200400000000001745 1200400000000001745 r200400000000001745 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. Reouired Insnections 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. q- Dateer or Pase2 of2 T 225 Fifth Street Springfi eld, Oregon 97 47 7 541-726-3759 Phone Job/Journal Number coM2004-0153ff coM2004-01533 coM2004-01533 coM2004-01533 coM2004-01533 coM2004-01533 *PErilOtl&!D RECEIPT #: 1200400000000001745 rity of Springlield Official Receipt _. Jvelopment Services DePartment Public Works DePartment Date: 1211412004 2:te:t7P]il.I Description + 7% State Surcharge + l0% Administrative Fee Heat PumP Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 8.00 25.00 10.00 Item Total:$62.65 Payments: Type of Payment Received By Batch Number Number How Received Amount PaidPaid By PACIFIC AIR COMFORT djb 9547 In Person Payment Total: $62.65Check $62.65 * unD [r,ru-,9 *r0\Jt \bb{ 'u Yoil.JLN\Ef\r\g/[1a- Llr t60Jw Yrrrv r@ ( e, \ ()dd &d- o'(w- d-od- +o t2/t412004 Page I of I \\ro\sr--