HomeMy WebLinkAboutPermit Mechanical 2005-05-25Building/Combination permitStatus Issued
?11\\fth Street, Springfierd, oR
541-726-3753 phone
547-726-3676 Fax
541 -7 26-37 69 Inspection Line
SITE ADDRESS: 837 S 44
ASSESSORIS PARCEL NO.:
PROJECT DESCRIpTION: Heat pump
Springfietd TypE OF WORK: Heating Sysrem
TYPE OF USE: New
: coM2005_00616
05t25/2005
05t25t2005
Lu25t2005
Residential
Phone Number: S4l_ egb
tbt
PERMIT NO
ISSUED:
APPLIED:
EXPIRES:
VALUE:
TH ST
1802052105000
Owner:
Address:
Contractor Type
Mechanical
KATRINA FULTON
837 S 44TH ST
SPRINGFIELD OR 97478
ASSOCIA
rules adopted by the Expiration Date
08t37t2005
Phone
541-683-2590
0090.
calling the
R-rumberfor
ote: the tel ephone
Notification Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
by
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
\rN
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Water Type:
Range Type:
Energy Path:
Sprinkled Buitding:nla
Sidewalk Type:
Downspouts/Drains:
Y
lru
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription TYPe of Construction Value Date Calculated
I\/t
CO
AN
Valuation Descrintion I
Pase I of2
Building/Combination permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 1Yo State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
PXXMIT NO: COM200S-00616ISSUED: 0st2it200iAPPLIED: 0St2Sl200SEXPIRES: ttt21t200s
VALUE:
Amount Paid
$10.00
$4.50
$3.1s
$12.00
$33.00
Total Value of Project
Date Paid
5t25t05
5t25t05
5t25t05
5t25t05
5t25t05
recording
Receipt Number
3200500000000000247
3200s00000000000247
3200500000000000247
3200500000000000247
3200500000000000247
Total Amount Paid $62.6s
To Request an inspection call the 24 hour at726-3769. AII inspection requested before 7:00
7:00 a.m. wilt be made the following work
wiII be made the same wor king day,inspections requested after
a.m.
day.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance withthe ordinances of the city of springfield and the Laws of ihe state of oregon pertaining to the work described herein, andthat No oCCUPANCY will be made of any structure without permission oltt. co--u"nity services Division, Building Safety.r further certify that onty contractors and employees who are in compliance with oRS 701.005 will be used onihis project.I further agree to ensure that all required inspeciions are requested at the proper time, that each address is readable from thestreet, that the permit card is located at the front of the proplrty, and the approved sei of plans will remain on the site at alltimes during construction.
Rough Mechanical: prior to Cover
Final Mechanical: When all mechanical work is complete.
PIan
Owner or Contractors Signature
Pase 2 of2
Date
zr
L
_agqlursu rnsoecuons I
225 Fitth Street
SpringfieH, Oregon 97477
541-726-3759 phone
City of Springfietd Official Receipt
_ lvelopment Services Department
Public Works Department
RECEIPT #:3200s00000000000247 Date: 0512512005 t0:46:23AMJob/Journal Number
coM2005-00616
coM2005-00616
coM2005-00616
coM2005-00616
coM2005-00616
Description
+ 7Yo State Surcharge
+ l0%o Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.l5
4.50
12.00
33.00
10.00
Type ofPayment
Check TED HEATING
Received By Batch Number
djb 13074
Item Total
Number How Received
In Person
Payment Total:
Paid By
ASSOCIA
$62.65
Amount Paid
$62.6s
$62.6s
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