HomeMy WebLinkAboutPermit Mechanical 2005-08-17uoFlSL-o
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
PERMIT NO: COM2005-01035ISSUED: 0811712005APPLED: 08/0212005E)PIRESz 0211712006
VALUE:
SITE ADDRESS: 1101 16TH ST
ASSESSOR'S PARCEL NO.: 1703253404800
PROJECT DESCRIPTION: Replace existing heat pump
Springfield TYPE OF
TYPE OF USE:
Heating System
Repair Commercial
Phone
54t-726-7654
Owner:
Address:
Contractor TVpe
Mechanical
VENTIS INVESTMENT PROPERTMS LLC
rIOl 16TH ST
SPRINGFIELD OR 97477
Contractor
AUTOMATIC HEAT
PhoneNumber: 541-683-2180
License
149452
Expiration Date
10t22t2005
CONTRACTOR INFORMATI ON
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
" Frontyrrd Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Yo ofLot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Date Calculated$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
DescriDtion Tvpe of Construction
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Value p
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Sidewalk Type:
Downspouts/Drains
Valuation Description I
HAtraLD
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 2647 69 I nspe ction Line
CITY OF SPRINGFIELD
Building/Co mbination Permit
PERMIT NO: COM2005-01035ISSUED: 0811712005APPLIED: 08/0212005
E)PIRESz 0211712006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Total Amount
Amount Paid
$10.00
$4.s0
$3.15
$12.00
$33.00
$62.65
Total Value of Project
Date Paid
8n7t05
8lt7los
8n7tos
8n7tos
8lt7los
Receipt Number
1200500000000001193
1200s00000000001193
1200500000000001 193
1200500000000001r93
1200500000000001193
Plan Reviews
SUB Review 08t02t200s 08/0s/2005 APP JF
To Request an inspection call thie24 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.
SUB Final: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Renrr
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.
proper time, that each address is readable from
the approved set of plans will remain on the site
V- /7-6r
I further agree{o ensure that all required inspections are requested at the
the stree! ttrat[tt]e permit gu{d ir located at the front of the property, and
at all times duri{e constnlctlon. ,r/i'"
Owner or Contractors Signature /
2of2
Date
Fees raro I
225Fi th Street
Springtteld, Oregon 97 477
541-726-3759 Phone
.W of Springfield Official Receipt
_ --evelopment Services Department
Public \Morks Department
RECEIPT#: 1200500000000001193 Date: 0811712005 8:36:17AM
Job/Journal Number
coM200s-01035
coM2005-01035
coM200s-01035
coM200s-0103s
coM2005-01035
Description
+ 7o/o State Surcharge
+ l0%o Administrative Fee
Heat Pump
Minimum/Adj ustrnent Mechanical
-Mechanical Issuance Fee-
Amount Due
3.l5
4.s0
12.00
33.00
10.00
Item Total:$62.6s
Payments:
Tlpe of Paynent Paid By
UheckNumber Aufiorization
Received By Batch Number Number How Received Amount Paid
Cash
Change
AUTOMATIC HEAT
AUTOMATIC HEAT
djb
djb
In Person
In Person
Payment Total:
$63.00
($0.3s)
$62.6s
Jd/Journal Number
coM2005-01035
coM2005-01035
coM2005-01035
coM2005-0103s
coM2005-01035
Description
+ 7o/o State Surcharge
+ l0% Administrative Fee
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.l s
4.50
12.00
33.00
10.00
Item Total:$62.6s
Payments:
Tlpe of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Cash
Change
AUTOMATIC HEAT
AUTOMATIC HEAT
djb
djb
In Person
In Person
Payment Total:
$63.00
($0.35)
$62.65
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