HomeMy WebLinkAboutPermit Mechanical 2004-02-06'i.
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2004-00152ISSUED: 0210612004APPLIEDz 0210612004EXPIRES: 08/0612004
VALUE:
bf
SITE ADDRESS: 2117 7TH ST
ASSESSOR'S PARCEL NO.: 1703261301207
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: ROBERT SCHIEDLER
Address: 2117 7TH ST SPRINGFIELD OR 97477
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-741-0785
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
Expiration Date
08t3u2004
Phone
541-683-2590
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
$JORK
&&'i01
Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
u-1
VN
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
REQUIRED PARKING
Total:
Handicapped:
Compact:
344\.
Total Value of Project
Pase I of2
PUBLIC IMPROVEMENTS
,t
Description Type of Construction
-2
Yalue Date Calculated
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Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00152ISSUED: 0210612004
APPLIEDz 0210612004
EXPIRES: 08/0612004
VALUE:
Amount Paid Date Paid Receipt Number
1200400000000000173
1200400000000000173
1200400000000000173
r200400000000000173
1200400000000000173
1200400000000000173
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 7Yo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
$10.00
$4.s0
$3.1s
$8.00
$12.00
$2s.00
2t6t04
2t6t04
2t6t04
2t6t04
2t6t04
2t6t04
$62.6s
Plan Reviews
To Request an inspection call the24 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.
I Rough Mechanical: Prior to Cover
2 Finat Mechanical: When all mechanical work is complete.
red 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.
c/L/z-'
Owner or Contractors Signature
Pase? of2
Date
i' ees ralo
225 Fifth Street .;
Springfield, Oregon 97 477
541-726-3759 Phone
Jity of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt #: 1200400000000000173 Date: 0210612004 10:51:35AM
Amount Paid
coM2004-00152
coM2004-00152
coM2004-00152
coM2004-00152
coM2004-00152
coM2004-00152
+ 7o/o State Surcharge
+ l0o/o Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
3.15
4.50
8.00
12.00
2s.00
10.00
Item Total:$62.6s
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check ASSOCIATED HEATING djb 11233 In Person
Payment Total:
$62.6s
$62.65
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