HomeMy WebLinkAboutPermit Mechanical 2004-01-30Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00132ISSUED: 0113012004APPLIED: 01/3012004
EXPIRESz 0713012004
YALUE:
SITEADDRESS: 88025THPL
ASSESSORTS PARCELNO.: 1703361107400
PROJECT DESCRIPTION: Install air handler and heat pump
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Owner:
Address:
ETHEL HARDING
880 25TH PL SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
DEAN M SCHULTZ
Expiration Date
02t23t2005
Phone
s4r-767-0626
License
133733
CONTRACTOR INFORMATION
m
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
Water outo
the
\s1 Rqd:
oh of Lot Coverage:
RE IF
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
VN
street Impro""."nt$ 0J t|r[ *,, S H l!L^
Storm Sewer,l,vailabf. gl H0 RIZED UNU E-n
::::'
Ins'fruction:
llvY;lgll 8lJ[
EXPI
THIS PERMI'
ABAND ONED FOR
D.
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
T IS NOT
Total Value of Project
Page I of2
Description Type of Construction Yalue Date Calculated
*
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
S4l-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00132ISSUED: 0113012004APPLIED: 01/3012004
EXPIRESz 0713012004
VALUE:
>aid
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 7o/o 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
$25.00
$62.65
Date Paid
U30t04
u30104
u30t04
u30104
U30104
u30t04
Receipt Number
1200400000000000138
1200400000000000138
1200400000000000138
1200400000000000138
1200400000000000138
1200400000000000138
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.
1 Rough Mechanical: Prior to Cover
2 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 property, and the approved set of plans will remain on the site at all
times construction.
.-3 C
Owner or Contractors Signature
Pase2 of2
Date
l)
,'' 225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springficld Official Receipt
Development Services Departmend
Public Works Department
Receipt #: 1200400000000000138 D&ter 0U30/20M 10:31:l3AM"
coM2004-00132
coM2004-00132
coM2004-00132
coM2004-00132
coM2004-00132
coM2004-00132
+ l0%o Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 1Yo State Surcharge
4.50
8.00
12.00
25.00
10.00
3.15
Item Total:$62.65
Payments
Type of Payment Paid By Received By Batch Number Authorization Number IIow Received Amount Paid
Check DEAN HEATING djb 4393 In Person
Payment Total:
s62.65
$62.6s