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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