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HomeMy WebLinkAboutPermit Mechanical 2005-05-11Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00561ISSUED: 05/11/2005APPLIED: 05/1112005EXPIRES: 11/1112005 VALUE: SITE ADDRESS: 1274 33RD ST ASSESSOR'SPARCELNO.: 1702303405800 PROJECT DESCRIPTION: Add heat PumP Springlield TYPE OF WORK: Heating System TYPE OF USE: New PhoneNumber: 541-7414450 Expiration Date 08/31/2005 Residential Phone 541-683-2590 Owner: Address: Contractor Type Mechanical CARROLL BRILEY 3545 SISTERVIEW AVE EUGENE OR 97401 Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 CONTRACTOR ] # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-S follow Notiti YNin OAR 0090. to by the Oregon Util'tty Qfiusrsrles are set forth ugh o AR 952-001' copies of tn. rules bY the telePhone UtilitY Notilication Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Downspouts/Drains: i calling number $ Per Sq Ft or multiplier -2344;. n/a Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: 1,\ HIS PERMITI I C A Square Footage or Bid Amount VELOPMENT INFORMATION Description Type of Construction Paee I of2 Value Date Calculated Valuation Description I Status Issued 225 Fifth Street, Springfield' OR 541-72G3753 Phone 541-726-3676Fa'x 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00561ISSUED: 05/11/2005APPLIED: 05/1112005 EXPIRESz llllll2005 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7Yo State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $12.00 $33.00 $62.65 Total Value of Project Date Paid 5nu05 5/ruos 5/11/05 5/11/05 5/11/05 Receipt Number 120050000000000061 1 1200s00000000000611 120050000000000061r 1200500000000000611 1200500000000000611 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. nsnections 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 Springlield 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. Owner or Contractors Signature Pzse2 of2 Date 5- Hees Prid I 225 Fifth Street Springf"ild, Oregon 97 477 547-726-3759 Phone City of Springfield Official Receipt rvelopment Services Department Public Works Department RECEIPT#: 1200500000000000611 Date: 05/11/2005 3:00:12PM Job/Journal Number coM2005-00561 coM200s-00561 coM200s-00561 coM2005-00561 coM2005-00561 Description + 7o/o State Surcharge + llYo Administrative Fee Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 12.00 33.00 10.00 Item Total:$62.6s Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check ASSOCIATED HEATING AND AC djb 13043 In Person Payment Total: s62.6s $62.6s 511U2005 Page I of I