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