HomeMy WebLinkAboutPermit Mechanical 2004-08-24Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-0r050ISSUED: 0812412004APPLIED: 0812412004
EXPIRESz 0212412005
YALUE:
TION
SITE ADDRESS: 1204 34th St
ASSESSOR'S PARCELNO.: 1702303408002
PROJECT DESCRIPTION: Install heat pump
Owner: BOB SKINNER
Address: 1204 34TH ST SPRINGFIELD
o'
Contractor
Mechanical
# of Units:r$
Primary
Secondary
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street [mprovements:
Storm Sewer Available:
Special Instruction:
Notes:
Springfield TYPE OF WORI(: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541461-6742
License\Y\o
$ Per Sq Ft
or multiplier
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
460
Expiration Date
06t271200s
Phone
541-726-0100
gro
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VN
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Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Description Type of Construction
Total Value of Project
Value Date Calculated
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield' OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-01050ISSUED: 0812412004APPLIED: 0812412004
EXPIRESz 0212412005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ lDoh Administrative Fee
+ 77o State Surcharge
Heat Pump
MinimumiAdjustment Mechanical
Amount Paid
$10.00
$4.50
$3.1s
$12.00
$33.00
Date Paid
8t24t04
8124104
8t24t04
8t24t04
8t24t04
Receipt Number
1200400000000001257
1200400000000001257
1200400000000001257
r200400000000001257
1200400000000001257
Total Amount Paid $62.6s
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.
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 furthcr 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.
8/l-,,o1
Owner or Contractors Signature Date
nsnections
Paee 2 of 2
LT !
rees ralo I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
f:ty of Springfield OIficiaI Receipt
- zelopment Services Department
Public Works Department
RECEIPT #: 1200400000000001257 Date: 0812412004 3:05:28PM
Job/Journal Number
coM2004-01050
coM2004-01050
coM2004-01050
coM2004-01050
coM2004-01050
Description
+ 7o/o State Surcharge
+ l0%o Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
12.00
33.00
10.00
Item Total:$62.65
Payments:
Type of Payment Paid BY
Check Number
Received By Batch Number Number How Received Amount Paid
Check COMFORT FLOW djb 26823 In Person
Payment Total:
$62.6s
-sffit
8/24/2004 Page I of I
rua
Authorization
City of Springfield
225 Fifth Street, Springfield, OR97477' 541-726-3759 Phone
541-726-3676Fax
January 06, 2005
SKINNER
1204 34TH ST
SPRINGFIELD
Job Number:
Location:
oR 97478
coM2004-01050
1204 34th St
BOB
Project:Install heat pump
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 1204 34th St which is set to expire on
212412005. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building S afety Supervisor
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