HomeMy WebLinkAboutPermit Mechanical 2008-11-19
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6874 G ST
ASSESSOR'S PARCEL NO.: 1702352202100
PROJECT DESCRIPTION: Heat Pump Change out
Owner:
Address:
GILSTER JASON V & CAILEE R
6874 G ST
SPRINGFIELD OR 97478
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01684
ISSUED: 11/19/2008
APPLIED: 11/19/2008
EXPIRES: 05/19/2009
VALUE:
Springfield TYPE OF WORK: Mechanical Only
Residential
TYPE OF USE: Alteration
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
'Contractor
PAC WEST HEATING
License
117043
Expiration Date
10/17/2010
Phone
541-937-2859
BUILDING INFO~MA TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
, Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
, Occupant Load:
I DE':ELOPMENT INFORMATION 1
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:.
Compact:
on laW requires y01J1"UBLlC IMPROVEMENTS'
TT<=NTION' Oreg h Oregon \",,,..,
Streetl'lmprovementsopted by teet forth .
lollow rUI"~",~'-:,.p Those rules are s_ _
Storm "-"wer'Avadable:(. hOAR 9::>2-001
"D'~"" , _ n01 0010 throug I by
SpecW! ~l)stj-iiEtion: - btain copies of the ru es
0090, You may 0 Note: the telephone
Notes' calling the center. ( n Utility Notification
. the Orego
number lor.,. '^ 1_1<00_332-2344).
NonCE:
I HI::;' t-'tMIVIII ::;,nALL CArine Jr 1m: "u""
I ':'aluation Descrint~on I\JJTHORIZED UNDER THIS PERMIT IS NOT
, (:OfvlMENCED OR IS ABANDONED FOR
$ Per Sq Ft Square Footage r,"""Q
It. I' B'd Ai'... I t' 80 DAY PLValue. Date calcolated
or mu Ip ICr or I moun
v.......-.
Description
Type of Construction
Paee I 01'2
Sidewalk Type:
D~wnspoutslDrains:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01684
ISSUED: 11/1912008
APPLIED: ,11/1912008
EXPIRES: 05/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pai,IU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Heat Pump
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$15.00
$15.00
$22.00
11/19/08
i 1119108
11119/08
11/19/08
11119/08
11119108
11/19/08
2200800000000001660
220080000000QOOl660
2200800000000001660
2200800000000001660
2200800000000001660
2200800000000001660
2200800000000001660
Total Amount Paid
$87.04
--
I Plan Reviews I
..---/
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
I Refluired Tnsnections 1
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 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furtber agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, tbat 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 dur;:nsr;' 0 ~ ~ ~
Owner or'eontrac.tors Signature
\ \----
\G,----oY
Date
Paee 2 of 2
225 Fjfth Street
Springfield, Oregon 97477
541-726-3759 Phone
'.
City of Springfield Official Receipt
Development Services Department
Public. Works Department
Job/Journal Number
COM2008-0 1684
cOM2008-0 1684
COM2008-0 1684
COM2008-0 1684
COM2008-0 I 684
COM2008-0 1684
COM2008-0 1684
Payments:
Type of Payment
Check
----
cReceintl
RECEIPT #:
II :34: 12AM
2200800000000001660
Date: 11119/2008
Description
Heat Pump
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
15.00
15.00
22.00
21.00
2.60
6.24
5.20
$87.04
Paid By
PAC WEST HEATING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
791
In Person
Payment Total:
$87.04
$87.04
njrn
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11/19/2008