HomeMy WebLinkAboutPermit Mechanical 2005-6-1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
S41-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00601
ISSUED: 06/01/2005
APPLIED: OS/2312005
EXPIRES: 12/01/2005
VALUE:
~
SITE ADDRESS: 1961 MCTAVISH CT
ASSESSOR'S PARCEL NO.: 1703271306800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: BENNETT HUFF
Address: 1961 MCTAVISH CT
SPRINGFIELD OR 97477
Contractor License
HOME COMFORT HEATING & AIR 84164
I BTf~lji&G~'IION'
No~ !.. lU.us adOpted b squIres you to
~8<Jnter. Th Y the Oregon U~!!ltSize:
InC\i8gfii~r_t ose nules are sel~ illst Floor:
009i.~P'GlJfi1Mttoblain hrO~9h OAR 952-~l! ~t 2nd Floor:
. Cq'iiagrtffifellinter. COpies of the rU'e~B it Basement:
nU/R.kqglf~P.IJj Or' (Note:. Ihe telephon~q ~t Garage/Carport
Ene~,fi1!-9i' egon Utility Notificar Sq Ft Other:
Sprlnkle;i"'B:Ihdi~eo-332-23"\!'. lC()ccupant Load:
I DEVELOPMENTlNFORMATION I
Contractor Type
Mechanical
. # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541-747-5449
I CONTRACTOR INFORMATION I
Expiration Date
06/2512007
Phone
541-345-2838
R-3
VN
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
..'....
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
NOTICE: Downspouts/Drains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
^"IV -1 on nflV DCQlnn
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paeelof2
OS/27/05 FRI .09:59 FAX 541~689
-iI=~~~iii" ...... '
. \. ...." , ".
. , ..
',.. -- ..... .
Status Pending
225 Flflh Smcl, Springfield, OR
541.726-3753 PhODC
541.726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD Ii!J 002
. CITY OF SPRThb.1'.lliL.l)
Building/Combination Permit
PERMIT NO: C0M200S-00601
ISSUED:
APPLIED:
EXPIRES:
VALUE:
0512312005
1112312005
Total Value oCProjecl
Fe~ Paid I
. Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
so.oo
I Plan Reviews ,
To Request an Inspection call the 24 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 lie made the following work
day.
L..Reouir.edjnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When an mechaniea1 work i. complete.
By .Ignature, I state and agree, thai I have carefully eramlned the compleled application and do bereby certify that all
Information bereon Is true and eorrecl, and I Curlber certify lbat any and a\J work performed .han be done In accordance with :
the Ordinances oflhe City of Springfield and the Law. of tbe State or Oregon pertaining to the work described herein, and
thot NO OCCUPANCY win be made of any structure without permission oCthe Community Services Division. Bailding SaCety.
I Curtber certify Ibol only cOD\ractors ODd employee. wbo are in compllaDce wilh ORS 701.005 will be u.ed OD Ibis project.
I Curther agree 10 ensure thaI an required inspections arc requested at Ihe proper time, thaI each address Is readable Crom lbe
.treet, that the permit card Is located at the front oC the property, and the approved set of plans wID remaln on the site ot on
times during oon5truetion.
-----=:> . .
~j
~m,
$'- ~'-D~
Date
POll" 1 ofl
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00601
ISSUED: 06/01/2005
APPLIED: OS/23/2005
EXPIRES: 12/01/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~s Paid J
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.1 5
$12.00
$33.00
611105
6/1105
6/1105
6/1105
6/1105
Receipt Number
2200500000000000699
2200500000000000699
2200500000000000699
2200500000000000699
2200500000000000699
Total Amount Paid
$62.65
I Plan Reviews ,
To Request an inspection call the 24 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 foliowing work .
day.
l..iwir~d T~
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 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.
(5Efr j'\o-T1A<.Hc~ ~lL oJt\6..
o~ner or Contractors Signature
~-
\
50 I <; "" A- .{..'I..,rt.- \
'J>!S Ddte
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-n6-3759 Phone
.
a~.
Ilk.;
~y of Springfield Official Receipt
.elopment Services Department
Public Works Department
.~
RECEIPT #:
2200500000000000699
Date: 06/0112005
8:25:11AM
Job/Journal Number
COM2005-00601
COM2005-0060 1
COM2005-0060 I
COM2005-0060 I
COM2005-0060 1
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
Check
HOME COMFORT
djb
13488
In Person
Payment Total:
$62.65
$62.65
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:1
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.,
6/1/2005
PaRe 1 of 1