HomeMy WebLinkAboutPermit Mechanical 2009-6-25
CITY OF SPRINGFIELD'
Ii
Building/Combination Permit
..
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-00912
ISSUED: 06/25/2009
APPLIED: 06/24/2009
EXPIRES: 12/25/2009
VALUE:
Status
Issued
SITE ADDRESS: 566 65TH ST
ASSESSOR'S PARCEL NO.: 1702341300432
Springfield TYPE OF WORK: Hea~ing System
TYPE OF USE: New,l
PROJECT DESCRIPTION: Install mini split heating system
Owner: DONALD & .RHEA BARTLETT F AMIL Y TRUST
Address: 566 65TH ST
SPRINGFIELD OR 97478
I, CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
License
179066
62196
Contractor
REVOLUTION ELECTRIC, INC
CLIMATE CONTROL INC
"BUILDING INFO~MATlONI
- # of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
R-3 Height of Structure
Type of Heat:
VB Water Type:
Range Type: t
, Energy Path: requires you 0
ENTION'Sf1rg'd'd''B'' 'Id'~'ogon UtilitV/
_A:T~ ....lo~ ae~pl,::~:J] ~.I",~~~~~rA set fofl,f
\V"_.
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notilil;UEVELORMENffr INE0RMA TlON Iii
in OAr> o~-' obtain cop'~o v' .. \1one
0090, You may ." II,1(1te: the telep ,
ailing t\1e(i)verlay Dist:UtilitV Notification
c. -. nr~nOI\ 4)
number 1Q(#,St~eerJ.UG'~3g9<t"34 .
cerI!iH'ea i'frive Rqd:
u/o of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Expirati?n Date
10/30/2009
"
10/25/2009
Phone
541-505-8351
503-453-4822
Lot Size:
II
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
"
Sq Ft Garage/Carport
..
Sq Ft Other:
"
Occupant Load:
'I
,
"
:: REQUIRED PARKING
Ii
Ii Total:
, Handicapped:
Compact:
Sidewalk Type: "
DownspoutsfDrai'rs:
'''Q?-\\ '
W i\\r. ~, :'i ,I
~~~~~~~~6 ~:i{{{~!~~~~~ r~:Q ,
1\\J''i\-IQ?-ll D Q?- IS 1\'0
CO~~H\Cr.I\'1 ?r.?-IOD.
1\~'1 ,'CO D
Notes:
Pa2e I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769 Inspection Line
I Valu~tion Descrill.Hon I
. Descriotion
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Total Value of Project
F<:p< p~;,j ·
.. ,I , ......
Fee Description
-+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
I st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid'
$7.32 '
$9.48
$3.05
$3.95
$79.00
$55,,00
$6.00
Total Amount Paid
$163.80
I Plan Reviews , I
Date Paid
6/25/09
6125/09
6125109
6/25/09
6/25/09
6/25/09
6/25/09
CITY OF SPRINGFIELD
,
Ii
Building/Combination Permit
"
PERMIT NO: COM2009c00912
ISSUED: 06/25/2009
APPLIED: 06124/2009
EXPIRES: 12125/2009
VALUE:
Value
:1
Date Calculated
Recei~t Number
1200900000000000731
"
1200900000000000738
120~900000000000731
1200900000000000738
120~900000000000738
1200900000000000731
1200900000000000731
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;<'~
Rough Electric: Prior to Coyer
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Coyer
Final Mechanical: When all mechanical work is complete.
Pa!!e 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541 - 726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
':
iI
Building/Combination Permit
!I
"
PERMIT NO: COM2009-00912
ISSUED: 06/25/2009
APPLIED: 06/24/2009
EXPIRES: 12/25/2009
VALUE: '
By signatnre, I state and agree, that I have carefully examined the completed application and do hJreby 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 Springtield 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, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wilfbe used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each a~dress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wii'1 remain on the site at all
time's during construction.
~~ cl'\~ r~-;r;--I
Ow~or Contractors Signature
Paee 3 of 3
C/;;L"rh71
Date
225 Fifth St~eet
.~. l
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00912
COM2009-00912
COM2009-00912
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CLIMATE CONTROL
1200900000000000738
Received By
Check Number
Batch Number
djb
Page] of 1
City of Springfield Official Receipt
DevelopmentServices Department
Public Works Department
Date: 06/~5/2009
Item Total:
Authorization
Number
,i
How "Received
067600 In Person
II
Payment Total:
1,1,
11:54:lOAM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
6/25/2009