HomeMy WebLinkAboutPermit Mechanical 2009-6-29
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINlJf<lELD
Building/Combination' Permit
PERMIT NO: COM2009-00952
ISSUED: 06/29/2009
APPLIED: 06/29/2009
EXPIRES: 12/29/2009
VALUE:
SITE ADDRESS: 5335 MAIN ST 220
ASSESSOR'S PARCEL NO.: 1702330001300
Springtield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace outdoor unit only - heatpump
Owner: LINDA KINDT
Address: 5335 MAIN ST SPACE 220
SPRINGFIELD OR 97478
Phoue Numher: 579-3354
I CONTRACTOR INFORMA TION I
Contractor Type
Mechanical
Contractor \0
PAC WEST HEATING ,.DS ,\o~\\,,\I.'\,'(\
License
117043
Expiration Date
10/1712010
Phone
541-937-2859
.I ~'BtlmDlN(';'INIlORMA TION I
'0<0 W "'~ \)\CS v,,\,- "'''.\)\e'O ~' '
# of Units: O~e~pO '0'\ ~e ~ #,of,Stories:o<0 A
...\' ,,,v 0'" ~\ :'l \."("1\' 'I;\O~~
Primary Occupancy Group: ...\O\~'DR':l, ,\'1" ,,~o\):Height,o'fSt~ucture
....."', Svv ~e\' \)\.\' ~\':.J-......e" ~\\'
Secondary Occupancy G~",up: Joe Ge'" >:,'0'. (;,0 J)'p,e ,?1'H'ea.t:
Primary Construction ~~Ib'll ('i.,\0<0 ,\Y'..B' o'O\'1P ~OWjt~~'tT,y~~:
Secondary construction~~pf:'~ <;)'07.: ~'O-'\ e<0\e~' eq,o\'~!,~nge Type:
# of Bedrooms: .~ 01' ,\o\) ",e C;:<;\e O~ \,'OCEnergy Path:
~ ClCl<;)'0~\\<0q, ,o~ ~ e~ \'" Sprinkled Building: n/a
0:0: "e~ _ _(\~
~\)\,. v I DEVELOPMENT INFORMATION I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
'Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Fruntyard Sethack:
Side I Sethack:
Side 2 Sethack:
Rearyard ~etback:
Solar Setbacks:
Total:
" ~'tldicapped:
~~;c:..I\act:
, '\~~ {o ~~
<'l.<r,~ &'...~'\~(\~
I PUBLIC IMPROVEMENTS. \.. 0-~~S ~'(,~~<r.,<V '
, , -x-.'r\: '\" ~\<\\\J
~<(;. ~'\ CO ~~..lft1-~~'Fype:
~fi;)'\~ <<,<r.,'Y:< (l,<r.,<V \) ~OW~gutS/Drains:
'\~\S ~'0~ s:,<r.,'V <<,<r.,~
'r'0'\ ~<r.,~ 'V~
'0'0~ \'O~
'1~'\
I Valuation Descriution I
Overlay Dist:
# Street Trees Rqd:'
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Availahle:
'Special Instruction:
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00952
ISSUED: 06/29/2009
APPLIED: 06/29/2009
EXPIRES: 12/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Amonnt Paid
Date Paid
Receipt Numher
$9.48
$3.95
$79.00
6/29/09
6/29/09
6/29/09
1200.900000000000754
, 1200900000000000754
1200900000000000754
Total Amount Paid
$92.43 .
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 Re(]uked , 1 sn~c'ions I
I II 111111 I...
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 descrihed herein; and
that NO OCCUPANCY will he 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 he 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
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Paee 2 01'2
225 fifth &,treet
Springfield, Oregon 97477
541-726-3759Phone
Job/Journal Number
COM2009-00952
COM2009-00952
COM2009-00952
Payments:
Type of Payment
Check
cReceinll
RECEIPT #:
Description
I sl Appliance
+ 5% Technology Fee
+ ] 2% State Surcharge
Paid By
PAC WEST HEATING AND
AIR
, City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000754
Date: 06/29/2009
1:44:0IPM
Item Total:
Check Number Authorization
.Received By Batch Number Number How Received
Amount Due
79.00
3.95
9.48
$92,43
Amount Paid
djb
$92.43
953
In Person
Payment Total:
$92.43
Page 1 of I
6/29/2009