HomeMy WebLinkAboutPermit Mechanical 2009-8-5
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Status
Issued
CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2009-01135
ISSUED: 08/05/2009
APPLIED: 08/05/2009
EXPIRES: 02/05/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
SITE ADDRESS: 823 ROWAN AVE
ASSESSOR'S PARCEL NO.: 1703342200906
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heatpump
Owner:
Address:'
TRIPPETT LYNN & DIANNE M
823 ROW AN AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 1
Contractor Type
Mechanical
Contractor
MARTIN CASTLEMAN LLC
License
169547
Expiration Date
04/07/20 I 0
Phone
541-736-3438
VB
I, BUILDING INFORMATION I
AT r::::,HI 'IN: Oregon law requires you to
full ow n#,otS,tor\es:,d by the Oregon Utility
NotificatiHeightof Structureules are set forth
in OAR 9'T,ype~ofiHe'''t:lhrough OAR 952,001-
0090, YCWate~T.ype:n copies of the rules by
callingRaitgli;'JiWe: (Note: the telephone
numbelEiiergyJPatti:ion Utility Notification
S~M"":li'" 'BQrldo'~~2,2344) /
" prill!\. I:U 01 mg: . n a
Lot Size:
Sq Ft 1St Floor:'
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
OccupJnt Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constru~tionType
Secondary Constroction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION 'I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
, Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Speciallnstroction:
I PUBLIC IMfBQ.'f.EiMENTS , '
. ~~S'PE~M\T SHALL ESfiir~",IH~f;NO~~
AUTHORIZED UNDER T61J~.fJ~r0v~~s:
COMMENCED OR IS ABANDu u
ANY 180 DAY PERIOD.
Notes:
I Valuation J?escriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
,
PERMIT NO: COM2009-01135
ISSUED: 08/05/2009
APPLIED: 08/05/2009
EXPIRES: 02/05/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees Plli<lJ
$9.48
$3,95
$79.00
8/5/09
8/5/09
8/5/09
Receipt Number ,
1209900000000000884
1200900000000000884
1200900000000000884
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Total Amount Paid
$92.43
I Plan Reviews "
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(J~ir~<I.t nsoections 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-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 compliallce with ORS 701.005 will be used 011 this project.
I further agree to ensllre that all reqllired inspections are reqllested 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.
~~' 2/rkr
or;co;t;~~rs Signatllre Date
Pa2e 2 01'2
225 Fifth;Street
SpringfieId,'Oregoii-97477------- -
541-726-3759 Phone
Job/Journal Number
COM2009-0 1l3S
COM2009-01135
COM2009-01135
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
CLIMATE CONTROL
City of Springfield Official Receipt,
'Developmeht Services Department
Public Works Department
1200900000000000884
II :04:48AM
Date: 08/05/2009
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 024883 In Person
Payment Total:
$92.43
$92.43'
Page I of I
8/5/2009