HomeMy WebLinkAboutPermit Mechanical 2005-7-26
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. U 1 f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00967
ISSUED: 07/26/2005
APPLIED: 07/25/2005
EXPIRES: 01126/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4028 North St
ASSESSOR'S PARCEL NO.: 1802061105300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Change out heat pump and air handler
Owner:
Address:
DENNIS HUNTER
4028 NORTH ST
SPRINGFIELD OR 97478
Phone Number: 541-726-9489
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c.'::;:' ,:::. , ;I~CONTRACTOR INFORMATION I
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Contrtlc~or' y"V Mcense
COMFQIfr ~OW ",~9,~ is'
i.:,'y~-~)' BUILDING INFORMARIoki':sS'-Q"'"
":> '" ~~;;). !i:,v <f? 0
':. .-':- ,/ ~ ~ 0~' ,,00) ~0 ,,,OJ :s rS' <S'
# or Units: , ." ',--,~ '.;) ~ # or Stories: " 0 R> ~- 0" :!:.' ;;;: Lot Size:
Primary Occupa.ncyGr~tip:.:)> ,~ R-3 Height of Str~1!~l.!!~e S0 0 ~~ ,j!><:i..",{J Sq Ft Ist Floor:
, ."."' T fH - ., ":<:, 0 .s; ,:;
Secondary Occup~ncy~G'roup:.:r ype 0 ~t:'O.... R>0 ,,'0 R> 0 ~O ~ Sq Ft 2nd Floor:
Primary Construction T)'pe(,;' VN Water Type:? <~o -A,o ~ .~.~ ~ Sq Ft Basement:
~'- ........ ::\" ~ ., ~- 0"'< <0' .~ nio'
Secondary ConstructioilType: Range.TYP5: ". <:;) <.i O'.::y [l)v Sq Ft Garage/Carport
# of Bedrooms: "~' EnercY Path:~ ~ if ~ rS ~ Sq Ft Other:
sp'iiiikI~<B~i1ding'? ,po 0'0 &/a Occupant Load:
u~ l::;" C' ~...... ~ C' ~ ~
Contractor Type
Mechanical
Expiration Date
06/27/2007
Phone
541-726-0100
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVEEOI!MEN\J;-INFORM;A1;JON I
......- cr- ~ ~- 9;. ......u t::"
.;;;:. .0 ~<:;)';"," ci; (.)0
Overlay. ,QisUi ;f
# Street"frees,Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 00
~
_ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00967
ISSUED: 07/26/2005
APPLIED: 07/25/2005
EXPIRES: 01126/2006
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..FI'I''' P3irlJ
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
7/26/05
7/26/05
7/26/05
7/26/05
7/26/05
7/26/05
Receipt Number
2200500000000000983
2200500000000000983
2200500000000000983
2200500000000000983
2200500000000000983
2200500000000000983
Total Amount Paid
$62.65
I Plan Reviews I
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 following work
day.
f..~I''1Jljrl'rI Tn~'ll'dion"l
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 ofthe 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.
~.-- ~
Owner or Contra~tors Signature
IlrlL.-,/D.~
I
Date
Paee 20f2
. 225 Fifth Street
Springfield, Oregon 97477
'/ 541-726-3759 Phone
· i1i'~
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2005-00967
COM2005-00967
COM2005-00967
COM2005-00967
COM2005-00967
COM2005-00967
Payments:
Type of Payment
Check
"
"
7/26/2005
RECEIPT #:
2200500000000000983
Date: 07/26/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEA TlNG
CO.
Item Total:
Check Number AuthoriZation
Received By Batcb Number Number How Received
jmp 30676 In Person
Payment Total:
Page 1 of I
11:01:02AM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65