HomeMy WebLinkAboutPermit Mechanical 2004-5-19
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00595
ISSUED: 05/19/2004
APPLIED: 05/19/2004
EXPIRES: 11120/2004
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1016 OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703264109600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install heat pump
Owner: SOGGE IRENE M
Address: 1016 OLYMPIC ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
EUGENE ELECTRIC SERVICE INC 90200
UNITED HEATING & AIR CONDITIONING 102602
BUILDING INFORMATION'
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat: ~
Primary Construction TXIM"ENTIONY~rGgon il:lI:1~~
Secondary Constructio,\JlrJ',v rules adopted by h"dge~~~
# of Bedrooms: Notification Center. Thoro BIl~
in OAR 952-001.o010~~ n/a
0090..~oU ml:lY UU'fDK1\Ei~m":" 1!!!!"''''''n.ltIATION I
calling the ce~ m. 1 Oiii!9
number for the Oregon Utillty SJW.III
Center Is 1~~~ist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Stor~ Sewer A~a~~~~!CE: MIT SHALL EXPIRE IF THE WORK
Spec181 Instrucl1oi\JHS PER DER THIS PERMIT IS NOT
AUTHORIZED UN
Notes: COMMENCED OR IS ABANDONED FOR
HIV 1 Rn DAY PERIOD.
New
Residential
Expiration Date
03/17/2007
04/04/2006
Phone
541-344-3561
541-688-9162
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Pa2e 1 on
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Deseription
-Meehanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. CITY OF SPRI~un""L1J
Building/Combination Permit
PERMIT NO: COM2004-00595
ISSUED: 05/19/2004
APPLIED: 05/1912004
EXPIRES: 1112012004
VALUE:
Total Value of Project
F~~s Pair! I
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
$4.90
$3.43
$43.00
$6.00
5/19/04
5/19/04
5/19/04
5/19/04
5/19/04
5/20/04
5/20/04
5/20/04
5/20/04
1200400000000000763
1200400000000000763
1200400000000000763
1200400000000000763
1200400000000000763
1200400000000000772
1200400000000000772
1200400000000000772
1200400000000000772
$119.98
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.
~r~rI Insn~
2 Rough Mechanical: Prior to Cover
1 Final Mechanical: When all mechanical work is complete.
3 Rough Electric: Prior to Cover
4 Final Electric: When all electrical 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 Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2004-00595
COM2004-00595
COM2004-00595
COM2004-00595
Payments:
Type of Payment
CreditCard
5/20/2004
RECEIPT #:
~
Jiiily of Springfield Official Receipt
"elopment Services Department
Public Works Department
1200400000000000772
Date: OS/2012004
Descrlptloo
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
PaId By
RUSS ROBBINS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000389 020759 In Person
Payment Total:
Page I of I
12:08:13PM
Amount Due
43.00
6.00
3.43
4.90
$57.33
Amount PaId
$57.33
$57.33