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Home My WebLink AboutPermit Mechanical 2004-10-26 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: cOM2004-01327 ISSUED: 10/2612004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1105 1ST ST ASSESSOR'S PARCEL NO.: 1703263300543 Springfield TYPE OF WORK: Heating System "'~1t TYPE OF USE: _ New-:c="-,,,-=c_. Residential PROJECT DESCRIPTION: Heat pump air handler Contractor Type Mechanical Contractor AUTOMATIC HEAT AI I l:.mON: Oregcmfawrequlrea you to follow rules adopted b1 the Oregon Utility NQtLfl"Jlttfnft I'AfltM ~atM tra.... fntth CONTRACTOR I tl Cl ~ c.ft .co10throughOAR9S2-G01- copies of the rules bJ -~~Ti~~-".1!~JtI ~~"~~e ']J\~;2e6_7654 BUILDING INFORMATION' " Owner: DVDV INC Address: 3585 MAIN ST SPRINGFIELD OR 97478 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: .bot Size: , Sq FtTsf Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Gara.ge{Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-01327 ISSUED: 10/26/2004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I 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 10/26/04 10/26/04 10/26/04 10/26/04 10/26/04 10/26/04 Receipt Number 1200400000000001515 1200400000000001515 1200400000000001515 1200400000000001515 1200400000000001515 1200400000000001515 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. I Reouired InsDections 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 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. <: _____ ~ A 9-....-JC 0- _\[__ _ Owner or~ontractors Signature v.,hff216 ) Date Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~~ C'ity of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2004-0 1326 COM2004-0 1326 COM2004-01326 COM2004-0 1326 COM2004-0 1326 COM2004-01326 COM2004-0 1326 COM2004-01327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-01327 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-01328 COM2004-0 1328 Payments: Type of Payment Cash Change Job/Journal Number COM2004-01326 COM2004-0 1326 COM2004-01326 COM2004-01326 COM2004-0 1326 COM2004-01326 COM2004-0 1326 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-01327 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-01328 10/26/2004 RECEIPT #: 1200400000000001515 Date: 10/26/2004 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By AUTOMATIC HEAT AUTOMATIC HEAT Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Item Total: Page 1 of2 9:35:58AM Amount Due 3.15 4.50 12.00 6.00 4,00 23.00 10.00 3.15 4.50 8.00 12.00 25.00 10.00 3.15 4.50 12.00 6.00 27.00 10.00 $187.95 Amount Paid $200.00 ($ 12.05) $187.95 Amount Due 3.15 4.50 12.00 6.00 4.00 23.00 10.00 3.15 4.50 8.00 12.00 25.00 10.00 3.15 4.50 12.00 6.00 27.00 10.00 $187.95 " . .. .. ' Payments: Type of Payment Cash Change 10/26/2004 RECEIPT Paid By AUTOMATIC HEAT AUTOMATIC HEAT , , 1200400000000001515 'ate: 10/26/2004 Received By djb d'b . J Check Number Authol'lzation Batch Number Number How Received In Person In Person Payment Total: Page 2 of2 , 9:35:58AM Amount Paid $200.00 ($12.05) $187.95