HomeMy WebLinkAboutPermit Mechanical 2004-7-27
Status
Issued
CITY OF SPRINGFIELD j
Building/Combination Permit
PERMIT NO: COM2004-00936
ISSUED: 07/27/2004
APPLIED: 07/27/2004
EXPIRES: 01/27/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6566 E ST
ASSESSOR'S PARCEL NO.: 1702341300309
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: STEVE GALLUP
Address: 6566 E ST SPRINGFIELD OR 97478
Phone Number: 541-682-8460
I CONTRACTOR INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor License
COMFORT ,.a:. , _ . ~ ~~4..t~- 'Wdl~
lHlS w.ljD:l~ '. S ~ 31
~~~~Ncter~Ri4&sABANOON~~ F@~
R-~ MY 1 60 MI.;~ftfGlD:ucture
"" "Type of Heat:
VN Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
06/27/2005
Phone
541-726-0100
Contractor Type
Mechanical
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Notes:
OverlayDist: . Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: ~~mmpact:
% of Lot Coverage: -.-Aftt\"'" ()teQo1\U\\:'-
~~~",~.,._e;~J\M.
I PUBLIC IM~~~'\IIIlI&ll1
ft ttO'1:GO ~.:-~~-~~" t\e9'fd\8
.\1\ O"'~ ff\&'I OVJ-PAloW~
0090. ~ ~b'Wot\~' : ns:
oe.\\\f\9 0\8 ",eO'~
~'06':f\\6f \$ \ .
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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
Pae:e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00936
ISSUED: 07/27/2004
APPLIED: 07/27/2004
EXPIRES: 01127/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/ Adj ustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
7/27/04
7/27/04
7/27/04
7/27/04
7/27/04
7/27/04
Receipt Number
1200400000000001145
1200400000000001145
1200400000000001145
1200400000000001145
1200400000000001145
1200400000000001145
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 Reauired Insoections 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
ti'"f"(ring con"rucliit 7 I rl.. 7 10 '--I
Owner or Contractors Signature
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
54h726-3-'59 Phone
~~y of Springfield Official Receipt
'''elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00936
COM2004-00936
COM2004-00936
COM2004-00936
COM2004-00936
COM2004-00936
Payments:
Type of Payment
Check
7/27/2004
RECEIPT #:
1200400000000001145
Date: 07/27/2004
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
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 26671 In Person
Payment Total:
Page I of 1
lO:55:32AM
Amount Due
3.15
4.50
8.00
12.00
25,00
10.00
$62.65
Amount Paid
$62.65
$62.65