HomeMy WebLinkAboutPermit Mechanical 2005-3-10
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-00279
ISSUED: 03/10/2005
APPLIED: 03/10/2005
EXPIRES: 09/10/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2717 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251406700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: BETTY WIEMERS REVOCABLE LIVING TRUS
Address: . 2717 MAlA LOOP
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
. Contractor Type
; Mechanical
Contractor
PACIFIC AIR COMFORT INC
License
39237
Expiration Date
03/25/2006
Phone
541-672-9510
VN
BUILDING INFORMATION'
i :~11'MN' Oregon law requires yciLbtalize:
~t 0 ''SJr' b'fJ&d by the Oregon ~i'lt 1st Floor:
Nf fB~1 e~: nter. Those rules are set4_nd Floor:
, tWYf6~~ :01-o010throughOAR9~asement:
an:R?lft~~: obtain copies of the ~farage/Carport
O~Q~lImP.Y (N tee the telep~t Other:
spilmmt~@r.. OUt"lnz~NOtifi~fJWant Load:
-.d.....ho.. f{" tJ"A (jreaon 11'1
-I DEVEioPME~.~.~< ~W1,,;,kt .~1t-f44J.
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
. Secondary Construction Type:
# of Bedrooms:
R-3
i Front yard 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:
Special Instruction:
PUBLM\fMiRiiQVEMENTS'
EXPI~fIJ&Jihl&Y^PQRK
AUTHORIZED UNDER THI5,fERMIT ls~nr
COMMENCED OR IS ABAtJlJt~Bo~~trrams:
ANY 180 DAY PERIOD,
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!el of 2
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: cOM2005-00279
ISSUED: 03110/2005
APPLIED: 03/10/2005
EXPIRES: 09/10/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid J
Fee Description
-Mechanical Iss!J,ance Fee- .
+ 10%Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/ Adj ustment Mechanical
Amount Paid Date Paid Receipt Number.
$10.00 3/10/05 . 1200500000000000312
$4.50 3/10/05 1200500000000000312
$3.15 3/10/05 1200500000000000312
$12.00 3/10/05 1200500000000000312
$33.00 3/10/05 1200500000000000312
Total AmouniPaid
$62.65
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. .
L Reouired Insoections .
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.
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Date
Pae:e 2 of 2
225 Fifth Street
p
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00279
COM2005-00279
COM2005-00279
COM2005-00279
COM2005-00279
Payments:
Type of Payment
Check
3/10/2005
RECEIPT #:
1200500000000000312
Date: 03/10/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
-Mechanical Issuance Fee-
Minimum!Adjustment Mechanical
Paid By
PACIFIC AIR COMFORT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
10000
In Person
Payment Total:
Page 1 of 1
1:31:28PM
Amount Due
3.15
4.50
12.00
10.00
33.00
$62,65
Amount Paid
$62.65
$62.65