HomeMy WebLinkAboutPermit Mechanical 2005-4-26
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00394
ISSUED: 04/05/2005
APPLIED: 04/05/2005
EXPIRES: 10/25/2005
VALUE:
SITE ADDRESS: 2223 OTTO ST
ASSESSOR'S PARCEL NO.: 1703244306000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump & Air Handler
Owner: LUND GEORGE A & DEANNE M
Address: 2223 OTTO ST
SPRINGFIELD OR 97477
:,4l.q<6~ .012~
lAi
Contractor License
ROBS ELECTRIC INC, _ 156678
. "j.,.....
COMFORT FLOW,' ".l\:'J':('i\J. r1-- 460
''''\.Jllrl ,_
\ViBl!JlLnING INE0RMA TI0N3i/Uires
in OAR 9 .~. venter. Th J "/~reg yO~ .to
0090. if;o(StQfies~01 0 t oSe rUles ar On Utlllf}t,ot Size:
R-3 calli.IDE' gf SDi1Jf^uPlo~9h OAR ~ set fo~ Ft 1st Floor:
nUrn~'fy ~ COPIes of th 52-00tiq Ft 2nd Floor:
VN W rtffty~;~ (Note: the tel e rUles b~q Ft Basement:
~1'rs>~:l3gon Utility No ~I?hone Sq Ft Garage/Carport
Energy Path'. 00-332'234 tJflCation Sq Ft Other:
Sprinkled Building: 4). n/a Occupant Load:
Contractor Type
Electrical
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION'
"-"
Expiration Date
08/14/2005
06/27/2005
Phone
541-686-5444
541-726-0100
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
fMn'ii"I"'",..
-- iIIlJl\hll
THiS '::ltl,J)H;~CJMPROVEMENTS I
AUTHORIZED UNIOI'1ElRL tXPIRE IF THE w~id~)Valk Type:
COMMEN THIS PERM . Hf\
ANY CEO OR IS ABANOO IT IS fPJl}\'nspouts/Drains:
180 DAY PERIOD NED FOR
Pae:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00394
ISSUED: '04/05/2005
APPLIED: 04/05/2005
EXPIRES: 10/25/2005
VALUE:
Value
Date Calculated
. Total Value of Project
~.
Amount Paid
Date Paid
Receipt Number
2200500000000000385
2200500000000000385
2200500000000000385
2200500000000000385
1200500000000000513
1200500000000000513
1200500000000000513
1200500000000000513
1200500000000000513
1200500000000000513
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.
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
4/5/05
4/5/05
4/5/05
4/5/05
4/26/05
4/26/05
4/26/05
4/26/05
4/26/05
4/26/05
$116.47
I Plan Reviews I
~e(]uirerUnsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pae:e 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-00394
ISSUED: 04/05/2005
APPLIED: 04/0512005
EXPIRES: 10/25/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone ' .
541-726-3676 Fax
541-726-3769 Inspection Line
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;:;~7 ~~- 00~~cJS
,/. /' ~
Owner or Contfactors Signature Date
Pae:e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
.
541-726-3759 Phone
r<ity of Springfield Official Receipt
.welopment Services Department
Public Works Department
Job/Journal Number
COM2005-00394
COM2005-00394
COM2005-00394
COM2005-00394
COM2005-00394
COM2005-00394
Payments:
Type of Payment
Check
.\
4/26/2005
RECEIPT #:
1200500000000000513
Date: 04/26/2005
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
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 29603 In Person
Payment Total:
Page 1 of 1
2:11:21PM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65