HomeMy WebLinkAboutPermit Mechanical 2005-9-8
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
'! SITE ADDRESS: 953 MILL ST
ASSESSOR'S Jl ARCEL NO.: 1703352200600
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01228
ISSUED: 09/08/2005
APPLIED: 09/08/2005
EXPIRES: 03/08/2006
VALUE:
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace heat pump
Contractor Licenseres ~IUration Date Phone
ASSOCIATED HEATING & AI.BCp,l'lIiW6~)l,u:mtf~~~~(lrin Uti\~/3112006 541-683-2590
I B~D~;~F1O~.~sareset~g~~~
.- , cen~~h OI\R 952 .
N~."' ~I~~P ~01-001? thr~~~s 01 the ntEO~ ~~e: .
in 0 may obtaIn c ~ . the te\ep\Sq~ 1st Floor:
e.? t\f}center. tNo ~ti\ity Noti1i&qtip{\znd Floor:
wat~~5t the Oregon 2-2344). Sq Ft Basement:
Rpl1~bfY~e:nter is 1_800-33 Sq Ft Garage/Carport
Energy pM": Sq Ft Other:
Sprinkled n/a Occupant Load:
Owner: JACK BARBEE
Address: 953 MILL ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
.:~. # of Units:
.' Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
. Front yard Setback: .
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
~, Street
. Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Phone Number: 541-741-1061
".
I CONTRACTOR INFORMATION I
R-3
VN
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS'
lUG \ \\;\!:.. ...r Ie T~t: WORK
I'" RMIT S\1J\ll E)(fSldewalk TYRe:NOT
T\1IS PE TH'~ PERMII \~
J\UT\10RIZED UNDER Downspo~t~~ains
COMMENCED OR IS J\BJ\NDUNt ..
ANY 1 BO DAY PERIOD. .
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGJ:11~LD;'
Building/Combination Permit
PERMIT NO: COM2005-01228
ISSPED: 09/08/2005
APPLIED: 09/08/2005
EXPIRES: 03/08/2006
VALUE:
Total Value of Project
Fees Paid I
:, Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
\ + 7% State Surcharge
" Heat Plimp
Minimum/ Adj ustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
9/8/05
9/8/05
9/8/05
9/8/05
9/8/05
Receipt Number
1200500000000001323
1200500000000001323
1200500000000001323
1200500000000001323
1200500000000001323
Total Amount
$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.
./
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 certity 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 wiD 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(ront of the property, and the approved set of plans wiD remain on the site
at all times duri~nstrucGIL .
I/A/c~_ fVc. kc 9 - ~~f) r
/
" Owner or Contractors Signature
Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
"
COM2005-0 1228
COM2005-01228
COM2005-01228
COM2005-0 1228
COM2005-01228
Payments:
Type of Payment
CreditCard
\
:c
,-
'i
~i..,.,
"
~.
;\,
~ ~
9/8/2005
RECEIPT #:
1200500000000001323
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee:-
Paid By
KEVIN BROOKS
- Check Number
Recei ved By Batch Numb er
djb
I of I
City of Springfield Official Receipt
:velopment Services Department
Public Works Department
Date: 09/08/2005
3:07:52PM
Item Total:
Au ttl ori zatio n
Number How Received
Amount Due
3,15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
081207 In Person
Payment Total:
$62.65
$62.65