HomeMy WebLinkAboutPermit Mechanical 2004-7-16
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00889
ISSUED: 07/16/2004
APPLIED: 07/16/2004
EXPIRES: 01116/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1580 S A St
ASSESSOR'S PARCEL NO.: 1703363206601
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
Alteration
Commercial
PROJECT DESCRIPTION: Install 1.5 ton split system.
Owner: EDWARDS JAMES LF EST
Address: 1570 SA ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
JET HEATING INC
License
3944
Expiration Date
05/31/2005
Phone
503-363-2334
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
.' BUILDING INFORMATION.
# of Units: #Of~~
Primary Occupancy Group: B alit.~ructure
Secondary Occupancy Group: , ~ ~r~at:
Primary Construction Type' VN 9..~~ ~ ~'TYpe:
Secondary Construction Type: \,. ~~ ~S ~ ~ e Type:
# of Bedrooms: ~~\; ~" ~~'Energy Path:
~. ~ S ~\)<<; S ~<Q Sprinkled Building:
.,~. -~ - ,,\; ~" ^
~t::;) ~S ~x,~\,x,~~\) \J*Pi:\YELOPMENT INFORMATION ~ ~~~ ~
'\~, ,,~~ ~~\J <;'\~ eo" ~ -\)~ ,o~ ~' REQUIRED PARKING
~'V ...~~' ~v ~ o~ *' ~~
<0\)~' ,<8 Overlay Dist: \e~ ~e<:$ ~0 ~ b'l: 'Q'\ Total:
"?-~ # Street ~rees Rq~~ ~0 '{."eo" ~ ~ <?) ....s-00" ~0 Handicapped:
. Paved Drive R~ 'O~ ~ \v O~.;s-0 R~O ~o~ Compact:
'0/0 of Lot C~~~ ~00,,0 ovCf r? 0' ,~e .&.(,7)'
C~. ~:P~ ~ ~ ~ ilJ.;s-e ~o~
,-<.~ .~ ;..0'_...<;;:} rPJ{f. .~~ I'~'
I PUBL~ ~~~- _c~.~ ~v . :'. ~ o~ ~~~'l:~:)
,a>':~c'J' m o,0~walk Type:
~o~ oft' 4,Ov 0 e '\'
,~ O~. ~..;s: ~..;s: ;"C;J Downspouts/Drains:
'~dZS ~(;' ~ ,0 ~e
~ CJ'l). ~0 (;0
~v~
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pae:e 1 of 2
· -_~~~~{!4~~J.!.H~r*,~",'"i"'_
II!
J-
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00889
ISSUED: 07/16/2004
APPLIED: 07/16/2004
EXPIRES: 01/16/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L.Fees Paid'
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
BoilerlComp 3-15 HP
Minimuml Adj ustment Mechanical
Amount Paid
. Date' Paid
$10.00
$4.50
$3.15
$22.00
$23.00
7/16/04
7/16/04
7/16/04
7/16/04
7/16/04
Receipt Number
2200400000000000940
2200400000000000940
2200400000000000940
2200400000000000940
2200400000000000940
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 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 !!Ie front of the property, and the approved set of plans will remain on the site at ali
(tl:~s=~~ .. . 7~~ 1,4
Owner or Contractors Signature ~ ' '- I
Pae:e 2 of2
.225 Fifth Street
, Springfield, Oregon 97477
, 541-726-3759 Phone
CHv of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00889
COM2004-00889
COM2004-00889
COM2004-00889
COM2004-00889
Payments:
Type of Payment
Check
7/16/2004
RECEIPT #:
2200400000000000940
Date: 07/16/2004
Description
Boiler/Comp 3-15 RP
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee~
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JET REA TlNG lNe.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
19224
In Person
Payment Total:
Jmp
Page I of 1
11:45:39AM
, Amount Due
22.00
23.00
10.00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65