HomeMy WebLinkAboutPermit Mechanical 2005-11-1
.
. CITY OF SPRINGFIELD
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
Building/Combination Permit
PERMIT NO: cOM200S-01497
ISSUED: 11I01l200S
APPLIED: 10/24/200S
EXPIRES: OS/01l2006
VALUE:
SITE ADDRESS: 1266 SEQUOIA AVE
ASSESSOR'S PARCEL NO.: 1703273402909
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
, PROJECT DESCRIPTION: Heat pump and air handler
" Owner:
Address:
Contractor Type
Mechanical
NATHAN GARBER
1266 SEQUOIA AVE .
SPRINGFIELD OR 9747f'-TTENTION: Oregon law requires you to
f"lIn\.M n"AC:; :::lrlnntprl h\/ thp nrpnnn lJtilitv
NotifiC!:Itit"lo.nJ"'o.ntor Thnco. rlllp.c:. ~rj:lo c:.pt fnrth
in OAR1.CONT-RAC1:0R.INEORMA HON'11_
0090. You may obtain copies of thl! rules by
Contractor callin,9..the center. (Nole: the t!1~~!lJ.~.!
CHITTIM EN1:!<;~IDs.E.s,J.mC;;onM Iltil;,,, ~~'l3.?6..lti"",
Phone Number: 541-343-1846
Expiration Date
03/08/2007
Phone
541-461-2101
I BllIUDING'INI10RMNFIONI
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
PrImary Oceupaney Group:
Seeondary Oceupaney
Yrimary Construction Type
, Secondary Construetion
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Speeial Instruetion:
IPuailiG':IOOROVEMENTSI
I nl,) rdfll'lIl ~H~LL EXPIRE Yl~~:
AUTHORIZED UNDER THIS PEB~L~A~
COMMENCED OR IS ABANDONED FOR rains
ANY 180 DAY PERIOD.
Notes:
I Valuation Descriotion I
Description
Tvpe of Construetion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
-iF
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM200S-01497
ISSUED: 11I01l200S
APPLIED: 10/24/200S
EXPIRES: OS/01l2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
.. 541-726-3769 Inspection Line
Total Value of Project
Fp.p.stlWU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
525.00
11/1/05
11/1/05
11/1/05
11/1/05
11/1/05
11/1/05
Receipt Number
1200500000000001651
1200500000000001651
1200500000000001651
1200500000000001651
1200500000000001651
1200500000000001651
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. win be made the following
work day.
Rough Meehanieal: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the eompleted application and do hereby eertify that all
, information hereon is true and eorrect, 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 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 eompliance 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 readabie from
the street, that the permit card i<; located at the front of the property, and the approved set of plans wiD remaIn on the site
~t al ' es during cons~ctl'tt
.~ A .x1U-.A? PL-o._ 111;1116-
wner or Contractors Signature Date
2 of 2
225 Fifth. Street
Springfie~, Oregon 97477
541-726-3759 Phone
.
~;,
~
City of Springfield Official Receipt
.velopment Services Department
, Public Works Department
Job/Joomal Number
COM2005-0 1497
COM2005-0 1497
COM2005-0 1497
COM2005-01497
COM2005-0 1497
COM2005-0 1497
Payments:
Type of Payment
Cheek
"
'i
'C
"
"
"
\.
'/
111112005
RECEIPT #:
1200500000000001651
Date: 11/0112005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Meehanieal
-Mechanical Issuance Fee-
Paid By
JAMES HEATiNG
Received By
djb
1 of I
Item Total:
LhecK Number Aumonzalion
Batch Number Number How Received
1414 in Person
Payment Total:
2:49:36PM
Amoont Due
3,15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62,65
$62.65