HomeMy WebLinkAboutPermit Mechanical 2004-3-1
-ijt-
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00236
ISSUED: 03/0112004
APPLIED: 03/0112004
EXPIRES: 09/24/2004
VALUE:
Status
Issued
.~.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 IDspectioD LiDe
SITE ADDRESS: 1612 RAMBLING DR
ASSESSOR'S PARCEL NO.: 1703252209200
SpriDgfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Heat pump and air haDdler
OWDer: STEVEN TENHAEFF
Address: 1612 RAMBLING DR SPRINGFIELD OR 97477
Phone Number: 541-726-8970
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
MechaDical
Contractor
JOSEPH BUNCH ELECTRIC INC
J CO ENTERPRISES INC
License
156761
156807
Expiration Date
08/21/2007
09/09/2005
Phone
541-344-8745
541.689.1667
"'
BUILDING INFORMATION I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
EDergy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
# of UDits:
Primary OccupaDcy Group:
Secondary Occupancy Group:
Primary Construction Type
SecoDdary Construction Type:
# of Bedrooms:
R.3
SETBACKS
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: TION'Oregon lallfotll\U1res you to
# Street Trees Rqd:ATTEN I dopted by tHaI(iJh:llppEtlIJtility
Paved Drive Rqd: fo~I?W ~u esCa -'ar Thos~13re set eart'
lotlhcatlon e,,, ' OAR 952-00'
% of Lot Coverage: OAR 952-001-0010 through I t
n 'obtain'coples of the ru 09
0090. You may '"' _"_. ..", toh.nhone
I PUBLIC IMPROVEMENTS't~;r ~r~~ ~~ 'o;~~o~ Utility Notification
.. - Sidewallctypr:n-~~?-2344).
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
'\
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
DOWDSpoutslDraiDs:
Notes:
NOTICE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Pacelof3
'I,
.
Status
Issued
225 Fifth Street, SpriDgfield, OR
541-726-3753 Ph ODe
541-726-3676 Fax
541-726-3769InspectioD LiDe
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmouDt
Tvpe of Construction
....
Total ValDe of Project
Fppr pqillJ
Fee Description
-MechaDicallssuaDce Fee-
+ 10% AdmiDistrative Fee
+ 7% State Surcharge
Air HandliDg UDit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, ExteDd Circ Ea Add
AmouDt Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
$4.90
$3.43
$43.00
$6.00
3/1/04
3/1/04
3/1/04
3/1/04
3/1/04
3/1/04
3/24/04
3/24/04
3/24/04
3/24/04
"
Total Amount Paid
$119.98
I Plan Reviews I
.
Lit Y OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00236
ISSUED: 03/01/2004
APPLIED: 03/01/2004
EXPIRES: 09/24/2004
VALUE:
Value
Date Calculated
Receipt Number
2200400000000000196
2200400000000000196
2200400000000000196
2200400000000000196
2200400000000000196
2200400000000000196
1200400000000000378
1200400000000000378
1200400000000000378
1200400000000000378
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 )?P'Wirp,! T~Pl'tinn.1
2 Rough MechaDical: Prior to Cover
1 FiDal Mechanical: WheD all mechaDical work is complete.
3 Rough Electric: Prior to Cover
4 FiDal Electric: WheD all electrical work is complete.
Pace 2 of3
.
.
CITY OF ~rK1I~,-,FIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00236
ISSUED: 03/0112004
APPLIED: 03/0112004
EXPIRES: 09/24/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 PhoDe
541-726-3676 Fax
541-726-3769 InspectioD LiDe
By sigDature, I state aDd agree, that I have carefully examined the completed applicatioD and do hereby certify that all
information hereoD is true aDd correct, and I further certify that aDY aDd all work performed shall be dODe in accordaDce with
the OrdiDances of the City of Springfield and the Laws of the State of OregoD pertaiDing to the work described herein, and
that NO OCCUPANCY will be made OfaDY structure without permission of the CommuDity Services DivisioD, Building Safety.
I further certify that oDly cODtractors and employees who are iD compliaDce with ORS 701.005 will be used on this project.
I further agree to eDsure that all required inspectioDs are requested at the proper time, that each address is readable from the
street, that the permit card is located at the froDt of the property, and the approved set of plaDs will remaiD 00 the site at all
times during constructioD.
OWDer or Contractors Signa tore
Date
Pace 3 of3
,:i 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00236
C0M2004-00236
C0M2004.00236
C0M2004.00236
PaymeDts:
Type of Payment
CreditCard
"'.1
~;-~~
--. !
Receipt #: 1200400000000000378
::~.
Description
+ 7% Slate Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
JOSEPH BUNCH
000333 394091
City of SpringfiJid Official Receipt
Development Services Department
Public Works Department
Date: 03/24/2004 10:50:58AM
Amount Paid
Item Total:
3.43
4,90
43.00
6.00
$57.33
How Received
Amount Paid
In Person
PaymeDt Total:
$57.33
$57.33
.
.