HomeMy WebLinkAboutPermit Mechanical 2005-6-30
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
541-726-37691nspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00822
ISSUED: 06/30/2005
APPLIED: 06/29/2005
EXPIRES: 12/30/2005
VALUE:
SITE ADDRESS: 3905 RICHLAND ST
ASSESSOR'S PARCEL NO.: 1802064106300
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Heatpump & Air Handler
TYPE OF USE: Addition
Residential
Owner: SAGE ARLEN J & CHERYL L
Address: 3905 RICH LAND ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Front yard Setback:
, Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Selbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION'
Contractor License
CHlTIIM ENTERPRISES liNe 47396
ATTENTI\I'l8~.lfi~iJ\ir~iTlr~
follow fules adoptee oy " I",
Notification CenffJRf1ilm'k5lules are set forth
I OAR 952-001-tJsigJttlllf:lugh OAR 952-001-
~090. You may iJlMrtlf;~ilm of the rules by
II' the c~r~tT~~:the telephone
=~~~r for th ti(fr~I/Jt;lity Notification
Centef ~'~1I.fl8~'9.::-2344).
prlDK1ed n/a
I DEVELOPMENT INFORMATION'
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS'
Expiration Date
03/08/2007
Phone
541-461-2101
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
NOiICE: fl.LL EXPIRE IF 1HE WORK DownspoutslDralns
1HIS PERM\1 S~OER 1HIS PERMI1 IS N01
fl.U1HORIZED UOR IS fl.Bfl.NOONEO FOR
COMMENCED
.... "nn n~V PFRIOO.
t'\1'l1
I Valuation Descriotion I
SPerSq Ft
or multlp6er
Square Footage
or Bid Amount
Description
Type of Construction
1 of 2
Value
Date Calculated .
~iF
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-00822
ISSUED: 06/30/2005
APPLIED: 06/29/2005
EXPIRES: 12/30/2005
VALUE:
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
-. Fee Description
. -Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Snrcharge
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
$25.00
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
6/30/05
Receipt Number
1200500000000000918
1200500000000000918
1200500000000000918
1200500000000000918
1200500000000000918
1200500000000000918
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 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 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 ~ located at the front ofthe property, and the approved set of plans wiD remain on the site
at a~s during constructi~1L
" 1. ~..I:ba__ t,-.1D-O~
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-"i26-:l1s9 Phone
.
.,I!~~~~~~!eI? .,_ .". ~.'
~.
...... :
JiJ..ty of Springfield Official Receipt
W'elopment Services Department
Public Works Department
Job/Journal Number
COM2005-00822
COM2005-00822
COM2005-00822
COM2005-00822
COM2005-00822
COM2005-00822
Payments:
Type of Payment
Check
'i
'i
~
'I
6130/2005
RECEIPT #:
1200500000000000918
Date: 06/30/2005
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JAMES HEATING
Reeel ved By
djb
1 of I
Item Total:
Lneck. Number AuUlorlzaUOD
Batch Number Number How Received
1391 In Person
Payment Total:
10:34:12AM
Amou nt Due
8.00
12.00
25.00
10.00
3.15
4.50
$62.65
Amount Paid
$62,65
$62.65