HomeMy WebLinkAboutPermit Mechanical 2006-3-30
.
. CITY OF ~rKJI'lt.FmLU
Building/Combination Permit
PERMIT NO: COM2006-00364
ISSUED: 03/30/2006
APPLIED: 03/28/2006
EXPIRES: 09/30/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
" 541-726-3769 Inspection Line
SITE ADDRESS: 796 POLTAVA ST
ASSESSOR'S PARCEL NO.: 1703342203000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
ResIdential .
PROJECT DESCRIPTION: Replace Heat Pump & Air Handler
- Owner: BJM TRUST
: 'Address: 796POLTAVAST
SPRINGFIELD OR 97477
Owner: BARBARA MANN
Address: 796 POL T A V A
SPRINGFIELD OR 97477
Phone Numher: 541-747-3923
'. Contractor Type
" Mechanical
_ __ I...,AI rpnuires yuu ~v
iI1(l:Vl" l N\:(;:TORJINFORMkTrION'IJtility
tolloW rUle~ auv~'- - . rules are set torth
Contractor Notitication c~nt~~<~~o~~u(,I,..iteuSe)52-(EXJliration Date
ASSOCIATED HJi:.~lf:~NG:&?~R1q)NI!.llr.m;;19~nse rules by 08/3112006
UI"BuiiiiiNG:INF.ORMArr.ION;le\epnO~i~n
",,,,,,',, - 0 gon UlI"'Y ,~ot\f1ca
,- Ie' '''r the re 344)
numll of Stories:. 1_800-332-2 .
""onl~1 I~
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-683-2590
# of Units:
.. Primary Occupancy Group:
, Secondary Occupancy Group:
_ Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
Frontyard Setback:
SIde I Setback:
Side 2 Setback:
, Rearyard Setback:
: Solar Setbacks:
I DEVELOPMENT INFORMATION I
1({0EDist. RE If i~~ \N{)~~
1-\~lil~ 8.llci,L\.. tX~\~ PERWlli ,~ "~'"
"r.~~,.tu I \?:~~lJ.ltmtR :I3ANOONEO flJI'
/Wor'I;< ~ff~~:IS"
~~~~~p.n nA'{ PtRIOO.
I PUBLIC iMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutsffirains:
Notes:
Paeelof3
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.
. CITY OF SPRIr~ul'l.li,L1J
Building/Combination Permit
..
Status
Issued
PERMIT NO: COM2006-00364
ISSUED: 03/30/2006
APPLIED: 0312812006
EXPIRES: 09/30/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
)?pp< tIilIJ
.
,
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
- Heat Pnmp
.. Miscellaneous Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
3/30/06
3/30/06
3/30/06
3/30/06
3/30/06
3/30/06
1200600000000000382
1200600000000000382
1200600000000000382
1200600000000000382
1200600000000000382
1200600000000000382
Total Amount Paid
$63.10
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.
~rIPlrllnl",I"III~lrotil~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa~e 2 of3
.
. LU r OF I)rKll'jut<l~LD
Building/Combination Permit
PERMIT NO: COM2006-00364
ISSUED: 03/30/2006
APPLIED: 03/28/2006
EXPIRES: 09/30/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 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 front of the property, and the approved set of plans will remain on the site at all
'times during construction.
!~'.., ~kr; )-30-0 b
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springflela, Oregon 97477
541-726-3759 Phone
.
8!'~~I~~~_"_____ '....
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.JiIl.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200600000000000382
Date: 03/30/2006
2:24:46PM
Job/Journal Number
COM2006-00364
COM2006-00364
COM2006-00364
COM2006-00364
COM2006-00364
COM2006-00364
Description
Heat Pump
Air Handling Unit Up to 10,000
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Item Totai:
Check Number Authorization
Received By Batcb Number Number How Received
Amount Due
12,00
8.00
25.00
10.00
3.60
4.50
$63.10
Amount Paid
Check
:1
ASSOCIA TED HEATING
djb
14419
In Person
Payment Total:
$63.10
$63.10
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3/30/2006
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