HomeMy WebLinkAboutPermit Mechanical 2005-10-19
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CITY.OF SPRINGFIELD
.:
Status: Issued
225 Fifth Street, Springfield, OR
,;11541-726-3753 Phone
, 541-726;..3676 Fax
541-726-3769 Inspection Line
Building/Combination Permif
PERMIT NO: COM2005-01470
ISSUED: 10/19/2005
APPLIED: 10/19/2005
EXPIRES: 04/19/2006
VALUE:
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SITE ADDRESS: 2249 BONNIE LN
ASSESSOR'S PARCEL NO.: 1703251210100
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
{r PROJECT DESCRIPTION: Replace heat pump and furnace
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; Owner:
Address:
DA vm. WILSON
2249 BONNIE LANE
SPRINGFIELD OR 97477
Phone Number: 541-933-1433
I CONTRACTOR INFORMATION I
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# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
Contractor Licenstr
J CO ENTERPRISE~ Il'iCr-.fTI~~ l. ~ 156807
ILBBiflJDrN(illi.R6&i\<<TI<JN.ires you to
NOLl/fGanOnCent T J"'''' v/~gon Utility
in OA er. hose rul
R #)gf?~B~tI(J61 0 th es are set forth-ot Size:
,R-3 0090. Yfuigh~t of..bt i ro~gh OAR 952-001~q Ft 1st Floor:
calJjnff~I1S Hta?: n Copies of the rules by;q Ft 2nd Floor:
VN numbe"'~f"V'.Jfl: (Note: the telephone Sq Ft Basement:
JtaJffi~ 'f~'P.e~gon Utility Notificatio Sq Ft Garage/Carport
EnerJ Ph16~00-332-2344). n Sq Ft Other:
Sprinkled n/a Occupant Load:
Expiration Date Phone
09/09/2007 541-689-1667
;j Contractor Type
"1'" Mechanical
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I DEVELOPMENT INFORMATION I
'. Front yard Setback:
Side 1 Setback:
Side 2 Setback:
'. Rearyard Setback:
";, Solar Setbacks:
Overlay Dist:
# Stret:t Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPROVEMENTS I
11U U{,~; Sidewalk Type: .
THIS PERMIT SHALL EXPIRE IF 'W..E WOR.K .
AUTHORIZED UNDER THIS PERMtTnBislDra~.s
COMMENCED OR IS ABANDONED FOR ;
. ANY 180 DAY PERIOD.
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Notes:
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I Valu'ation Descriotion I
I,:
~~;:', ' Description
.
Type of Construction
$ Per Sq Ft ,
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
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Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
\' 541-726-3769 Inspection Line
~ Fee Description
~Mechanical Issuance Fe~
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
,.;
Total Amount
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01470
ISSUED: 10/19/2005
APPLIED: 10/19/2005
EXPIRES: 04/19/2006
VALUE: '
Total Value of Project
Fees Paid I
Amount Paid
$10.00
$4,50
$3,15
$12.00
$12.00
$21.00
$62.65
I Plan Reviews,
Date Paid
Receipt Number
1200500000000001569
1200500000000001569
1200500000000001569
1200500000000001569
1200500000000001569
1200500000000001569
10/19/05
10/19/05
10/19/05
10/19/05
10/19/05
10/19/05
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 will be made of any structure without pennission 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 ~ 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.
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Owner or Contractors Signature
it.,
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(Or/floe(
Date
225 Fifth Street
Springfiefd, Oregon 97477
541-726-3759 Phone
~4'd
City of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
:" 'COM2005-01470
.;~ .Ill
~ COM2005-01470
COM2005-01470
COM2005-0 1470
COM2005-0 1470
COM2005-0 1470
Payments:
, Type of Payment
CreditCard
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10/19/2005
RECEIPT #:
1200500000000001569
Date: 10/19/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee~
Paid By
BRIAN TILLER
Item Total:
LheCJ{ Numoer AuUlorlzatlon
Received By Batch Number Number How Received
djb 246829 In Person
Payment Total:
I of 1
1:44:30PM
Amount Due
3.15
4.50
12.00
12.00
21.00
10.00
$62.65
Amount Paid
$62.65
$62.65