HomeMy WebLinkAboutPermit Mechanical 2006-7-31
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00953
ISSUED: 07/31/2006
APPLIED: 07/28/2006
EXPIRES: 01/31/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 935 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264314201
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
JOSH NECKELS
935 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Number: 541-913-6798
Contractor Type
Mechanical
Contractor
PACIFIC AIR COMFORT INC
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I CONTRACTOR INFOR1\:lATIONrl~ is f},~J/J,\,\jOi\ICO r~i-\
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License Expiration Date Phone
39237 03/25/2010 541-672-9510
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORlVlAlJON I
fa'l .... ''-J''J. vregon law reql1i~EQUlRED PARKING
, aV1f ru!::;s adortad b S y-ou to
Overlay Dist:o';h::atio.l Sent~; " ;' the Ore[,.~ota'!:.tjlity
# Street ~rees(R,qQ:~E2_001_ ,Thas~ rules alta:!l9~q~p~ed:
Paved Dnve'!t99,: '::.:,-' r"n\! ~01 ~ through OI\;<f~'9P-tC6il~
% of Lot Coverage: " " oo.a,n COpi2S of tho 'I
~-'. 'L ~.-''1 ~r,-'.p f'.. " '" rL es by
'.', '-"1'- d,.' - ..." I~-,r. ,'\":;(9: ~Ile tp,'a; " " .
Uj '-oJ -,' ,,:r .:"1.::' ,.",,~ ,....,,...,.... , ""', _..... \....)j .one
, _,.... .~.L'";';.0.,i.catlom
I PUBLIC IMPROVEMENTS 1-::" ~s l-tUJ-3S2-2344). '
Sidewalk Type:
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00953
ISSUED: 07/31/2006
APPLIED: 07/28/2006
EXPIRES: 01/31/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
~Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
7/31/06
7/31/06
7/31/06
7/31/06
7/31/06
7/31/06
2200600000000001077
2200600000000001077
2200600000000001077
2200600000000001077
2200600000000001077
2200600000000001077
Total Amount Paid
$63.10
I Plan Reviews,
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.
l, Reouired Insoections I
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 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 is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
v;.1A ([~ I
(l7 /;~) In( n
'I - -
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Spr~ngfieid, Oregon 97477
541-726-3759 Phone
C:L.., of Springfield Official Receipt
1. dopment Services Department
Public Works Department
Job/Journal Number
CO M2006-009 5 3
COM2006-00953
COM2006-00953
COM2006-00953
COM2006-00953
COM2006-00953
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000001077
Date: 07/31/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
PACIFIC AIR COMFORT, INC.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
12813
In Person
Payment Total:
Page I of I
11 :40:28AM
Amount Due
3.60
4.50
8.00
12.00
25.00
10.00
$63.10
Amount Paid
$63.10
$63.10
7/31/2006