HomeMy WebLinkAboutPermit Mechanical 2005-12-12
.
~
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01705
ISSUED: 12/12/2005
APPLIED: 12/08/2005
EXPIRES: 06/12/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 353 DEADMOND FERRY RD
, ASSESSOR'S PARCEL NO,: 1703154002200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace heat pump and air ~TJrCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
Residential
Owner: PEACE HEAL TH
Address: PO BOX 1479
EUGENE OR 97440
/'IU I nu niL[: U UI~ucn 1m" rC:n1VIII I" I~U I
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
MNB ELECTRIC INC
COMFORT FLOW
License
162191
460
Expiration Date
11/19/2006
06/27/2007
Phone
541-726-8601
541-726-0100
I BUlLDI,R. mrORMATION I
. # of Units:
, Primary Occupancy Group:
Secondary Occupancy Group:
Prima,y Construction Type
Secondary Coustruction Type:
# of Bedrooms:
VN
# of Stories: Lot Size:
Height of Str(uctul'e egon law requireSSqlPtt-lst Floor:
fl.fT,-tl.ill H\J: U( '. .
Type or-Heat: d t d by the OregoSq.Ft'2.nd Floor:
....-lI:;)"rld,:l.!=;a ope _.
Wate~ Type:'" Those rules ar,Sq:Ft'Bas, ement:
R' '-""'T"'~~ Center. S F G C
an~~.;~~,!';,_ _ 010throllqh O:,cLq t arage! arport
Energy.P~th: 001 0 '. 0: thcSq,Ft,Other:
S - 'i-Id' 'd'B' 'ld'l" "btam cor..,/ 0 0 L
pr n e . Ul ng: ., u.a. r '.., ccupant oad:
_ _11:....,... thn r-n:-ltpr (1','.__'0..1 '
R-3
I DEVELOPMENT-INFORMATION'
l,..... 1'....-:" J
Front yard Scthack:
Side 1 Sethack:
Side 2 Sethack:
Rcaryard Setback:
Solar Setbacks:
Overlay Dist:
# St,eet Trees Rqd:
Paved D,ive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutsIDrains:
Notes:
Palle 1 00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
"
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Su,charge
Ai, Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Refund - -Mechanical Issuance
Refund - + 10% Administrative
Refund - + 7% State Surcharge
Refund - Air Handling Unit Up
Refund - Heat Pump
. Refund - Minimum/Adjustment Me
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
~
CITY OF SPRIrli\:r.l'lJ!,LD '
Building/Combination Permit
PERMIT NO: COM2005-01705
ISSUED: 12/12/2005
APPLIED: 12/08/2005
EXPIRES: 06/12/2006
VALUE:
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
)fpp< PIil&l
Amount Paid
Date Paid
Receipt Number
1200500000000001795
1200500000000001795
1200500000000001795
1200500000000001795
1200500000000001799
1200500000000001799
1200500000000001799
1200500000000001799
1200500000000001799
1200500000000001799
1200500000000001802
1200500000000001802
1200500000000001802
1200500000000001802
1200500000000001802
1200500000000001802
2200500000000001695
2200500000000001695
2200500000000001695
2200500000000001695
2200500000000001695
2200500000000001695
$4.50
$3.15
$43,00
$2,00
$10.00
$4,50
$3.15
$8.00
$12.00
$25.00
$-10,00
$-4.50
$-3,15
$-8.00
$-12,00
$-25.00
$10.00
$4.50
$3.15
$8,00
$12.00
$25.00
12/9/05
12/9/05
12/9/05
12/9/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/12/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
12/13/05
$115,30
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.
Pal!e 2 of3
.
Status
Issued
225 Fifth St,eet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired TnsnedionsJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01705
ISSUED: 12/1212005
APPLIED: 12/0812005
EXPIRES: 06/12/2006
VALUE:
By signature, I state and agree, that I have ca,efully examined the completed application and do hereby certify that all
information he,eon is true and correct, and I further certify tbat any and all work performed shall be done In accordance with
the Ordinances of the City of Sp,ingfield 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,
1 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 f,ont of the property, and the app,oved set of plans will remain on the site at all
times during construction.
, ~n'l Uyy ie:.,
Owner or Contractors Signature
Paee 3 of3
1~/I.~/tA
f .
Date
.
."~"R'NQ,PJa.o," '.','
1Ir' '
'~. '
.-..-. ~.-
~ty of Springfield Official Receipt
~evelopment Services Department
Public Works Department
225 Fiftl\. Street
Spl;ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-0 1705
COM2005-0 1705
I,
COM2005-0 1705
COM2005-0 1705
COM2005-0 1705
COM2005-0l705
Payments:
Type of Payment
Check
"
0'
"
\
;C
:'
"
0'
"
:(
,.
12/13/2005
~,
RECEIPT #:
2200500000000001695
Date: 12/13/2005
Description
Heat Pump
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COMFORT FLOW HEATING
CO
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
ddk 32126 In Person
Payment Total:
Page 1 of 1
12:05:09PM
Amount Due'
12,00
8,00
25,00
10,00
3,15
4,50
$62.65
Amount Paid
$62,65
$62.65