HomeMy WebLinkAboutPermit Mechanical 2006-6-14
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00743
ISSUED: 06/15/2006
APPLIED: 06/15/2006
EXPIRES: 12/15/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3853 JASPER RD
ASSESSOR'S PARCEL NO.: 1802061310001
Springfield TYPE O~,......~..,,~Heating'System
-. , ~..
TYPE OF USE: Repair Residential
PROJECT DESCRIPTION: Install air handler and heat p~:rmI'CE: Hi\LL EXPIRE IF THE WORK
1f\\5 PERM\1 S -~l' TUlc:. PFRMIT IS NOT
Owner: LEMOIGNE LARRY T & ELF A N i\lJ1HUKILCt:~D Uo~iSi\Bi\N~~PNM\1t,er: 541-729-5725
Address: 3853 JASPER RD COMMEN 00
SPRINGFIELD OR 97478 ANY 180 Di\'( PERI .
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
RONS HEATING AND AIR CONDITIONING 169680
I BUILDING INFORMATIONI
Expiration Date
05/04/2008
Phone
541-343-6829
# of Units:
Primary Occupancy Gronp:
Secondary Occnpancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft
Sq Ft Other:
Occupant Load:
nla
Frontysrd Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
ATTENTION: Oregon law req~~ PARKING
Overlay Dist: follow rules adopted by the 0fl:ID~ Utility
# Street Trees Notification Center. Those rUlettKl'i'ili~~b~'i!~P
Paved Drive R:!Id-'lAR 952,001,0010 through {?~,\j~~f.'OO -
% of Lot Cove~~~eJ. You may obtain copies of the rules by
calling the center. (NO~~:y:e :~~:?~~'~:n
-,....~....~r IUI un:::; ........,'-'~...." ~'''UJ -
!pUBLIC IMPROVEMENTSlcenter is 1,800,332-2344).
Sidewalk Type:
Downs pou ts/Drain s
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Tvpe of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00743
ISSUED: 06/15/2006
APPLIED: 06/15/2006
EXPIRES: 12/15/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value .of Project
F~~. Paid I
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling Unit 10,000 & Ovr
Heat Pnmp
Miscellaneous Mechanical
Amonnt Paid
Date Paid
Receipt Numher
$10.00
$4.50
$3.60
$15.00
$12.00
$18.00
6/15/06
6/1 5/06
6/15/06
6/15/06
6/15/06
6/15/06
3200600000000000330
3200600000000000330
3200600000000000330
3200600000000000330
3200600000000000330
3200600000000000330
Total Amount
$63.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. AIl 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 carefnlly examined the completed application and do hereby certify that all
informatiun hereon is true and correct, and I fnrther certify that any and all wurk performed shall he dune in accurdance
with the Ordinances ofthe City of Springfield and the Laws ofthe State of Oregon pertaining to the work descrihed herein,
and that NO OCCUPANCY will he made of any strtictnre without permission of the Commnnity Services Division,
Bnilding Safety. I fnrther certify that only contractors and employees whu are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensure that all required inspections are reqnested at the proper time, that each address is readable from
the street, that the permit card.. located at the front of the property, and the approved set of plans will remain on the site
at al~es du~ng constr~ ' flu
f4nj~u-nI]lJ~.A M) un!' ) )5" -0:< tJC' {{;
Owne~r Contractors Signature D t
2 of 2
,
225 Fifth Street
Sp~fngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00743
COM2006-00743
COM2006-00743
COM2006-00743
COM2006-00743
COM2006-00743
Payments:
Type of Payment
Check
cReceintl
.
RECEIPT #:
~
WiL ~, ~
... of Springfield Official Receipt
_elopment Services Department
Public Works Department
3200600000000000330
Date: 06/15/2006
Description
Air Handling Unit 10,000 & Ovr
Heat Pump
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RON'S HEATING AND AIR
CONDITIONING, INC
Item Total:
~heck Number Authorization
Received By Batch Number Number How Received
ddk
7561
In Person
Payment Total:
Page I of I
10:40:00AM
Amount Due
15,00
12.00
18,00
10.00
3,60
4.50
$63.10
Amount Paid
$63.10
$63.IU
6/15/2006