HomeMy WebLinkAboutPermit Mechanical 2006-8-14
.
Status
Issued
.~ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01033
ISSUED: 08/14/2006
APPLIED: 08/1112006
EXPIRES: 02/14/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
,
541-726-3769 Inspection ,Line
,
SITE ADDRESS: 57:76 KALMIA LN
ASSESSOR'S PARCEL NO.: 1802041403100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heating System
. S'!OU \0
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0(\ IV" 0 egu.' - \n
HINKLE BARTON C & LESLIE 1rnON'. Oleg d '0'1 \tle 1 ale set 1010\,
5776 KALMIA LN fl."!::'" c, adO?\8 OS8 (\.lIeS p. 95'2..0
SPRINGFIELD OR 97478 10110'/'J lule'ce(\\el. In ""loUgn 0P; luleS '0'1
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ca\\\(\ I IOl \ne. .\)00.33l;icense
{\u('(\'oe r.e(\\8t1S \ 169209
. Contractor
, J COO INC
Expiration Date
04/12/2008
Phone
541-746-7065
Owner:
Address:
Contractor Type
Mechanical
BUILDING INFORMATION I
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 GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction ,Type:
# of Bedrooms: I
R-3
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
......
Street Improvements:
Storm Sewer Available: .
Special Instruction:
I PUBLIC IMPROVEMENTS I I'll-
"Ol\C~: Mn S\'If>.ll t~PIRts\~~1~.re,
i\'llS PER lEO UNOER i\'llS ~~'m:~J\I'8"lDrains:
f>.l.li\'lOR\ EO OR IS f>.B!>.NO
COMMEON~!>.'( PERIOO.
f>.N'( 18 .
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone I
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 5% Technology Fee ,
+ 8% State Surcharge ;
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment tyIechanical
I .
Total Amount PaId
.
Total Value of Project
F....s PllidJ
Amount Paid
$10.00
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
$65.35
I Plan Reviews I
Date Paid
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
8/14/06
. CITY OF SPRIN~l' IJ<.LD
Building/Combination Permit
PERMIT NO: COM2006-01033
ISSUED: 08/14/2006
APPLIED: 08/1112006
EXPIRES: 02/14/2007
VALUE:
Receipt Number
1200600000000001258
1200600000000001258
1200600000000001258
1200600000000001258
1200600000000001258
1200600000000001258
1200600000000001258
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.
I R..ouir..d 'nsn..~tions I
Rough Mechanic~l: Prior to Cover
I
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 mad....'::':; :':.' ture without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees 0 are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are quested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the pr erty, and the approved set of plans will remain on the site at all
times during constructi~n.
W
r
Owner or Contractors Signature
Pa2e 2 of2
f)S- I tfr() C,
Date
225 Fifth Street
(,.0-' .' -..' .
SpringfieJd, Oregon 97477
541-726-3759 Phone
.
;inii.".'.'.~.~...
WiL.
, .
.'
...--",_", .' ___,r ~
<;;& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 033
COM2006-0 I 033
COM2006-0 I 033
COM2006-0 I 033
COM2006-0 I 033
COM2006-0 I 033
COM2006-0 I 033
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 08/14/2006
2:44:16PM
1200600000000001258
Description
Air Handling Unit Up to 10,000
Heat Pump
-M~chanicallssuance Fee-
Minlmum/Adjustment Mechanical
+ 10% Administrative Fee
+ 8% State Surcharge
+ 5% Technology Fee
Amount Due
8.00
12.00
10.00
25.00
4.50
3.60
2.25
$65.35
Paid By
BRIAN TILLER
I
Item Total:
t::heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
094187 In Person
Payment Total:
$65.35
$65.35
Page I of I
8114/2006