HomeMy WebLinkAboutPermit Mechanical 2005-11-1
.
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
*
. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-01155
ISSUED: 11/0112005
APPLIED: 08/25/2005
EXPIRES: 05/0112006
VALUE:
SITE ADDRESS: 507 LAKSONEN LP
ASSESSOR'S PARCEL NO,: 1702352304900
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: JOY CAVIN
Address: 507 LAKSONEN LP
SPRINGFlELD OR 97477
,_.
Phone Number: 541-726-8540
Contractor Type
Mechanical
I CONTRAC:IOR-INFORMA 11ION'.S you to
.' . 'd b me u,,,,\,!on Utility
f liow rules adDpte Y -, fn-th
Contractor "~tifi(' tion Center. Thoidcense'l.re sF;x~i,t:~tion Date
CHITTIM ENTERPRIS".~. 1;1!\lS;).nn1-001 0 th473',!6 OAR 95~.V 0,3/08/2007
Phone
541-461-2101
VN
- -~'~s Ul lll\;.oo ,..........- ~
I BUlli'DINGIINFORMATIONlhe telephone
calling tne c;,,, ,,"',. \. ,. 'Utility Notification
n~,"tSJoiies'ile Oregon .2344). Lot Size:
Height(9fnter IS 1.800.332 Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled nla Occupant Load:
. # of Unils:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPRO'lr1~ml
THIS PERMIT ~~~~!lUtt;.JF THE WORK
AUTHORIZED UJ:!DER THis'P1RMIT IS NOT
COMMENCED ~'1SnsA'8l\'~fIJe~ FOR
ANY 180 DAY PERIOD,
. Street
Notes:
I Valuation Oescriotion I
DeScriptioo
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
I of 2
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO:, COM2005-01155
ISSUED: 11101/2005
APPLIED: 08/25/2005
EXPIRES: 05/01/2006
VALUE:
Total Value of Project
Fees Paid I
. Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10,00
$4,50
$3,15
$8,00
$12,00
$25,00
1111105
1111105
1111105
1111105
1111105
1111105
1200500000000001658
1200500000000001658
1200500000000001658
1200500000000001658
1200500000000001658
1200500000000001658
Total Amount
$62,65
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.
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 wiD be made of any structure without permission of the Community Services Division,
Building Safety, I further certify that only contractors and empioyees 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.. located at the front ofthe property, and the approved set of plans wiD remain on the site
~t all ' . ~ during c~nstr,'ff, iOIL,
~ A. AII""MO,,, /11/ J~
,
Owner or Contractors Signature Date
2 of 2
22~iftl\'Street
Springfield, Oregon 97477
541-726-3759 Phone
.
a~~,!..~~" ~',"v ,',.
~. .
"." "'Ii.'
, \,
.' t.
""',.." ..'
....li:ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Job/Journal Number
COM2005.01155
COM2005.01155
COM2005-01155
COM2005-01155
COM2005-01155
COM2005-0 1155
Payments:
Type of Payment
Check
.i
J
,.
1111/2005
RECEIPT #:
1200500000000001658
Date: 11/0112005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/ Adjustment Mechanical
-Mechanical Issuance Fe.....
Paid By
JAMES HEATING
Item Total:
LneCK Numoer AutnonzatIon
Received By Batch Number Number How Received
djb 1414 In Person
Payment Total:
I of I
2:54:19PM
Amoont Due
3.15
4.50
8.00
12.00
25.00
10.00
$62,65
Amount Paid
$62.65
$62,65