HomeMy WebLinkAboutPermit Mechanical 2006-6-28
.
Status
Issued
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00751
ISSUED: 06/28/2006
APPLIED: 06/19/2006
EXPIRES: 12/28/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. SITE ADDRESS: 655 LAKSONEN LP
ASSESSOR'S PARCEL NO.: 1702352302300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Add heat pump
Owner: MANDEE HILL
Address: 655 LAKSONEN LP
SPRINGFIELD OR 97478
Phone Number: 541-746-1424
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
I BUILDING INFORMAT.IONteS yoU \0
.. \ oregon Utility
. d bv \ ,e ...1>'
# of Stories:.8 h ' e rules are set 10. "Lot Size:
Height ofSfru1tu'l-~ ugh OAR 952.00Sq Ft 1st Floor:
,..", 0 tmO b"
Type of,Heat:' . . s 01 the rules ..q Ft 2nd Floor:
. Water,iT'Ype:taln COpl~ the telephone Sq Ft Basement:
. Ran.g~JTyp":3r. (Nole. Hi\ NotilicatiOr8q Ft Garage/Carport
c. . ~,'I,~~19: r,a!h:Jre?~n U\ -i344). Sq Ft Other:
nUll spr~~,~.<!I~Yilding';l.332 n a Occupant Load:
Expiration Date
08/31/2006
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
R-3
VN
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side J Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I . ?'t. It i\"l't. \"l~,
re. . '-.tJ:.'i'1 a"li IS
\\()1\\I~' \\~(~e.~\l\II(";I~'i\'lIS 'i't"I'G to?'
il.1l" 'i''t.? &" Ll1-\\\~tsl"/g ,,""O\'\t:
\' ., 01' owuspou ~alDS:
\"10" " ? I';) V"
~~WI't.\'\C't.~ ~'t.?10\).
fI..\'\'/ \~Cl \)r>:
'.
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax.
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 8% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2006-0075I
ISSUED: 06/28/2006
APPLIED: 06/19/2006
EXPIRES: 12/28/2006
VALUE:
Total Value of Project
FI'I" tlWU
Amount Paid
Date Paid
Receipt Number
1200600000000000988
1200600000000000988
1200600000000000988
1200600000000000988
1200600000000000988
$10.00
$4.50
$3.60
$12.00
$33.00
6/28/06
6/28/06
6/28/06
6/28/06
6/28/06
$63.10
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 carefnlly 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
cd /lAJt<A-/ ~/AL/;du/'-?~
v _
Owner or Contractors Signature
i/#g/~
r
Date
Paee 2 of2
225 Fifth Street
Springfie.ld, Oregon 97477
54],,726-3759 Phone
Job/Journal Number
COM2006-0075I
COM2006-0075I
COM2006-0075I
COM2006-0075I
COM2006-0075\
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
.
'i'.~
llli:j~
. _..,. ......
. -', ~ .' ..
<;;& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
1200600000000000988
Date: 06/28/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Item Total:
<':heck Number Authorization
Received By Batch Number Number How Received
djb
14802
In Person
Payment Total:
Page I of I
11 :52:28AM
Amount Due
3.60
4.50
12.00
33.00
10.00
$63.10
Amount Paid
$63.10
$63.10
6/28/2006