HomeMy WebLinkAboutPermit Mechanical 2005-4-15
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..
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. CITY OF ~rKll~uJ:'U,LD
Building/Combination Permit
PERMIT NO: cOM2005-00413
ISSUED: 04/15/2005
APPLIED: 04/12/2005
EXPIRES: 10/15/2005
VALUE:
SITE ADDRESS: 656 LAKSONEN LP
ASSESSOR'S PARCEL NO.: 1702352302200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Owner: STEPHEN SWIFf
Address: 656 LAKSONEN LOOP
SPRINGFIELD OR 97478
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Phone Number: 541-726-9309
I CONTRACTOR INFORMATION I
Expiration Date
08/31/2005
Phone
541-683-2590
R-3
# of Stories: Lot Size:
HeiglJtff~IJfc~e Sq Ft IsI Floor:
TYP'8~mal: I : Oregon law requJrsq fO~Floor:
W,~r ]o,~1{:ules adopted by the Ore<SqrFllD~ment:
Ra~lt" .lj~pn Center. Those rules &S.t f<!t<f!lI'lllle/Carport
En' dl<';2-001-{)010 through OA~f(:
Sp . i1J'ulllIlill!:obtain copies of tt~G'il\~.Load:
r~lIln,.. tho................. {.I_! .. 'I
- - ~-.;.:::.-. ...'" L'OIC.,.JIlUlltI
I DEVELO~I!I..I"':"i:~I~~)tilityNotiticatio .
"'timer IS 1-1100-332-2344). 'lu:QUlRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: _'
VN
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
NOTICE:
THIS PER~'IT SIJA Downspouts/Drains:
I I LL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PFRlnn
I Valuation DescriDtion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Paeelof2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00413
ISSUED: 04/1512005
APPLIED: 04/1212005
EXPIRES: 10/15/2005
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
Fl'l's~
Fee Description
-Mechanical Issuance Fe....
+ 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
4/15/05
4/1 5/05
4/15/05
4/1 5/05
4/1 5/05
4/1 5/05
1200500000000000452
1200500000000000452
1200500000000000452
1200500000000000452
1200500000000000452
1200500000000000452
Total Amount Paid
$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.
~I'''~:m~
Rough Mechanical: Prior to Cover
Final Mechanical: When aU 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 wi!i 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 front of the property, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors 1iignature
,
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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Wi,.>o>o'~~ " ',............ .":"
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Jij.,ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00413
COM2005-00413
COM2005-00413
, COM2005-00413
:; COM2005-004l3
. COM2005-00413
Payments:
Type of Payment
Check
~ .
.
-
\
Ill'.
l
4/15/2005
RECEIPT #:
1200500000000000452
Date: 04/15/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 12907 In Person
Payment Total:
Paid By
ASSOCIATED HEATING
Page I of 1
10:50:42AM
Amount Due
3.15
4.50
8.00
12.00
25.00
10.00
$62.65
Amount Paid
$62.65
$62.65