HomeMy WebLinkAboutPermit Mechanical 2005-11-23
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e-
Lu f OF SPRI1'\jljt<l~LD
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Building/Combination Permit
PERMIT NO: cOM2005-01635
ISSUED: 11/23/2005
APPLIED: 11122/2005
EXPIRES: OS/28/2006
VALUE:
Status
Issued
SITE ADDRESS: 751 LAKSONEN LP Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1702352301000
NOTICE: TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Change out airm~~I\~~I~h~tX''t'la'~'ff.I'IHE WORK
^"TUnnn"ro \O"''''''r. ~II'~ "-"'1'- ..
. - - ---- e!.~_ . ,. IV j-,-,ll'fll hJ I~UI
, Owner: WOOD VIVIAN F COMMENCED OR IS ABANDONED FOR
Address: 751 LAKSONEN LOOP ANY 180 CAY PERIOD
SPRINGFIELD OR 97478 .
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
C PERKINS ELECTRIC
JAMES HEATING
License
159537
Expiration Date
04/15/2008
Phone
541-895-4466
BUILDING INFORMATION'
# ofUnlts:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construclion Type:
# of Bedrooms,
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
i'I1yp.tofHea't:Oregon law requires yoSq:Ft 2nd Floor:
flWatertType:dopted by the Oregon Ullq ft Basement:
NoRiingerTyp:e: nter. Those rules are set~q :I[,~ Garage/Carport
ii1,IJ>nergy)!!a1~:i -001 0 through OAR 95::S9:F.t Other:
(D.O~pri!l!<!e~:~~i!JI~g:,l copies. ,g(l\he rul&cs~pant Load:
.-.~""" , ".- . -, ...-. ,......~ ,. .... It::ne/J1 lUll!::
I DEVELOPMENT. INFORMATION .lfG',ricat,on
Center is 1-8GO-332.; 34.. ,.
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
'.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A valIabIe:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
.
Paeelof3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectlon Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Perm ServlFdr 200 amps or less
-Mechanical Issuance Fe....
+ 10% Administrative Fee
. + 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM200S-01635
ISSUED: ll/23/200S
APPLIED: ll/22/200S
EXPIRES: OS/28/2006
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp< P!WLI
Amount Paid
Date Paid
Receipt Number
2200500000000001615
2200500000000001615
2200500000000001615
2200500000000001632
2200500000000001632
2200500000000001632
2200500000000001632
2200500000000001632
2200500000000001632
$6.30
$4.41
$63.00
$10.00
$4.50
-$3.15
$8.00
$12.00
$25.00
11123/05
11/23/05
11/23/05
11/29/05
11/29/05
11/29/05
11/29/05
11/29/05
11/29/05
$136.36
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 8.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
,.
IRp~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Paee 2 of3
.
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CITY OF ~rKll'lljFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2005-01635
ISSUED: 11123/2005
APPLIED: 11122/2005
EXPIRES: OS/28/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, Ihat 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 made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees wbo 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 of the property, and the approved set of plans will remain on the site at all
. times during construction.
cR. A. ~J/n~ J/jt?9'h.-s-
Owner or Contractors Signatnre Date
Paee 3 00
225 Fifth Street
Springfield, Oregon 97477
.r 541-726-3759 Phone
.
Job/Journal Number
COM2005-0 1635
COM2005-0 1635
COM2005-0 1635
COM2005-0 1635
COM2005-0 1635
COM2005-0 1635
Payments:
Type of Payment
Check
.;1
:.
;,
;c'
,
;1
.~
.r
L
.(
11/29/2005
RECEIPT #:
~!
IlllJi.ty of Springfield Official Receipt
Whelopment Services Department
Public Works Department
2200500000000001632
Date: 11129/2005
Descrlpllon
Heat Pump
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Paid By
JAMES HEATING & AIR
CONDITIONING
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
DDK 1420 In Person
Payment Total:
Page 1 of I
2:55:08PM
Amount Due ,
12.00' ,
8.00
25.00
3.15
4.50
10.00
$62.65
Amount Paid
$62.65
$62.65
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