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HomeMy WebLinkAboutPermit Mechanical 2005-11-28 " , .' -. , . Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01157 ISSUED: 11/2812005 APPLIED: 08/25/2005 EXPIRES: OS/28/2006 VALUE: ,) " 225 Fifth Street, Springfield, OR 541-726-3753 Phone "541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA ST SPACE 211 ASSESSOR'S PARCEL NO.: 1703271004700 Springfield TYPE OF WORK: Heating System . TYPE OF USE: Repair PROJECT DESCRIPTION: Replace heat pump and air handler. Added backfiow on 11/28/2005. Rcsldential . Owner: Address: BEV KOCA 2150 LAURA ST SPACE 211 SPRINGFIELD OR 97477 Phone Number: 541-485-3999 ~~*- ~~ ~ ~\)'\ ^<.~ F' ,S ~\. ~\\ /(\ ~-\~~'}~,dJSR INFORMATION I \ W'\''M ~\.:" \" 'S!-'V.... Sl{(I~C l:l~~~~ ~<Q"?l License ..\.~ ;C ,)!/ RESTORATION INC ':9W , ,ES IINC 47396 . . \. . ~ :t ".... . ~"\:) ~~~\":; '\)'r- I BUILDING INFORMATION ,C}o,) i..~~'\ K' " 'S!-" '\ " ' ,:;,\\"'- 0",0 ':\.\o\~ '\' # of Units: "?l # of Stories: \eOl. ,e<:$ e ",e [I;~~ .!-ot Size: Primary Occupancy Group: R-3 Height of Str~r1i~~",e 0 e"''?J ~ CiJ<; :,.,e'" '\~q Ftlst Floor: Secondary Occupancy Group: Type of Heaj;> '0'\ \~ O~ ~e \-S o\'Sq.ft 2nd Floor: ....-.,<"" 0 ",e ,,'\'0 .'/0' ,,'\" ',' Primary Construction Type VN Waterl,J'ype:,e '<'\'00 0'::'''' 0' :,.,ey. r,"Sq Ft Basement: S C . T ~"'T' ,,,v , ~ . 0'" ,e ~'v econdary onstrucl1on ype: Rll{'ge ,~pe:e\' i::, <IS' R'v ,,,,e ~o'/o Sq Ft Garage/Carport .. # of Bedrooms: :<,<~~~QlYI(~tIi1 s:J~:.;.\'" (,0 o,e'~~~'\ c ,..\' Sq Ft Other: '" :,.,~p"'i!t~led ~uild~ng: ~,,-\) n/aV Occupant Load: u"\~ . _t;\ ...1'): _....\ ~O~'....("\ "d)V Contractor Type Use Initials Mechanical Expiration Date 03/08/2007 Phone 541-688-7432 541-461-2101 ,. Front yard Setback: Side I Setback: Side 2 Setback: ,. Rearyard Setback: Solar Setbacks: I DE\'ECOl'MENifINFORMATION I \" "CiJ'" . ,,'0 \0\' ru\ ,- i::,'> -if-'. ,'6\ "'~ Overhiy,pist: (;e r' # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Pa!!e 1 00 . , I ,}~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax .. 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Hcat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Backnow Device Minimum/Adjustment Plumbing Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01157 ISSUED: 11/28/2005 APPLIED: 08/25/2005 EXPIRES: OS/28/2006 VALUE: I Valuatinn Descrintinn , $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project F'pp< p"w Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.50 $3.15 $14.00 $31.00 11/1105 11/1/05 11/1/05 1111105 11/1/05 11/1/05 11/28/05 11/28/05 11/28/05 11/28/05 1200500000000001659 1200500000000001659 1200500000000001659 1200500000000001659 1200500000000001659 1200500000000001659 2200500000000001618 2200500000000001618 2200500000000001618 2200500000000001618 $115.30 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. Backnow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Paee 2 of3 ..1 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01157 ISSUED: 11/28/2005 APPLIED: 08/25/2005 EXPIRES: OS/28/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 have carefully examined the completed application and do herehy certify that all information hereon Is true and correct, and 1 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. 1 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 of the property, and the approved set of plans will remain on the site at all times during construction. //~ ~#/YZ/Y7/~ ./ ' - y / Owner or Contractors Signature //- 2'&?-OS Date Paee 3 00 I ...... 225 FJfth.Street Springfield, Oregon 97477 j 541-726-3759 Phone . Jub/Journal Number COM2005-01157 COM2005-01157 COM2005-01157 COM2005-01157 Payments: Type of Payment Check .:1 o :, :c ~( " :} " \ 'C .r ;J , .L 11/28/2005 ".! RECEIPT #: a!'~'AI.!'~F1!!'!!i ,. ..._. . ~.., , I I I - . ~ I ..i JijjJy of Springfield Official Receipt .elopment Services Department Public Works Department 2200500000000001618 Date: 11/28/2005 Description Backflow Device Minimum! Adjustment Plumbing + 7% State Surcharge + 10% Administrative Fee Paid By EMERALD LAWN & RESTORATION, INe. Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 823 [n Person Payment Total: Page I of I 10:04:45AM Amount Due 14.00 31.00 3.15 4.50 $52.65 Amount Paid $52.65 $52.65