HomeMy WebLinkAboutPermit Mechanical 2005-11-28
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Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01157
ISSUED: 11/2812005
APPLIED: 08/25/2005
EXPIRES: OS/28/2006
VALUE:
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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
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~-\~~'}~,dJSR INFORMATION I
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Sl{(I~C l:l~~~~ ~<Q"?l License
..\.~ ;C ,)!/ RESTORATION INC
':9W , ,ES IINC 47396
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. ~"\:) ~~~\":; '\)'r- I BUILDING INFORMATION ,C}o,) i..~~'\ K'
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# 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\ ,-
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Overhiy,pist: (;e
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# 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
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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
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.
. 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.
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Owner or Contractors Signature
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Date
Paee 3 00
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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
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11/28/2005
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RECEIPT #:
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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