HomeMy WebLinkAboutPermit Mechanical 2005-11-1
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMlT NO: COM2005-01157
ISSUED: 1110112005
APPLIED: 08/25/2005
EXPIRES: 05/0112006
VALUE:
SITE ADDRESS: 2150 LAURA ST SPACE 211
ASSESSOR'S PARCEL NO.: 1703271004700
Springfield TYPE OF
Heating System
PROJECT DESCRlPTlON: Replace heat pump and air handler
TYPE OF USE: Repair
Residential
. Owner: BEV KOCA
Address: 2150 LAURA ST SPACE 211
SPRINGFlELD OR 97477
I CONTRACTOR lNFORMATlON I
QU\ltl~ yv_ .
ON' Oregon law re IItHilv
ContractorAnENT~ _ ~"nntPd by \\1e Oreg'm~!.~~~\\1
CHITIIM ~'fERPRlS~S'I:~CrhMe rules ar473'~ M'
N titlcal".... .-.... .. . ...-...- -
. 0 AR ,1.BUIhDlNGJINFORMATJONles by
In 0 - a obtain \';U\-"V- - \1one
0090. You m #Y rStories'.)te: t\1e \elep .
R_3calling t\1e~:~htIOf)~n Utility Noti!lcatlOn
number 10'iyp~~ l!~t:'332.2344).
VN CeWa~r Type:
Range Type:
Energy Path:
Sprinkled
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary <;>ccupancy
Primary Construction Type
, Secondary Construction
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description
nla
, DEVELOPMENT INFORMA TlON I
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS I
Phone Number: 541-485-3999
Expiration Date
03/0812007
Phone
541-461-2101
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
HOllCE: Dowr:t"!'t.~E&iPsrHE WORK
1\115 PERMI1 ~~~iR 1\115 PERMIT 15 N01
AU1HORIZED OR IS ABANDONED FOR
COMMENCED
...... . ~,.g g." pI=RIOO.
I Valuation Descri~~i~n I
$ PerSq Ft
or multipUer
Square Footage
or Bid Amount
Type of Construction
1 of 2
Value
Date Calculated
.
. CITYOF~r1Ul~\.Jl'IELD
Building/Combination Permit
PERMIT NO: COM2005-01157
ISSUED: 11/0112005
APPLIED: 08/25/2005
EXPIRES: 05/0112006
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
Ff'f'S Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
'510.00
54.50
53.15
58.00
512.00
525.00
1111105
1111105
1111/05
1111105
1111105
1111105
1200500000000001659
1200500000000001659
1200500000000001659
1200500000000001659
1200500000000001659
1200500000000001659
Total Amount
562.65
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all 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 OCUJP ANCY wiD 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 ORS701.005 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 wiD remain on the site
#t all' es during co~tructiolL
" A. ...xu ^^ fJ 0.1 _ /! / / 10-1"
('
Owner or Contractors Signature Date
2 of 2
22~J;ifth,Street
Springfield, Oregon 97477
541-726-3759 Phone
.
a;~
~.'_!
.JIi.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Joornal Number
, COM2005-0 1157
COM2005-01157
COM2005-01157
COM2005-01157
COM2005-01157
COM2005-01157
Payments:
Type of Payment
Check
:.
-
,
11/1/2005
RECEIPT #:
1200500000000001659
Date: 11/0112005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JAMES HEATING
Roce; ved By
djb
1 of I
Item Total:
ChecK Number AuthOfizalion
Batch Number Number How Received
1414 In Person
Payment Total:
2:55:04PM
Amoo nt Due
3.15
4.50
8.00
12.00
25.00
10.00
562.65
Amount Paid
$62.65
562.65