HomeMy WebLinkAboutPermit Mechanical 2005-12-2
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01683
ISSUED: 12/02/2005
APPLIED: 12102/2005
EXPIRES: 06/02/2006
VALUE:
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SprlngfieldN1'Y.\ IPE,OF, Center. Heating SystemR 952 001-
o \lvo.l.I"'" h gn Ul-\. .
, . rlAR <:\52_001-0010 t rou lies by
. IrTYPEJW'IUSEubtRepal~,)leS of thle r~\i esldentlal
OO!:JU. ,Uu "u, Note: the te ep u'.'''
calling the centner. ( n Utility Notification
._ _~ ,J,..,.r 'thA reao ..
"U'''-' CenterPhllit'f-Nu;jni6tr~~s~i-747-3153
*
SITE ADDRESS: 2150 LAURA ST SPACE 216
ASSESSOR'S PARCEL NO.: 1703271004700
. PROJECT DESCRIPTION: Change out Heat Pump
. Owner: ARTHUR THIELKE
7. Address: 2150 LAURA ST #216
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
COMFORT FLOW
.j # of Units:
, Primary Occupancy Group:
Secondary Occupancy
Yrlmary 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
Type of Construction
I CONTRACTOR INFORMATION I
License
460
Expiration Date
06/27/2007
Phone
541-726-0100
I BUILDING INFORMA nONI
#ofStories: NOTICE: I~~ THE WORK
Height of THIS PERMIT SHAll E ;i3fiffi NOT
Type of Heat:AUlHORIZED UNDER T ~. ll!\'i~
Water Type: OMMENCED OR IS A~ tW ~ M:,
Range Type: C NV 180 DAV PERIODSq Ft Garage/Carport
Energy Path: A Sq Ft Other:
Sprinkled nla Occupant Load:
!
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i'l
~
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay D1st:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutsiDralns
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 o'r 2
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-01683
ISSUED: 12/02/2005
APPLIED: 12/02/2005
EXPIRES: 06/02/2006
VALUE: .
Total Value of Project
Ff'f'S P.1lid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% Stale Surcharge
Air Handling Unit Up to 10,000
Heal Pump
Mlnimum/Adjuslment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
1212/05
1212/05
1212/05
1212/05
12/2/05
1212/05
Receipt Number
1200500000000001773
1200500000000001773
1200500000000001773
1200500000000001773
1200500000000001773
1200500000000001773
Total Amount
$62.65
I Plan Reviews I
To Request an inspection caD 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. wiD be made the following
work day. ,
IRpl1~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I slate 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 wiD be made of any structure without permission ofthe 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.
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 ofthe property, and the approved set of plans wID remain on the site
at ~mes during ';9}1St2Jl'tion.
UUfb. ~ IrY \~ \ ,),J::). / cf:5
Owner or Contractors Signature
Dale
2 of 2
.
225 Fifth Street
...sprii\gfield, Oregon 97477
541-726-3759 Phone
Job/Joornal Number
COM200S-0 1683
COM200S-0 1683
COM200S-0 1683
COM200S-0 1683
COM200S-0 1683
COM200S-0 1683
P~yments:
T~e of Payment
C.~eck
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12/21200S
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.ty of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #:
1200500000000001773
Date: 12/02/2005
DescrIption
Heat Pump
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COMFORT FLOW HEATING
Item Tntal:
LnecK NumDer AuUlonzaUon
Received By Balch Number Number How ReceIved
njm 32096 In Person
Payment Total:
I of I
2:15:43PM
Am 00 nt Due
12.00
8.00
2S.00
10.00
3.1S
4.S0
$62.65
Amount Paid
$62.6S
$62.65
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