HomeMy WebLinkAboutPermit Mechanical 2005-10-27
.
Status
Issued
. CITY OF ~rKJ.l'1uJ:imLD
Building/Combination Permit
PERMIT NO: COM2005-01495
ISSUED: 10/27/2005
APPLIED: 10/21/2005
EXPIRES: 04/27/2006
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 12
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace electric furnace
. Owner: RON ROSS
Address: 2150 LAURA ST SP 12
SPRINGFIELD OR 97477
Phone Number: 541-746-7072
Contractor Type
Mechanical
I co~Q.u~~~RJNFORM~ THE WORK
Contractor AUTHORIZED UNDER.J~llhrfRMlf~flIQdon Dat~
ASSOCIATED HEATIN&~Mi.~~i\~ ~'@l)NED FOfb8/3112006
W\' 13:: ::.\\' r~;,m;
I BUILDING INFORMATION.
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
nla
I DEVELOPMENTINFORMATION ,
REQUIRED PARKING
Frontyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: . Handicappcd:
Paved DrlvelliqlfilON: Oregon law requires Y'Co.t'pact:
% of Lot,Coverag'e:~ adopted by the Oregon Utility
Notification Center. Those rules are set forth
. ~._,",.........^.. '"',.,........~I...__.,...l.-.r'\^onf:.I')-''1n1_
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IM';'ROVEMENTS'll-b'tain copi;S of the rules by
c.' '1:' center s'idew..i~Ty\fJf-Pllone
11." ., . < I ,n Utility ,"oliflcatlon
Do.w!,~po!!ts/I)rains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pagelof2
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.
. CITY OF SPRINGFIELD ~
Building/Combination Permit
PERMIT NO: COM2005-01495
ISSUED: 10/27/2005
APPLIED: 10/21/2005
EXPIRES: 04/27/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeetion Line
Total Value of Project
Fees Paid.
Fee Description
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
S10.00
S4.50
S3.15
S12.00
$33.00
10/27/05
10/27/05
10/27/05
10/27/05
10/27/05
Receipt Number
2200500000000001508
2200500000000001508
2200500000000001508
2200500000000001508
2200500000000001508
Total Amount Paid
$62.65
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.
I, Reollired Tnsnections I
Rougb Mecbanical: 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 Ordinanees 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 pennission of the 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 of the property, and the approved set of plans will remain on the site at all
times during constru~./ ~
~~
..2-- /0 -Z7~OS-
Owner or Contractors Signature
Date
Paee 2 of2
225 Fil{th Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01495
COM2005-0 1495
COM2005-0 1495
COM2005-0 1495
COM2005-01495
Payments:
Type of Payment
Check
)
I.
.
r
-
I
"
10/27/2005
.
RECEIPT #:
~i
~y of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200500000000001508
Date: 10/27/2005
1:31:24PM
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
ddk 13776 In Person
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING &
NC INC
Amount Paid
$62.65
Payment Total:
$62.65
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