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HomeMy WebLinkAboutPermit Mechanical 2004-7-20 . Status Issued . CITY vt< ~rK11'luNJ!,LD Building/Combination Permit PERMIT NO: COM2004-00897 ISSUED: 07120/2004 APPLIED: 07120/2004 EXPIRES: 01120/2005 VALUE: .1, . ,} 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2150 LAURA ST SPACE 210 ASSESSOR'S PARCEL NO.: 1703271004700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace heat pump and air handler, Owner: MONTGOMERY SHARON ANN Address: 9351 SW OLD WEST RD POWELL BUTTE OR 97753 I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING &\~pt CONDITIO 106275 ~:: ". . '\ ',r I nu.tlu'f'''; INFORMATION I ..... ~"<\V~ # of Units: ~ ~ ~~# o~'Stories: Lot Size: Primary Occupancy Group: {S~ ~<.(; ~lfclght of Structure Sq Ft 1st Floor: Secondary Occupancy Group: ,,<<] '\~S ~'J\:)Type of Heat: Sq Ft 2nd Floor: Primary Construction Type -x..~ K.~ SO~ Water Type: Sq Ft Basement: Secondary Construction 'f.ype: ~ S ~<::s {:> ~ Range Type: Sq Ft Garage/Carport # of Bedrooms: ~~".'<.,~~ x,'J -::s '\)~ ~'\)'J' Energy Path: , 0,$) Sq Ft Other: ~I\:) '2> ~ ~I: ('~'J ~<.(; Sprinkled Building: n/~~ .~~ ~cupant Load: ,,~" ,('\ .," .-.I. .~ ,'~ N . . . ".~, ~~v~~ V I DEVELOPMENT INFORMA TN~~~ -'O0';()()~,\ ,,\:) _~ "\ ~' 0' ~0 Cb<:' ~0'O REQUIRED PARKING ~- ,'I> ~0 ~0'O ~ \oS ~0 (\.. Overlay Dist: O~ 'Q'\'<;) \oS 0 .;s-0 R~O ~o'lotal: # Street Taee ~i:.~ 0'00,if' fO ~ ,~0 .~v'l> Handicapped: Paved Dr' . alf,.Q '\'<:' .;s-\O ;.."tl, .;s-0 ~o"',.." Compact: "",'" ,.p.\' () 0'" ~ ~, %of~ o>:.er'W"; s::>" .~G o,0'#~~ A<<) ~0 C; ~!J ~,'IY ~ ~'5 ~ ~. ,.I. .,,~ <:I() . 0 n\' ,,0 ,,:>":> . '", - -. I PUBLIC mi~R~~M~rs:I'0 O\~\~\)- ~'. " '-' ..":'.{::I '-$' U Rl()' . ~~ \0\ ~0\ Sidewalk Type: ()I:S vit~'Qrj- 00<:' ,. Downspoutsffirains: ~v Contractor Type Mechanical Expiration Date 08/31/2004 Phone 541-683-2590 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project PaeeIof2 . . CITY VI< :SYK!l'\jl>1<lI!,LD Building/Combination Permit PERMIT NO: COM2004-00897 ISSUED: 07/20/2004 APPLIED: 07/20/2004 EXPIRES: 01/20/2005 VALUE: . , , . Status Issued J 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fpps P3\IU Fee Description -Mechanical Issuance Fe.... + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Numbcr $10.00 $4.50 $3.15 $12.00 $33.00 7/20/04 7/20/04 7/20/04 7/20104 7/20/04 1200400000000001110 1200400000000001110 1200400000000001110 1200400000000001110 1200400000000001110 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 Rpouirf>d Insnf>r.tinn'lj 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 donc 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 wilhout permission 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 silc at all times during construction. btfX;{. ~ ;::::;-- Owner or Contractors Signature , Date 7 /ZO J f:!J '-/ I Pa!!e 2 of2 . . 225 Fifth Street . Springfield, Oregon 97477 ; 541-726-3759 Phone d . .', Job/Journal Number , COM2004-00897 COM2004-00897 COM2004-00897 COM2004-00897 COM2004-00897 Payments: Type of Payment Check 7120/2004 RECEIPT #: ~ Jiiity of Springfield Official Receipt "elopment Services Department Public Works Department 1200400000000001110 ' Date: 07/20/2004 Description Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By ASSOCIATED HEATING & NC, INC. Item Total: Check Number Authorization Received By Batch Number Number How Received jmp II 760 In Person Payment Total: Page I of I 1I:24:49AM Amount Due 12.00 33.00 10.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65 'I~ o o Jji w ~ ~l .0 . ~-'.; ZZ5 FIITH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726-3753 0 FAX: (541)726-3689 City Job Numbr" CD Nt. 'l-oa~,. 60 B>cn LOCATION OFFROpOSED WORK; 2. I '50 L c....\AA.."'l 5T ~Z'1O TAX LOT: ~1 e>~'L\ ~oc4-(l:X:::l ASSESSO RS MAP' OWNEP' tL.'1:.w.....uJ IL.........lc""''t PHONE: /4\ - L(~9' ADDRESS: 2./50 f.~ ~ r d 2/0 CITY: -5(>"-LoV'Go a~ STATE''''I<. ZIP: ~ '1 '7 f DESCRIPTION OF WORK' Q.1IUJ.N'. Ll~:~,wf L/ [(b 5 G.NI ,4, rt.-ktvl. d..t..vL _ NEW: REMODEL: ADDITlm'. DEMOLISH; OTHER: VALUE: CONTRAcrOR'S NAME GENERAL; PWMBlN'" ADDRESS CONST. CONTRAcrOR # EXPIRES PHONE MECHANICAL' ELECfRlCAL: Ass ~ C-< 1A-~O'f U.~c..-+-I\~ nl or.,z..,S- N"\ 1-+ 't' 11- MM>:,~ . "-"1 '.,., (O'Z 'b~ ;'.:'~-f:) " ~ MECHANICAL PERMIT ~~,;:-..,.:; ,.'1";,'-';'\"""- '~~ ,.",,",~'\ r"H'!i~t::U~jktL;:~j;jj:_r~';:;:'~~"'\J~"'~~~ -'"':;:-:i':-i :'"4.::t.' - ~..~~::;.:~ ~ ij~!JMB~G ~ERA1IT,c~ [..,,,,';te.j';; ,:.~,~t;":;")r;;,;;~r.~, ':" ~~ II,.' .;<Ii"~",~;", ~,;,.,,,,_ .,..1.'".;0-..'".:<...... .,}...&:,."",j;(.:);,:;,-'i:'''''~~''''''_-'';''~~ """,.~.'1.'-'''''' ""J,'''',I.< .-.: ",,"li!. ;,'" " ,!,-...\...+ Furnace ITEM fJ) Administralivc Fcc State Surcharge IJ ~l Total Mechanical Permil Fees l MlSCELLANEOUS FERMlTS ~ f Demolition ~r~ II State Issuance I Administrative Fee State Surcharge o Total Miscellaneous Fermits ~~ r:-ll\\ At ~.1h, o. 111 IDlh.... 1J... o. ~ ,.ll\t/~~eAll.~11lt1i~at.lt · ~J,!.l!Jlmlt})lllrug. Exhaust Hood Fixtures Residential Bath(s) No. Sanitary Sewer [T- Water IT. , Slorm Sewer fT. Vent Fan No. Wood Stove/lnse11/Fireplace Unit Mechanical Permit State Issuance Plumbing Permit Administrative Fcc . State Surcharge Total Flumbing Fees ( Total Mechanical Permits Total Plumbing Fermits Total Miscellaneous Fermits TOTAL FEE Mis:~(VJlna!1flle.<O;]JJ~ Shared Drivc[f:)lBuilding Fom1Sl'Pennit Workshcell.(12.doc