HomeMy WebLinkAboutPermit Mechanical 2006-11-2
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Status
Issued
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01404
ISSUED: 11/02/2006
APPLIED: 11101/2006
EXPIRES: 05/02/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2220 LOCH DR
ASSESSOR'S PARCEL NO.: 1703251202800
Springfield TYPE OF WORK: Heating System
Owner:
Address:
TERESA WOODSUM
2220 LOCH DR
SPRINGFIELD OR 97477
TYPE OF. USE" wR'"'' ,..e:; you (0 R 'd 'I
'''''';N' ' '" d. "a epalr Ut'l't es. ent.a
"I..:: """., '''' the Oregon IIY
foll.?W ~,~I:;..~~~~;e~h~se rules are se! f~_~t
l...VU.....-.. - 0 th"'''''llon l JJ-\n 0-..1'- ...... .
'In OAR 952-001-001 Ptione Number'ulE?:I!.;746-6214
bt in copies 01 '"" , -,
0090, You may 0 a Note' the telephone
calling the cen~er. (__ ";"",, Notification
numoeno1 '"" ~. -,,-' -' 344),
I CONTRACTOR INFORM~H0N 'I 1-800-332 2
PROJECT DESCRIPTION: Replace gas furnace
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
Expiration Date
08/31/2008
Phone
541-683-2590
VB
BUILDING INFORMATION I
# of Stories; NOTICE: Lot Size:
Height ofStruo)i!i'~ PERMIT SHALL rsqoFIWslrF70~F: WORK
Type of Heat: AUTHORIZED UNDER~iilf.HiitflMo1in:S NOT
Water Type: NGED OR IS A~1\im"1'.WIl~R
Range Type: GOMME S'q'Ft Garage/Carport
Energy Path: ANY 180 DAY PERIODSq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Admiuistrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount Paid
.
Total Value of Project
Fees P"id I
Amount Paid
Date Paid
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I404
ISSUED: 11102/2006
APPLIED: 11101/2006
EXPIRES: 05/02/2007
VALUE:
Receipt Number
2200600000000001538
2200600000000001538
2200600000000001538
2200600000000001538
2200600000000001538
2200600000000001538
2200600000000001538
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 he made the following work
day.
$10,00
$4,50
$2,25
$3,60
$6,00
$12,00
$27.00
11/2106
11/2106
11/2/06
11/2/06
11/2106
11/2/06
11/2106
$65.35
I Plan Reviews I
IRe~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true aud 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 will be made of any structure without permission of the Community Services Division, Building Safety,
1 further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project.
1 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.
Ow." ~,~,;....,,:,
Pa2e 2 of2
\ \\ 'L\rA!}
Date
225 Fifth Street
Sprir,gfiehi, Oregon 97477
541-726-3759 Phone
~
. :~
lM... ,
~
Cwe Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006-01404
COM2006-01404
COM2006-0 1404
COM2006-01404
COM2006-0 1404
COM2006-0 1404
COM2006-0 1404
Payments:
Type of Payment
Check
cReceint I
RECEIPT #:
2200600000000001538
Date: 11/02/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
M inimum/ Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By ,
ASSOCIATED HEATING &
AIR
Item Total:
l:'heck Number Authorization
Received By Batch Number Number How Received
njm
15315
In Person
Payment Total:
Page 1 of 1
3:06:12PM
Amount Due
2,25
3,60
4.50
12,00
6,00
27,00
10,00
$65,35
Amount Paid
$65.35
$65,35
11/2/2006