HomeMy WebLinkAboutPermit Mechanical 2006-9-1
.
Status
Issued
-<<
. CITY OF ~n<.1NGFIELD .
Building/Combination Permit
PERMIT NO: COM2006-01131
ISSUED: 09/01/2006
APPLIED: 08/31/2006
EXPIRES: 03/01/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-3769 Inspection Line
SITE ADDRESS: 2362 LOCH DR
ASSESSOR'S PARCEL NO.: 1703251101000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp and air handler
Owner: tV AN VANDEBERG
Address: 2362 LOCH DR
SPRINGFIELD OR 97477
Phone Number: 541-744-1751
I CONTRACTOR INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor License Expiration Date
ASSOCIATED HEATING & AIR CONDlTlQ.,J9,~n~res 'IOU to 08/31/2008
I 'BUiiDiNG'INEORM~\TJ(;>N'iregon Utl\ll~h
Iunv" ,.'- Those rUleS are set fo
.\' ~"o" rp.nter, OAR 952 n01-
Notl '# of Stories.: 0010.through -"!;ot Size:
'='I ~""I') ("11_ lee Ii'll
in OIHeight'ofStructurecopies of the ru -Sq Ft 1st Floor:
009lType,ofli~a~:o"1\I (Note: the te\ephonSq Ft 2nd Floor:
c&w'at#\l'ypg:nter, n Utility NotificatlSq Ft Basement:
, .he Orego
nuRaugel')Jype:', 800-332-2344). Sq Ft GaragelCarport
EneqfytIlatll: IS l' Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Phone
541-683-2590
Contractor Type
Mecbanical
R-3
VN
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
_'I''loll
I PUBLIC IMl'R<?wEMEl'IlSII,\.\. EiJJIRI: \1- ;;1' IS ~ai
1\'11S Ytl"\\~~D \JNDI:R sla~jy~~~~l\:GR
!\\l1\'10R L" IS ~\)I\N\J\J -
"W\I:NCI:D OR Downspouts/Drains:
COIVI 0 DI\'{ I'ER\O\.I,
I\N'{ 18 .
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I131
ISSUED: 09/0I/2006
APPLIED: 08/3I/2006
EXPIRES: 03/0I/2007
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
Fees PlIid I
Fee Description
.....Mechanicallssuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$tO.OO
$4.50
$2.25
$3.60
$8.00
$12.00
$25.00
9/1106
9/1106
9/1106
9/1106
9/1106
9/1106
9/1106
1200600000000001364
1200600000000001364
1200600000000001364
1200600000000001364
1200600000000001364
1200600000000001364
1200600000000001364
Total Amount Paid
$65.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. AlI,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,
L.'ti9\,ired ~
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 OCCUPANCY will be made of any structure without permissiou of the Community Services Division, Buildiug Safety.
I further certify that only contractors and employees who are in compliauce with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectious are requested at the proper time, that each address is readable from the
street, that the permit card is located at the frout of the property, and the approved set of plans will remain on the site at all
times durin construction.
q~/If}/J
-
ontractors Signature
Date
Pa~e2 ofl
225 Fifth Street
Springficld;~regon 97477
54 I -726-3759 Phone
· ii:~
~of Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1131
COM2006-0 1131
COM2006-0 1131
COM2006-0 1131
COM2006-01131
COM2006-0 1131
COM2006-0 1131
Payments:
Type of Payment
Check
cRecc;ntl
RECEIPT #:
1200600000000001364
Date: 09/01/2006
Description
+ 5% Technology fee
+ 8% State Surcharge
+ 10% Administrative fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance fee-
Paid By
ASSOCIATED HEATING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
15073
In Person
Payment Total:
Page I of I
1l:17:25AM
Amount Due
2,25
3.60
4.50
8,00
12,00
25,00
10,00
$65.35
Amount Paid
$65.35
$65.35
9/1/2006