HomeMy WebLinkAboutPermit Mechanical 2005-9-20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01272
ISSUED: 09/20/2005
APPLIED: 09/19/2005
EXPIRES: 03/20/2006
VALUE:
.
: Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*
SITE ADDRESS: 1974 LOMOND AVE
ASSESSOR'S PARCEL NO.: 1703251201100
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Replace heat pump
TYPE OF USE: Repair
Residential
REQUIRED PARKING
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Total: (\ \j<O \ ~(J'J
HandlCapped:~ :(-.. \,,-<-'
~iiin'P~~:;.)~~<J S\y,\
.(') \'0'.) ~;~~ 60 ~\\
,,",,,,,-<-,<O~ :,\(J~~S v:-~-.o.~~\~
6~v S'". "\ ,.
v-.(J>' (J''-l",,,,\o'').'O\oi-'\
Sidewall< Type:
(\~~. -:>.,\\"
'DowuspoutsIDrains
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Owner: FRED JASMER
Address: 1974 LOMOND AVE
SPRINGFIELD OR 97477
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I CONTRACTO~ .INFORMAl'ION I
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on tractor ~,....e ontractor f00" i'l\<' ~eS ~~&Jlse
Mechanical COMFORT FLOW_..l...O\e_\eO '0 ~e,e \\}_'" O~.~,,46'o ~(\e
(\'''' ....... ~.- _..01 ~. - .". '0"
-,s\\;.~ \b<BlJmomGl1j~..oRMA"'IONI~"
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# of Units: ,o\'~\\c.~~O~~I:l~\fcSt:~eS:"o\e0\i\\'\ ,:>",,,,,.
Primary Occupancy Group: ~.f3\~\,-'" ~;\) &:eLg/d1tef00~Cl'':>':>~'2'
Secondary Occupancy \'0 f?jCl.. \<fYP{N.lrR'\lit:~
P'rimary Construction Type vNiJ\J ci-\\'0f0e~.ilt~~\i'Ype:
Secondary Construction ~~Y;;i Rll~e Type:
# of Bedrooms: <" Energy Path:
Sprinkled nla
I DEVELOPMENT INFORMATION I
! Front yard Setback:
. Side 1 Sethack:
Side 2 Sethack:
. Rearyard Sethack:
Solar Sethacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
!pUBLIC IMPROVEMENTS I
Street
Storm Sewer Available: '
Speclallnstructlon:
Notes:
I Valuatinn Descrintinn ,
Description
$PerSqFt
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
1 of 2
Phone Number: 541-746-2175
Expiration Date
06/27/2007
Phone
541-726-01 00
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Value
Date Calculated
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01272
ISSUED: 09/20/2005
APPLIED: 09/19/2005
EXPIRES: 03/20/2006
VALUE:
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees paidJ
, Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Nwnber
$10.00
. $4.50
$3.15
$12.00
$33.00
9/20/05
9/20/05
9/20/05
9/20/05
9/20/05
1200500000000001368
1200500000000001368
1200500000000001368
1200500000000001368
1200500000000001368
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,
~'n.n~
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 wiD be made of any structure without 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 a efront of the property, and the approved set of plans wiD remain on the site
at all !!-~s dUring~tructi, on. ,
~~ ~--.:::;//_-- Cj-zo-o5
,/ R' ~
Owner or Contractors Signature Date
2 of 2
225 Fifth Street
Springfi~ld, Oregon 97477
541~726-3759 Phone
.
~
City of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Joornal Number
COM2005-0 1272
COM2005-0 1272
COM2005-0 1272
COM2005,O 1272
COM2005-01272
Payments:
Type of Payment
Check
:1
;,
.,
,
':
;,
..
9/2012005
RECEIPT #:
1200500000000001368
Date: 09/20/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEATING
Item Total:
l.:heck Number AudlorizatiOD
Received By Batch Number Number How Received
djb 31307 In Person
Payment Total:
I of 1
3:02:05PM
Am...nt Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
$62.65
$62.65