HomeMy WebLinkAboutPermit Mechanical 2005-11-15
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01598
ISSUED: 11/15/2005
APPLIED: 11/12/2005
EXPIRES: 05/15/2006
VALUE:
: Status
"
Issued
" 225 Fifth Street, Springfield, OR
:" 541-726-3753 Phone
1. 541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 80 GREENV ALE DR
ASSESSOR'S PARCEL NO.: 1703233308300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace air handler and install heat pump
"
Owner: DONALD ALLOWAY
Address: 80 GREENV ALE DR
SPRINGFIELD OR 97477
Phone Number: 541-554-5119
I CONTRACTORINFORMATION I
-
; Contractor Type
'if: Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
08/31/2006
Phone
541-683-2590
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
"
"
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
) Side 1 Setback:
,1 Side 2 Setback:
i Rearyard Setback:
T: Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Storm Sewer Available:
Special Instruction:
E' t 1\-1E wall.\<.
~~J\~tP.MI1 S\-I~~~ E;J\~~~RM\1_I~~01
, I ' ,
. 1\-10RlltU VI ~.. Bf>,NOOff..;: -....
f>,C\lOMMENCEO OR IS of>, I Valuation Descriotion I
o Of>,'{ PERla . '
.. f>,N'{ 18 . S Per Sq Ft Square Footage
Descnptlon Tvpe of Construction It' I' B'd A t
. or mu Ip ler or I moun
.:'-.
...,. r, -, Ir.\'~' rccqires you to
I PUBLIC IMPROVEMENTS I ",,8,_ 'Jy the Oregon Utility
,\ .,a '" Genter. Tnose rules are set forth
, , - , Sidewalk Type:OAR 952 001
In OAR 952-001.vu I v "" (j~5" -.
0090, You may 'DownspoutSIDfa'insOl rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Notes:
Value
Date Calculated
,
,.
"
Paee 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01598
ISSUED: 11/15/2005
APPLIED: 11/12/2005
EXPIRES: 05/15/2006
VALUE:
Status
Issued
22S Fifth Street, Springfield, OR
S41-726-37S3 Phone
, S41-726-3676 Fax
. S41-726-3769 Inspection Line
Total Value of Project
F~~s P:aid, I
,.(;>
"
. Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
$10.00
$4.S0
$3.IS
$8.00
$12.00
$2S.00
Date Paid
1II1 S/OS
1II1 SIOS
IlII S/OS
Il/ISIOS
Il/IS/OS
Il/ISIOS
Receipt Numher
3200S00000000000644
3200S00000000000644
3200S00000000000644
3200S00000000000644
3200S00000000000644
3200S00000000000644
Total Amount Paid
$62.6S
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
Jday, '
l.."Peouired Insnr~\illI;LLI
Rough Mechanical: Prior to Cover
Final Mechanical: When aU 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 permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.00S 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 construction.
,~~ 7)/kth~ /
Owner or Contractors Signature
I~//{/{H-
Date
Pal!e 2 of2
t~!'
. ; ~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
CpM2005-01598
COM2005-0 1598
COM2005-0 1598
COM2005-0 1598
COM2005-0 1598
COM2005-0 1598
COM2005-01594
COM2005-01594
,
CpM2005-01594
COM2005-01594
COM2005-01594
COM2005-0 1594
COM2005-0 1599
COM2005.0 1599
COM2005-0 1599
COM2005-0 1599
COM2005-0 1599
CbM2005-0 1590
CbM2005-0 1590
COM2005-01590
COM2005-0 1590
COM2005-01590
';1
,
Payments:
~pe of Payment
Ctieck
:f
;\
I;
~!
;1
,
~
:j
""
:r
:
i\
1111512005
.
~:
....~i
.ty of Springfield Official Receipt
Whelopment Services Department
Public Works Department
RECEIPT #:
3200500000000000644
Date: 11/15/2005
2:34:07PM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,006
Minimum/ Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4,50
8,00
12.00
25.00
10,00
3,15
4.50
8,00
12.00
25.00
10.00
3.15
4.50
8.00
37.00
10.00
3.15
4.50
12.00
33.00
10.00
$250,60 ,
Paid By
ASSOCIATED HEATING &
AIR
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 13846 In Person
$250.60
Amount Paid
Payment Total:
$250.60
Page I of I