HomeMy WebLinkAboutPermit Mechanical 2005-08-02Building/Combination Permit
Status Issued
225 Ftfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 2G37 69 Inspection Line
PERMIT NO: COM2005-01037ISSUED: 0810212005
APPLIED: 08/02/2005
EXPIRESz 0210212006
VALUE:
\
SITE ADDRESS: 3150 WAYSIDE LP Springlield TYPE OF WORK: Mechanical Only
ASSESSOR'S PARCEL NO.: 1703224104100
TYPE OF USE: New
PROJECT DESCRIPTION: Air conditioning unit on existing gas furnace.
Residential
Owner:
Address:
Contractor Type
Mechanical
LAPPING GARY R & CAROLYN J
3150 WAYSIDE LOOP
SPRINGFIELD OR 97477
Contractor
RONS HEATING AND AIR COND
License
159648
PhoneNumber: 541-746-9788
Expiration Date Phone
04t29t2006 541-343-6829
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
$ Per Sq Ft
or multiplier
the
Square Footage
or Bid Amount
Oregon Utility Notificatjon
SdoEOftEgS'€344).
Downspouts/Drains:
REQUIRED PARIflNG
Description Type of Construction
Page 1 of2
Value Date Calculated
L Y
I)UlLl,rll\ (, rr\ r 1JITUVIA .I. IlJl\ |
rI\rt,KlYrA I t(rl\ |
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Frx
541-7 2G37 69 Inspection Line
PERMIT NO: COM2005-01037ISSUED: 0810212005APPLIED: 08/0212005
EXPIRESz 0210212006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7oh State Surcharge
Boiler/Comp Up To 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.50
$3.15
$12.00
$33.00
$62.65
Total Value of Project
Date Paid
8t2t05
8t2l0s
8t2t05
8t2t05
8t2t0s
Receipt Number
2200500000000001027
2200500000000001027
2200500000000001027
2200500000000001027
2200500000000001027
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII 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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reouired I
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 OCCUPAI\CY 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 701.005 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 site at all
times during construction.
Owner Contractors Signature
Pase2 of2
Date
t'ees raro I
225fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001027 Date:08/02/2005 10:33:3eAM
Job/Journal Number
coM2005-01037
coM200s-01037
coM2005-01037
coM2005-01037
coM200s-01037
Description
Boiler/Comp Up To 100,000 btu
Minimum/Adjustment Mechanical
+ 7o/o State Surcharge
+ l0% Administrative Fee
-Mechanical Issuance Fee-
Amount Due
12.00
33.00
3.15
4.s0
10.00
Item Total:$62.65
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check RON'S HEATINGAND AIR
CONDITIONING
ddk 7104 In Person
Payment Total:
$62.65
$62.65
'I
8t2/2005 Page I of I
'l TH'l.llT