HomeMy WebLinkAboutPermit Mechanical 2005-2-16
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1321 OKSANNA ST
ASSESSOR'S PARCEL NO.: 1703342201700
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00186
ISSUED: 02/16/2005
APPLIED: 02/16/2005
EXPIRES: 08/16/2005
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
PROJECT DESCRIPTION: Replace gas furnace and install heat pump
I CONTR1\:€1IJuttmF.ORMATION I
IOI/OW rules adopted b. '" -,,;,res yo~,!o .
Contractor Notification Center Th E:'lb1!n~ egolEXPiljatIon Date
ASSOCIATED HEATiNGl&1\IB~QI\IPJt,J,().aW~~se~ are set fO&3112005
I."..... ~'- . ;;J'.' .....ru\.,;,:)~.UU1..
BUJL"l>ING 1N110~A1Rl(j)N,t of the rules b
nq,.", ""~ ...,,, I'er. (Note: the t I h Y
n'#\Jf1sfJfu;she Oregon Utility N~~~ o~'3t Size:
Heig~6f$trUllt(l'80o-332_2344) catSlt'Ft 1st Floor:
Type of Heat: . Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport.
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
Owner:
Address:
LESTER KRAAL
1321 OKSANNA ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
# orVnils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
Frontyard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Residential
Phone Number: 541-744-1672
Phone
541-683-2590
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
N P#ISlr.i'ei Trees Rqd:
THPaved'Dfive31qil:.L EXPIRE IF THE WORK
AU'Yplliftl;!!tQo~~rnglf:. THIS PERMIT IS NOT
COi,iMENCED OR IS ABANDONED FOR
I PVDLI'- IMPROVEMENTS J
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 on
.
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% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00186
ISSUED: 02/16/2005
APPLIED: 02/16/2005
EXPIRES: 08/16/2005
VALUE:
Total Value of Project
Fp.p.~ pairlJ
Amount Paid
Date Paid
Receipt Number
1200500000000000208
1200500000000000208
1200500000000000208
1200500000000000208
1200500000000000208
1200500000000000208
1200500000000000208
$10.00
$4.50
$3.15
$6.00
$12.00
$12.00
$15.00
2/16/05
2/16/05
2/16105
2/16/05
2/16/05
2/16105
2/16/05
$62.65
I 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
day.
I, Rp.'W,irp.r1 In.~
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 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 readahle 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.
'~,,~
t/Z,
Owner or Contractors Signature
'l-//rt,/n~
Date
Paee 2 of2
225 Fifth. Street
.
Springfield, Oregon 97477
541-726-3759 Phone
.
"~RlNQ"1!LO
1Iitir',: ." . ..q. ....,.....
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. .-... .
I )'
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.5jlty of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Numher
COM2005-00 186
COM2005-00 186
COM2005-00 186
COM2005-00 186
COM2005-00 186
COM2005-00 186
COM2005-00 186
Payments:
Type of Payment
Check
2/16/2005
RECEIPT #:
1200500000000000208
Date: 02/16/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Heat Pump
Minimuml Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Item Total:
Check Number' Authorization
Received By Batch Number Number How Received
djh
12640
In Person
Payment Total:
Page 1 of 1
1l:31:28AM
Amount Due
3.15
4.50
12.00
6.00
12.00
]5.00
10.00
$62.65
Amount Paid
$62.65
$62.65