HomeMy WebLinkAboutPermit Mechanical 2005-11-15
1,-
,
.
. CITY OF SPRll~ul'U.LD
Status
Issued
.
Building/Combination Permit
PERMIT NO: COM2005-01599
ISSUED: 11/15/2005
APPLIED: 1111212005
EXPIRES: 05/15/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3903 PINYON ST
ASSESSOR'S PARCEL NO.: 1802061409000
Springfield TYPE OF WORK: Heating System
")
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace air handler
Owner: ROPER JOINT REVOCABLE LIVING TRUST
Address: PO BOX 1541
SPRINGFIELD OR 97477
Phone Number: 541-746-8519
.
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Expiration Date
0813112006
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 1st 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:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I '( . ' . ; ,'.lLJ Ie)
iJ'1'., '
, _ 'L. iy
Street Improvements: , ..; '~J: I '-SidewalkcTyp_e,: t ';), th
" (1.11 v010 tnrfll1nh ntln ~,~ I') "'n~
Storm Sewer Available: : f, \ lei .,1 n, 0'. ,~DownspoutslDrains:-
. . ~. u,dln ~<Jflles 01 the r' b
Speclallnstruchon: l ,'I' 'C' the cent (". U,()S Y
, , er, I\ole: t:1e teiephone
Notes: . It ,\-IE. WOP,\\!dUCI for the Oregon Utility NOliflcatlon
~01\~~..: M1" S\-It-.ll E.!.-~IR~t:RM\I IS NO' Center IS 1-800-332-2344),
\ \1\;) f .,! UNUtl1 II I,~ ~ \ 'Jr.
{>.\},\-IOR~~~O OR IS t-.B{>.NO~~aluation Descriotion I
CO\-i\\-i\E. oE.RIOO.
. ""T~ I\n O"'C~ r t t' $ Per Sq Ft Square Footage
Description ".... 'vlll!' 01 ons ruc Ion It' Ii B'd A Value
or mu Ip er or I mount
Datc Calculated
Page 1 of2
I~
\
.
. L11 f OF ~rKll~u1'lJi,LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01599
ISSUED: 11/15/2005
APPLIED: 11/1212005
EXPIRES: 05/15/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F"", tiWI.I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$8.00
$37.00
11/15/05
11/15/05
11/15/05
11/15/05
11/15/05
Receipt Number
3200500000000000644
3200500000000000644
3200500000000000644
3200500000000000644
3200500000000000644
Total Amount Paid
$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.
~eauired J.IIsn"~tinn~ I
Rough Mecbanlcal: 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 orany 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
I . street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all
. times during construction.
~A.A {I~ .' /)/~~
Owner or Contractors Signature
II/; J/ 0 r-
Date
Page 2 of2
1_. :,
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~
ety of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
CpM2005-0 1598
CbM2005-01598
COM2005-0 1598
COM2005-0 1598
COM2005-0 1598
COM2005-0 1598
COM2005-0 1594
CpM2005-01594
COM2005-0 1594
COM2005-0 1594
COM2005-0 1594
COM2005-0 1594
COM2005-0 1599
COM2005-0 1599
COM2005-0 1599
COM2005-01599
COM2005-0 1599
CbM2005-01590
CbM2005-0 1590
COM2005-0 1590
COM2005-0 1590
COM2005-0 1590
:1
Payments:
TYpe of Payment
crieck
.1
:\
.'
,
"
"
i
'J
~
'I:
11115/2005
RECEIPT #:
3200500000000000644
Date: 11/15/2005
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 UnitUp to 10,000
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING &
AIR
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 13846 In Person
Payment Total:
Pa~e 1 of I
2:34:07PM
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
Amount Paid
$250.60
$250.60