HomeMy WebLinkAboutPermit Mechanical 2005-8-8 (2)
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01070
ISSUED: 08/08/2005
APPLIED: 08/08/2005
EXPIRES: 02/09/2006
VALUE:
SITE ADDRESS: 5699 E ST
ASSESSOR'S PARCEL NO.: 1702331404000
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump and air handler
Owner: LARRY SENKEL
Address: 5699 E ST
SPRINGFIELD OR 97477
Phone Number: 541-726-9721
I CONTRACTOR INFORMATION I
Contractor Tvpe
Electrical
Mechanical
Contractor
OWNER
J CO ENTERPRISES INC 156807
AlfTBWII 0 TION
fo~t. ru es ado fe U1res you to
.NOtlflcat;oIfr~&ti~esf by the Oregon Utitity
R-31n OAR 95!1~~ n hose rutes are Set forth
0090. You MAW 8 ~t~ro~gh OAR 952-001_
VN catting tl~fer ;CopIes of the rutes b
nUmber fI \~ug!f~p~ote: the te/eph y
~~ Utitity " one
Ce~ ~fdfi:ll-d300 33 Notltlc'ltkln
- 2-2344).
I DEVELOPMENT INFORMATION I
License
Expiration Date
Phone
09/09/2005
541-689-1667
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS'
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
NOT f C ~: Downs P-OutslDrains
THIS PERMIT SHALL EXPIR~ if. TH~ WORK
AUTHORIZED UNPtR THI~ p~~MIT 19 N9T
COiVilVlENCED OR I~ AeANQQNsQ f9R
ANY 180 DAY PERJOO:
Notes:
1 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descripti~n I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
8/8/05
8/8/05
8/8/05
8/8/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
8/9/05
Total Amount
$116.47
I Plan Reviews I
CITY OF SPRlNGFIELI}'
Building/Combination Permit
PERMIT NO: COM2005-01070
ISSUED: 08/08/2005
APPLIED: 08/08/2005
EXPIRES: 02/09/2006
VALUE:
Value
Date Calculated
Receipt Number
1200500000000001152
1200500000000001152
1200500000000001152
1200500000000001152
1200500000000001161
1200500000000001161
1200500000000001161
1200500000000001161
1200500000000001161
1200500000000001161
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
2 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01070
ISSUED: 08/08/2005
APPLIED: 08/08/2005
EXPIRES: 02/09/2006
VALUE:
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 readable from
the ~ree(ih;rt)the permit card is located at the front of the property, and the approved set of plans wiD remain on the site
at oI~rin1j;'W'ftiOn.
~ ~ IlJ___ . is --9'- 0<-
.J
Owner or Contractors Signature Date
3 of 3
~'LJ.~9.,!'.'~",',~" i,'i'"",~ ,.c",'
WIr"" ,,' ~':"'i'
,I!"',
.-.....:, ~"_. .., ,- i
"., cf, ~
',,,,,,~' .,'?
"'.~-.......,,!-~~~
225 Fifth Street
Springf.ield, Oregon 97477
541;;,726-3759 Phone
Job/Journal Number
COM2005-0 1 070
COM2005-0 1 070
COM2005-0 1 070
COM2005-0 1 070
COM2005-0 1 070
COM2005-0 1 070
Payments:
Type of Payment
CreditCard
.^
:\:,'
:..)
~i
8/9/2005
City of Springfield Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #:
1200500000000001161
Date: 08/09/2005
8:51 :41AM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump .
~Mechanical Issuance Fee~
Minimum! Adjustment Mechanical
Amount Due
3,15
4.50
8.00
12,00
10.00
25.00
$62.65
Paid By
ROGER TILLER
Item Total:
l:heck Number Auttlorization
Received By Batch Number Number How Received
djb 092352 In Person
Payment Total:
$62.65
$62.65
Amount Paid
I of 1