HomeMy WebLinkAboutPermit Mechanical 2006-4-4
Issued
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
~, 541-726-3676 Fax
, .541-726-3769 Inspection Line
.
. CITY VI< ~rRINGFIELD '
"
Building/Combination Permit
PERMIT NO: COM2006-00164
ISSUED: 04/04/2006
APPLIED: 02/08/2006
EXPIRES: 10/04/2006
VALUE:
Springfield TYPE OF WORK: Heating System
SITE ADDRESS: 933 A ST
ASSESSOR'S PARCEL NO.: 1703354203900
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and furnace
Owner:
'; Address:
,
....\ \..r~S yuu ~'-'
., '~ . . - Uti\it,Phone Number:
U.egon 1
" ,I ,e. t lDrth
'eS are 58
. d , \ ',1:)5e ru, ~ ^ Q Q<;2-001-
. d1[)10 U11UU\oj" -. .~~ rules bV
, LV" lRACTOR,INF.oRMA:TlON,lphone
u0J. 'vv h center. ,NO''''' .:::~ Notilication
ca\\\f1g t e the oregonUiCimse4) Expiration Date
number ~or_'M i" 1_800-25:790'.3/\' 12/23/2009
BUILDING INFORMATION'
541-726-1216
MCCARROLL LIVING TRUST
933 A ST
SPRINGFIELD OR 97477
',' Contractor Type
. Mechanical
Contractor
MARSHALLS INC
oj!
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
, ~" Side 2 Setback:
. Rearyard Setback:
". Solar Setbacks:
"
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone
541-747-7445
# of Stories: Lot Size:
R-3 Heigbt of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Patb: Sq Ft Other:
Sprinkled Building: nla QCfUIIllIlf\Road:
_\~r. -\,7r Ie lHf ~~U
I DEVELOP~l~:. \~~':'t'N",\Tt~N:.I\S 'PeR\'A\1 IS NU \
I Ul\-\OR\I\:U lMuIS' {>..BI'JlDONeO I'ORREQUIRED PARKING
over~~.JtkNCeO OR 00 Total:
# Stre t Cj'~~qm'l PeRI . Handicapped:
Paved rive Rqd: Compact:
% of Lot Coverage:
, PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Description
Tvpe of Construction
I"
Pal!elof2
.
. CITY OF ~rK1j"luFIELD: .
Building/Combination Permit
PERMIT NO: COM2006-00164
ISSUED: 04/0412006
APPLIED: 02/08/2006
EXPIRES: 10/04/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fee. Pairll
- Fee Description
'-;' ....Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 8% State Snrcharge
Fnrnace - np to 100,000 btn
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.60
$12.00
$12.00
$21.00
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
Receipt Number
1200600000000000406
1200600000000000406
1200600000000000406
1200600000000000406
1200600000000000406
1200600000000000406
;
Total Amount Paid
$63.10
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 Renuirerll~
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 he 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 tbe proper time, that each address is readable from the ,
street, that the permit card is located at the front ofthe prDperty, and the approved set of plans will remain on the site at all
times during construction.
\ 1/1 AAlfu~
()(!ftn ltuY
Lj -L/-00
-= Owner or Contractors Signature
Date
Paee 2 of2
"
225 Fifth Street
..~ .
Springfield, Oregon 97477
541-726-3759 Phone
.
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iiIiIl.ty of Springfield Official Receipt
.velopment Services Department ,
Public Works Department :
Job/Journal Number
COM2006-00 164
COM2006-00 164
COM2006-00 164
COM2006-00 164
COM2006-00164
COM2006-00164
Payments:
Type of Payment
Check
f.J~
:0
'i'
1
:1
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,
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4/4/2006
RECEIPT #:
1200600000000000406
Date: 04/04/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Heat Pump
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 19193 In Person
Payment Total:
Page I of I
2:46:26PM
Amount Due
3,60
4,50
12,00
12,00
21.00
10,00
$63.l0
Amount Paid
$63,10
$63.10