HomeMy WebLinkAboutPermit Mechanical 2007-1-3
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.ITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01672
ISSUED: 01103/2007
APPLIED: 12/29/2006
EXPIRES: 07/03/2007
VALUE:
Status
Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3995 COMMERCIAL AVE
ASSESSOR'S PARCEL NO,: 1702311403800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: use initials
PROJECT DESCRIPTION: Gas Furnace Change Out
Owner: MARLBOROUGH NORMAN C
Address: 3995 COMMERCIAL AVE
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: "~pIa
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J1e!~D.F~JDUOPME~T. INF.0RM~llIGN'lt\
~\\oW rules aO~~;~1h~se rules are ;;2~001
Notitication Cf'O'vr{J~Y..lI?,~t':'Ugh OAR \es b\
. OAD 95'2-0C#1Street.TJ;ees--R~rd:>i the ru ",'
iO n ',nhJ?-1I1 vVt". - . \ phooe
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00 a'\\'IOg the%C?crf.erit C~~~Ii~ge:l Notiiicatlo
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bertorthe ' ~ 0/)31)-2.344). '
num ._..;c1-BO,-,,; ~
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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:
. REQUIRED PARKING
Total:
Handicapped:
Compact:
, ."-:'1"_"
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I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
. Description
Type of Construction
NOllCE: 'EXPIRE IF 1HE WORK
, II-1\SPERMI1 SHl\l_~ ~,IIe' D~QM\1 \5 NOT
J \ HlJ~;L~~ '''';~''~'_Ir- n I I 11_ . 0 cOR
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, .a ua, 'IODlb,eSCliI lon
Go,...., , RIGD
,'~cnnC\YPE .
l\~lPerlSq iFt Square Footage
or multiplier or Bid Amount
Value '
Date Calculated
Notes:
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.ITY OF SPRINGFIELD'
Building/Combination ,Permit
PERMIT NO: COM2006-01672,
ISSUED: 01/03/2007
APPLIED: 12/29/2006
EXPIRES: 07/03/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees PaW
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimuml Adjustment Mechanical
Amount Paid
, Date Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
1/3/07
1/3/07
1/3/07
1/3/07
1/3/07
1/3/07
Receipt Number
1200700000000000011
1200700000000000011
1200700000000000011
1200700000000000011
1200700000000000011
1200700000000000011
Total Amount Paid
$65.35
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.
Reauired Ins~ioWiJ
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, 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.
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Owner or Contractors Signature
Date
, Paee 2 of2
125 FUtb Stlreet
Springfield, Oregon 97477
541-726-3759 Phone
.
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Ciiw>f Springfield Official Receipt
~opment Services ,Department
Public Works Department
RECEIPT #:
1200700000000000011
Date: 01/03/2007
3:07:05PM
Paid By
MARS HALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 19554 In Person
Payment Total:
Amount Due
12.00
10.00
2.25
3.60
4.50
33.00
$65.35
Job/Journal Number
COM2006-0 1672
COM2006-0 1672
COM2006-0 1672
COM2006-0 1672
COM2006-0 1672
, COM2006-0 1672
Description
Furnace - up to 100,000 btu
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Minimum! Adjustment Mechanical
Payments:
Type of Payment
Check
Amount Paid
$65.35
$65.35
cReceintl
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1/3/2007