HomeMy WebLinkAboutPermit Mechanical 2006-6-15
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00742
ISSUED: 06/15/2006
APPLIED: 06/15/2006
EXPIRES: 12/15/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3530 GAME FARM RD SPACE 73
ASSESSOR'S PARCEL NO.: 1703154003100
PROJECT DESCRIPTION: Air Handler & Heat Pump
Springfield TYPE OF WORK: Heating System
ATTy.pE'OFI~golj..lad"tiij~lJires you to
follow rules adopted by tile Uregon Utility
Notification Center, Those rule; ?~e _s_e~ f.?~h
Owner:
Address:
NORMAN CINDY L
3530 GAME FARM RD SPACE 073
SPRINGFIELD OR 97477
In UJ-\n :j'_..It::.-vu ,-vv I v U ''''''''''::::1'' ~, ,. . ....--- - - .
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
nlJmher for the Oreqon Utilitv Not:fication
r."nter is 1-800-332-2344),
, CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
MNB ELECTRIC INC
HOME COMFORT HEATING & AIR
License
162191
84164
Expiration Date
11/19/2006
06/25/2007
Phone
541-726-8601
541-345-2838
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secoudary Coustruction Type:
# of Bedrooms:
# of Stories: Lot Size:
.
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: NOTICE: Sq Ft Garage/Carport
Energy Path: THIS PERMIT SHALLsqWtl~tl;.:rHE WORK
Sprinkled 'Buildi1\~THORIZE!Y~NDEFPAG@.w.~M:IS NOT .
",,,,,,,...,,,, -, I un hJ MUf'\I"~~;"'~[, f~f.
I DEVELOPMENT INFORMATION.., PERIOD
, REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total: ' ~
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstructiou:
Sidewalk Type:
DownspoutsIDraius:
Notes:
Pal!e I 00
7~j
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
-Mechaoicallssuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
. CITY OF SPRIN<"t<lI'..LD
Building/Combination Permit
PERMIT NO: COM2006-00742
ISSUED: 06/1512006
APPLIED: 06/15/2006
EXPIRES: 12/15/2006
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amonnt Paid
Date Paid
Receipt Number
2200600000000000843
2200600000000000843
2200600000000000843
2200600000000000843
2200600000000000865
2200600000000000865
2200600000000000865
2200600000000000865
2200600000000000865
2200600000000000865
$4.50
$3.60
$43.00
$2.00
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
6/15/06
6/15/06
6/15/06
6/15/06
6/21/06
6/21106
6/21/06
6/21/06
6/21/06
6/21/06
$116.20
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.
~enlliretUnsnections I.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRIN&t<u..LU
Building/Combination Permit
PERMIT NO: COM2006-00742
ISSUED: 06/15/2006
APPLIED: 06/15/2006
EXPIRES: 12115/2006
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
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.
~~- L 6-d/-ot
Owner or Contractors Signature Date
Pa!!e 3 of3
225 Fibh Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00742
COM2006-00742
COM2006-00742
COM2006-00742
COM2006-00742
COM2006-00742
Payments:
Type of Payment
CreditCard
cReceintl
.
~~"""'q.~.,~" "
Wit,
, ,
,',-,-,..... ~ ,
. l' J
., , - .'~ -:
<;;& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
RECEIPT #:
2200600000000000865
Date: 06/21/2006
Description
Heat Pump
Air Handling Unit Up to 10,000
Minimum/Adjustment Mechanical
+ 8% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
HOME COMFORT HEATING ddk 167126 In Person
Payment Total:
Page I of I
9:09:18AM
Amount Due
12.00
8,00
25,00
3,60
4.50
10,00
$63.10
Amount Paid
$63,10
$63.10
6/21/2006