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HomeMy WebLinkAboutPermit Mechanical 2006-6-15 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00720 ISSUED: 06/15/2006 APPLIED: 06/1312006 EXPIRES: 12/15/2006 VALUE: i' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3389 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802062104400 Springfield TYPE OF WORK: Heatiug System .. PROJECT DESCRIPTION: Install heat pump and air handler TYPE OF USE: New , Residential Owner: DAVID MADSEN Address: 3389 DOUGLAS DR SPRINGFIELD OR 97478 Uell:tl THIS PERMIT SHAltl@)!jJl1R~~e'fHEMJGm-4106 AUTHORIZED UNDER THIS PERMIT IS NOT rnMMI'Nr.m olt IS ABANDONED FOR ~."\{ J Q!1. f'W PERIOD. I CONTRACTOR INFORMATJO'N , Contractor Type Mechanical Contractor MARSHALLS INC Litense 25790 BUILDING INFORMATION I Expiration Date 12/23/2009 ). Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: rrimary Construction Type Secondary Construction Type: # of Bedrooms: VN Lot Size: Sq Ft 1st Floor: Sq Ft 2ud Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: !__... ~rl'\1 \ to I DEVELOPMENT INFORM'$1:JDN'" 0189<; ~~7h;o~e90n Utlllty""- follow ;'JIJ5 ~doPt\h se rJ,tI)!Q,UIREUCl'ARKING " r n center. 0 . ()H~ 952-001- Overlay Dist: Notlflca 10 01-0010 througl'otal: les by # Street Trees Rqd:OAR 952-0 btain copieH.~di'ta~~ed:e Paved Drive Rqd':>090, You may 0 ter (No\e:Giiitili~cii'\~;' n % of Lot Coverageo calling the cen ' n I H"'IV !\If. "\,c,, \0 . h Orego" Co" numberfort e 1_fJGO-332-23 A), ' """,ntpr IS # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy rath: Sprinkled Building: nla R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstructiou: Sidewalk Type: DowuspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 /~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00720 ISSUED: 06/15/2006 APPLIED: 06/13/2006 EXPIRES: 12/15/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 rhone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~~s ~ $10.00 $4.50 $3.60 $8.00 $12.00 $25.00 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 6/15/06 Receipt Number 2200600000000000841 2200600000000000841 2200600000000000841 2200600000000000841 2200600000000000841 2200600000000000841 Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount raid Date raid 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. L. ~~~'Il,(wursn~~t~ 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 the proper time, that each address is readahle 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. g~ r:?~_ 6',-/"'}--= b Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone / . r;;"~,,', .,. '.,'. 1&:.. ~ ~~ .., c..iiI.of Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journal Number COM2006-00nO COM2006-00nO COM2006-00nO COM2006-00nO COM2006-00nO COM2006-00nO Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000000841 Date: 06/15/2006 Description + 8% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALL'S INC. Item Total: l.:heck Number Authorization Received By Batch Number Number How Received ddk 19288 In Person Payment Total: Page I ofl 1I:31:14AM Amount Due 3,60 4.50 8,00 12,00 25,00 10,00 $63.10 Amount Paid $63,10 $63.10 6/15/2006