HomeMy WebLinkAboutPermit Mechanical 2006-8-9
.
.CITY OF SPRJl~tJ..IELD
Building/Combination Permit
PERMIT NO: COM2006-00950
ISSUED: 08/09/2006
APPLIED: 07/28/2006
EXPIRES: 02/09/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3727 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802061204308
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless mini split AC
Owner:
Address:
GLORIA MAE ROA T REVOCABLE LIVING TR
3727 DOUGLAS DR R--'t-
SPRINGFIELD OR 97478 v.~ ~\J.\()\
f ~\.. 'f ,-.
c \' ,'I. ,-
..0:,_ -~!'\~__~9-
I cONroftiio'f:i:jk<INJ'URMATlON .
'y" , ,
. ~~"-\'(\'- $)\)'"
Co,!~~\\ s ~()~~ ~ro~~ License
E~ffl'ti~~l'4t~ING 149452
. \ ~~'\\\~~~"'(;,1oJ Bl'frLDING INFORMATION I
,,()~ <0<;) \l' .
~~ '\ , . # of Stories:
~R-3.<' Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone Number: 541-736-1120
Contractor Type
Mechanical
Expiration Date
10/22/2007
Phone
541-726-7654
# of Units:
Primary Occupancy Group: '.
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
<VN
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft,Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, DEVELOPMENT INFORMATION'
,0
_,Ov '$F,~IRED PARKING
, F:> -, \:J'" !\o' r.~
~f(, 0<:- <o~tiYl '04.
<.,f?>(5:.01-,f?>C$ I-,f?> !;la\~.a~ped:
~ F:> 'Ii' ~oo)l,~l:
~,'If >$'f?> .sf?> O~ 15:;00 _.~ ~o~
~ >.'O~ F:>f?><; !f (SO'" ~f?>~~v'lf
Ol-,f(, f?>v 0 0'5 F:> f?>'" &
~'" ~ ._<; ;,f?> ,,<,< ~ );
I PUBLIC IMPROVEMENW' 'l>ov;.~.~"r:;;, ~ v:&q,:,~'<::i ~~.
(.~f?><O 0" \:)'" ~ "'- 'V a;
,(:o.0'~, ,'5 ~ ()~cte~kJy~e.'f !:)''l>'l>
'?- 0'" ivO ~ ~,,~ 1-,q,~J SS
,~,~v'lf <l>~_~dWnSP'o!!,QiD{'lIins:
_,& ~ 4,0 >$'f?> I-,~ ~{>
'" O!:), R> ,0 ",0
'-$' s:,q) ~<::' ~ ()0<:-
<;:j v'lf If>
<:-'5
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
-ilk'
.
.CITY Ut< ~rKINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00950
ISSUED: 08/09/2006
APPLIED: 07/28/2006
EXPIRES: 02/09/2007
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
Feps Pfclid .
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Appliance Not Listed
Amount Paid
Date Paid
$10.00
$4.50
$3.60
$45.00
8/9/06
8/9/06
8/9/06
8/9/06
Receipt Number
1200600000000001235
1200600000000001235
1200600000000001235
1200600000000001235
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 Reouired \rSnPclions .
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 strnctnre 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.
~'
~
'\
~-"I-O""=
Owner or Contractors Signature
Date
Pa2e 2 of2
225 Fifth Street
Springfield, 'Oregon 97477
541-726-3759 Phone
. aPAlNOFlSLD
~"",.,
Wi!~,
_. ~ -
.~. ,', '--.. .
Caof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00950
COM2006-00950
COM2006-00950
COM2006-00950
Payments:
Type of Payment
CreditCard
cReccint 1
RECEIPT #:
Date: 08/09/2006
1200600000000001235
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Appliance Not Listed
-Mechanical Issuance Fee-
Paid By
MOLLY BRADY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 075327 In Person
Payment Total:
Page I of I
2:35:13PM
Amount Due
3,60
4.50
45,00
10,00
$63.10
Amount Paid
$63,10
$63.10
8/9/2006