HomeMy WebLinkAboutPermit Mechanical 2006-6-15
.
Status
Issued
. CITY OF SPRINtJ.nl'"LU .
Building/Combination Permit
PERMIT NO: COM2006-00712
ISSUED: 06/15/2006
APPLIED: 06/12/2006
EXPIRES: 12/15/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6848 JESSICA DR
ASSESSOR'S PARCEL NO.: 1802031403202
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: BEN KORDON
Address: 6848 JESSICA DR
SPRINGFIELD OR 97478
Phone Number: 541-302-4536
Contractor
MARSHALLS INC
NOTICE: _ ,.., ') J cVOIQ~ If THE WORK
THI~ t'tMlI' v' '':-: - RMIT IS NU'
I CONTRACTOR'INF@~(f\I@~I.TH\~;5NEO FOR
. COMMENlJ~ un ,,, ~BI\
~NY 180 DlffifeiiselO. Expiration Date
, 25790 12123/2009
BUILDING INFORMATION I
,
Contractor Type
Mechanical
Phone
541-747-7445
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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 Gro'up:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPl"'",,,. 1"..ORMATION 1
REQUIRED PARKING
Ove"lf:r~tiON: Oregon law requires you. tarotal:
# S'fo'\j'I,J!r,es~,"1}(!I~lopted by the Oregon Utilltflandicapped:
PaxeiI,Dnve Rqd:nter Those rules are set fo(tompact:
.N('\t1T1~?l\Orl vI:: .
%.of [;oiRCoveraee: 001 0 through OAR 952-001-
In (JA :,jo".U(J ,- ,
OO<:JO. You may obtain copies of the rules by
. ,-.. {1\lDle: tIlt:: ~t:llt"~IIU"""
I PUBLIC IMPROVEMENTS I, on Util'ty NO'Ji,cation
"......"....."". .-. .- 9
Conter is 1_HOQ.SiiIewlilk"fype:
DownspoutslDrains:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation DescriDtion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
.541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ S% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
. CITY OF SPRINu1'1J!,LU
Building/Combination Permit
PERMIT NO: COM2006-00712
ISSUED: 06/15/2006
APPLIED: 06/12/2006
EXPIRES: 12/15/2006
VALUE:
Total Value of Project
Fees P3id I
Amount Paid
Receipt Number
2200600000000000S42
2200600000000000842
2200600000000000842
2200600000000000842
2200600000000000S42
2200600000000000S42
Date Paid
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
6/15/06
6/15/06
6/15/06
6/15106
6/15/06
6/15/06
$63.10
I Plan Reviews ,
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.Relluirerl Insn~
Rough Mechanical: Prior to Cover
Fiual 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.
/22 ("
~~-- ~~
Owner or Contractors Signature
a-/-eJ -~G
Date
Pa!!e 2 of2
225 Fifth Street
Spri!lglield, Oregon 97477
r
541-726-3759 Phone
.
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WI,' ,
c., ),...;
,.,,"^-,....." .,';;'
,"........ ..... . . .. -
_ of Springfield Official Receipt
_elopment Services Department
Public Works Department
Job/Journal Nnmber
COM2006-007l2
COM2006-007l2
COM2006-007l2
COM2006-007l2
COM2006-007l2
COM2006-007l2
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000000842
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 lNC,
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
ddk
19288
In Person
Payment Total:
Page I of I
II :34:06AM
Amount Due
3.60
4.50
8.00
12.00
25,00
10,00
$63.10
Amount Paid
$63.10
$63.\0
6/15/2006