HomeMy WebLinkAboutPermit Mechanical 2006-11-28
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.ITY OF ~rKm~NI!.LD .
Building/Combination Permit
PERMIT NO: COM2006-01508
ISSUED: 11/28/2006
APPLIED: 11/28/2006
EXPIRES: OS/28/2007
VALUE:
*
SITE ADDRESS: 721 KELLY BLVD
ASSESSOR'S PARCEL NO.: 1703352212300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace gas wall furnace
Owner:
Address:
KRUSE LOYD H & RITA R
3820 SPRING BLVD
EUGENE OR 97405
Phone Number: 541-343-3336
I CONTRACTOR INFORMATION I
Contractor License
EMERALD SWIMMING POOLS OF ORE IN 11294
BUILDING INFORMATION I
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoodary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Expiration Date
10/2212009
Phone
541-688-1090
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: ._.;J Sq Ft Basement:
Range Type: . -:" '1,"""" "" VOU... Sq Ft Garage/Carport
,~ . Eoergy Path:.... :" t. ,: Or .<:['1" UI'\"Y .Sq Ft Other:
,- ".',._ .. (\~priokled'B~j1d}ng: ril':':;: :;"'n/a'2t IOI~Occupant Load:
1)". -.. .,.\.. \,1..,:-;..... ,.......,,;,'J.J.H1t
'I'DEVELOPMENT.INFORMA TION 'liUk:s ,'~
'~r-o Y::Ju r','~\' Qi.Jl,' "("~O;3' \\,~ te\8I')r.o,~e REQUIRED PARKING
'N' . ~~'~r I~ .,. ''\' atlon
C;J\\if\9verl~~ _DisN~"on U\\\i1:Y NOllie . Total:
~,l!IT1l:lil;Stre~t!r!,\s ~qd;~~:<-2'3"''''')' Handicapped:
Payed Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
NOTICE: T SHALL EXPIRE IF TDliJIJ'~\}lftslDrains:
THIS PERMI UNDER THIS PERMIT IS NOT
~~~~:~~~D OR IS ABANDONED FOR
_ ."~ n '" n~Olnn
...... .~:!. ~\..
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dale Calculated
Descriptioo
Tvpe of Construction
Paee I of2
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01508
ISSUED: 11/28/2006
APPLIED: 11/28/2006
EXPIRES: OS/28/2007
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
L.Fees P~W
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fcc
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustmeot Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
11/28/06
11/28/06
11/28/06
11/28/06
11/28/06
11/28/06
Receipt Number
1200600000000001689
1200600000000001689
1200600000000001689
1200600000000001689
1200600000000001689
1200600000000001689
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.
I Retlll~e"'ionsJ
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 berein, and
that NO OCCUPANCY will be made of any structnre 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.
r/~ ,1/ ~d'-- __--'
v \ /.;, /"
Owner or Contractors Sigoature
/
~
1!--}lff'-tJ 6'
Date
Paee 2 of2
225 Fifth Street
Spring!je\d, Oregon 97477
541-726-3759 Phone
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Cwf Springfield Official Receipt
~opment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1508
COM2006-0 1508
COM2006-0 1508
COM2006-0 1508
COM2006-0 1508
COM2006-0 1508
Payments:
Type of Payment
Check
cRecciolJ
RECEIPT #:
1200600000000001689
Date: 11/28/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
RITA KRUSE
Item Tolal:
Check Number Authorization
Received By Batch Number Number How Received
djb
3476
In Person
Payment Total:
Page I of I
II :07:35AM
Amount Due
2.25
3.60
4.50
12.00
33.00
10.00
$65.35
Amount Paid
$65.35
$65.35
11/28/2006