HomeMy WebLinkAboutPermit Mechanical 2006-3-9
-.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
,: 541-726-3676 Fax
: 541-726-3769 Inspection Line
*'
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00276
ISSUED: 03/09/2006
APPLIED: 03/0812006
EXPIRES: 09/0912006
VALUE:
: SITE ADDRESS: 1317 LAWNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252204200
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Install furnace
Owner: DIANE CHAFFEE
Address: 1317LAWNRIDGEAVE
SPRINGFIELD OR 97477
Phone Number: 541-736-8578
..
I CONTRACTOR INFORMATION I
Contractor TvDe
Mechanical
Contractor
MARSHALLS INC
License
25790
Expiration Date
12/23/2009
Phone
541-747-7445
I BUILDING INFORMATIONI
_#ofUnlts:
"Primary Occupancy Group:
. Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
,
R-3
nla
I DEVELOPMENT INFORMATION I
. Front yard Setback:
, Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
- Street
IPUBLIC IMPROVEMENTS I
NOTlt'l!~alk Type:
THIS~~~Wl!J~V.!1!Ij!$(PIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Storm Sewer Available:
Special InsJJctliM!ION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes: Notification Center. Those rules are set fOf:h
in OAR 952-001-0010 through OAR 952-001-
uu~u. YOU may ODlaln copies UI ..--.. -- .....~ ..~.
calling the center. (Note: tile leValuation Descriotion I
number for the Oregon Utility lliolllical,on
. D \P I T"'Q~tr.f'C'o 1-Ql1l1t?':l"-234$'Per Sq Ft Square Footage
- escr t on vpe 0 onstruc Ion' ',. Itl" Bid Am t
. or mu puer or OUD
Value
Date Calculated
1 of 2
,
.
.
I
I
CITY OF SPRINGFIELD;
Status: Issued
225 F1fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00276
ISSUED: 03/09/2006
APPLIED: 03/08/2006
EXPIRES: 09/09/2006
VALUE:
Total Value of Project
l..Fees Paid I
Fee Description Amount Paid Date Paid Receipt Number
, C
-- -Mechanical Issuance Fee- $10_00 3/9/06 1200600000000000280
. + 10% Administrative Fee $4.50 3/9/06 1200600000000000280
, + 8% State Surcharge $3.60 3/9/06 1200600000000000280
; Furnace - up to 100,000 htu $12.00 3/9/06 1200600000000000280
Minimum/Adjustment Mechanical $33.00 3/9/06 1200600000000000280
Total Amount $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.
.:.
E
~
w
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 m accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,
and that NO OCCUPANCY wiD 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 wiD remain on the site
. at all times during constructiolL
'&'L/&~ ~~ 3--?-OA
, Owner or Contractors Signature
Date
c
.
~
,
2 of 2
.
.J7.-"~-. -,.,..~i.
1IiL'
."0 1
~,,_,~.~.. <<;: i
it/iiity of Springfield Official Receipt
.velopment Services Department
Public Works Department
225 FWh Street
~"ringfield, Oregon 97477
541-726-3759 Phone
'(1
Job/Journal Number
COM2006-00276
COM2006-00276
COM2006-00276
COM2006-00276
COM2006-00276
Payments:
Type of Payment
Check
,I.
::
"
",
t
.,
,
.'
)
"
i"~
:;
,
'r":
1"
j
.,
,
~
4
'I;
..
(
3/9/2006
RECEIPT #:
1200600000000000280
Date: 03/09/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALLS INC
Received By
dim
I of I
Item Total:
CbeckNumber . Authortzatlon
Batch Number Number How Received
19147
In Person
Payment Total:
1:22:4IPM
Amount Due
3.60
4.50
12.00
33.00
10.00
$63.10
Amount Paid
$63. 10
$63.10