HomeMy WebLinkAboutPermit Mechanical 2006-3-3
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00259
ISSUED: 03/03/2006
APPLIED: 03/03/2006
EXPIRES: 09/03/2006
VALUE:
; SITE ADDRESS: 1405 LA WNRIDGE AVE
. ASSESSOR'S PARCEL NO.: 1703252206100
Springfield TYPE OF
Single Family Residence
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install gas water heater
.:;, Owner:
Address:
RAY RAAF
1405 LA WNRIDGE AVE
SPRINGFIELD OR 97477
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Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
. Primary Occupancy Group:
,
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
.,
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r Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. Street
\ Storm Sewer Available:
Special Instruction:
Notes:
I;.
~ Description
r
Tvpe of Construction
Phone Number: 541-726-8395
I CONTRACTOR INFORMATION I
License
25790
Expiration Date
12/23/2009
Phone
541-747-7445
R-3
I BUILDING INFORMA TIONI
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... .t} (I_' -',On /....1.
/I;~ of Stories: rl 'J~'" b '..y reqUires Lot Size:
in H~igIlN;fl Center ,crJh Y the OregonYSq'ill 1st Floor:
........J'i.10,...- . Os ' 't,,.,
ooType of'Heat:, -0010 e rUles are Sq F.t 2nd Floor:
,?l YI"I , thr 88"'"
CWaterq"ype: Obta' oUgh OAR 9 Sq-FfBasement:
~//ln..... J m Co . 5.... ,..,
n ~ange iJ)'P.!l;..nte Pies of th 'Sq(Rt.GarageJCarport
li:1i~fgy'<P.l\~J 0/ (Note: the lei e rUICSqlI5t Other:
SpririJUe!!er is 1 egon Utilityn~a epholOccupant Load:
-R(),..,......... I otlf/(",,::>~:_
r DEVELOPMENT INFORMATION:,).
VN
REQUIRED PARKING
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERMIT SH DownspoutslDrains
Ey~H1M~~~~g ~~%~!~;N~D~~~~~~SW~:
80 DAY PF1Mn ONED FOR
I Valuation Descriotion ,
$ Per Sq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
1 of 3
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
, 541-726-37691nspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Appliance Vent
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
i Minimum/Adjustment Plumbing
Total Amount
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. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2006-00259
ISSUED: 03/03/2006
APPLIED: 03/03/2006
EXPIRES: 09/03/2006
VALUE:
Total Value of Project
'F~s tiWLI
Amount Paid Date Paid Receipt Number
$10.00 3/3/06 1200600000000000246
$9.00 3/3/06 1200600000000000246
$7.20 3/3/06 1200600000000000246
$6.00 3/3/06 1200600000000000246
$14.00 3/3/06 1200600000000000246
$4.00 3/3/06 1200600000000000246
$35.00 3/3/06 1200600000000000246
$31.00 3/3/06 1200600000000000246
$116.20
I Plan Reviews I
To Request an inspection caD 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. wiD be made the following
work day.
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Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work Is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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Gas Service: After line Is installed and line has been connected to a minimum of one appliance Including required
testing. Presure test done at this point.
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2 of 3
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. CITY OF SPRINGFIELD'
Building/Combination Permit'
PERMIT NO: COM2006-00259
ISSUED: 03/03/2006
APPLIED: 03/03/2006
EXPIRES: 09/03/2006
VALUE:
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon Is true and correct, and 1 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 wID be made of any structure without permission of the Community Services Division,
, Building Safety. 1 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 durin,constructlon.
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././ //,7-""",,- ____ .....-' /C/ _ -
2- '"? -0 b
Owner or Contractors Signature
Date
o
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3 of 3
225 Fifth Street
; Springfield, Oregon 97477
. 541-726-3759 Phone
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JiiiilY of Springfield Official Receipt
"elopment Services Department
Public Works Department
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Job/Journal Number
eOM2006-00259
eOM2006-00259
eOM2006-00259
eOM2006-00259
eOM2006-00259
eOM2006-00259
COM2006-00259
eOM2006-00259
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Payments:
TWe of Payment
Faeck
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3/3/2006
RECEIPT #:
1200600000000000246
Date: 03/03/2006
Description
Fixture
Minimum/Adjustment Plumbing
Gas Outlets 1-4
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARS HALLS INe
Received By
djb
I of I
Item Tolal:
Check Number Authorization
Batch Number Number How Received
19142 In Person
Payment Total:
2:10:30PM
Amount Due
14.00
31.00
4.00
6.00
35.00
10.00
7.20
9.00
$116.20
Amount PaId
$116.20
$116.20
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