HomeMy WebLinkAboutPermit Mechanical 2006-6-26
Status
Issued
*
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00766
ISSUED: 06/26/2006
APPLIED: 06/22/2006
EXPIRES: 12/26/2006
VALUE:
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3853 LONG RIDGE DR
ASSESSOR'S PARCEL NO.: 1802061310003
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace heat pump
Owner: LYNN NGUYEN
Address: 3853 LONG RIDGE DR
SPRINGFIELD OR 97478
Phone Number: 541-741-4368
..
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~ 1 ..,..f....',;r~~qyOuto
, CONTRACTOR INFORMATION I . ,."on Utility
., ,...; d..J set forth
License' . Expiratio'!,-Datq_ Phone
. 460' 01 U thro_l;:~' .Q~!i.iI~9~7.;bV 541-726-0100
BUILDING INFORMA Ti6NI~;" (N~te: the telephone
_. b- for the Oregon Utility Notification
# fSt . num er L t.J~'"
o orles: Center is 1-800-33~ l! ",zf"
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Contractor Type
Mechanical
Contractor
COMFORT FLOW
# of Units:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VN
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT lNFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd~OTICE: Handicapped:
Paved Drive Rqd: THIS PERMIT SHALL EXPIr<fuliip'lil:llE WORK
% of Lot Coverage;UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
I PUBLIC IMPROVEMENTS IOu UMI rcnlUll.
Sidewalk Type:
Downspouts/Drains:
i
j
J
I'
~.
~
t
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
Paee 1 of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00766
ISSUED: 06/26/2006
APPLIED: 06/22/2006
EXPIRES: 12/26/2006
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
Fee~ p~ i.! .
111 (Iih'"
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
SlO.OO
$4.50
$3.60
$12.00
$33.00
6/26/06
6/26/06
6/26/06
6/26/06
6/26/06
Receipt Number
1200600000000000962
1200600000000000962
1200600000000000962
1200600000000000962
1200600000000000962
Total Amount Paid
563.10
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.
L-Reouired In.nedilw,Ll
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 will be made ofany structure without permissioo orthe Community Services Division, Building Safety.
I further certify that only contractors aod employees who are in compliance with ORS 701.005 will be used on this project.
1 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 constructio . . J/
A, /~~~ J-'
. Ow..t:r Co~ractor; Signat~;-f' . Date
Paee 2 of2
225 Fiftho Street
Springfield, Oregon 97477
541-716-3759 Phone
.
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1i1it'
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" - '" ,.-
<aof Springfield Official Receipt
_elopment Services Department
Public Works Department
Job/Journal Number
COM2006-00766
COM2006-00766
COM2006-00766
COM2006-00766
COM2006-00766
Payments:
Type of Payment
Check
cReceinl1
RECEIPT #:
1200600000000000962
Date: 06/26/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
djb 34631 In Person
Payment Total:
Page I of I
1l:31:04AM
Amount Due
3.60
4.50
12.00
33.00
10.00
$63.10
Amount Paid
$63.10
$63.10
6/26/2006