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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 .. [ ~ 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 . ......-inR..,"-.J!!I!!,D.. ,.. ...' 1i1it' -.. ".. -'" i , ,,' . ,-_...: ~] " - '" ,.- <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