HomeMy WebLinkAboutPermit Mechanical 2006-3-13
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. CITYtJt< ~rKH'<Iljt<IELD'
Building/Combination Permit
PERMIT NO: COM2006-00296
ISSUED: 03/13/2006
APPLIED: 03/13/2006
EXPIRES: 09/13/2006
VALUE: '
SITE ADDRESS: 3593 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702194205000
Springfield TYPE OF
Heating System
TYPE OF USE: New
Residential
:; PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
CARL ENGMAN
3593 HAYDEN BRIDGE RD
SPRINGF1ELD OR 97477
Phone Number: 541-746-3151
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,;' Contractor Type
Mechanical
'res you to
I CON:rRAC'l'OR INFORMATION'. vn Utility
tollow rules aao[Jlt:U uy ~ '~,;;:'s- ;re ~et forth
Contractor Notification Center. Th\EicensDAR ~xlliration Date
J CO ENTERPRISES IN<;:,AR 952-001-0010 \\156807 ., ,...~ .~,~J~(Q9/2007
Phone
541-689-1667
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I BUffiDING'INFORMATIONI the telephone
<.;ctlll,"8 ."~ - - 'Ut',lity NotificatIOn
S _..'M the Oregon .
#,o~ tor;.es: , .800-332-2344), Lot SIZe:
Height ofenter IS 1 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 nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy
, P'rimary Construction Type
:; Secondary Construction
. # of Bedrooms:
R-3
...
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Ov.M~T~~~: T SHALL EXPIRE IF THE wo1!l\al:
# StnetSrP~~1 THIS PERMIT IS ~ilI.,ndicapped:
Pav~HGPR1jiG UNDER "Compact:
% oOOlMM:~:OR is ABANDONED FOR
ANY 180 DAY PERiOD.
1 Front yard Setback:
~,' Side 1 Setback:
{ Side 2 Setback:
" Rearyard Setback:
Solar Setbacks:
IPUBLlC IMPROVEMENTS I
Street
Storm Sewer Available:
, Special Instruction:
'.
Sidewalk Type:
DownspoutslDrains
; Notes:
I Valuation Descriotion I
,.
. Description
1
Tvpe of Construction
S Per Sq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
.'.:
1 of 2
Status: Issued
: 225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling Vnit Vp to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount
.
Total Value of Project
Fees Paid I
Amount Paid
$10.00
$4.50
$3.60
$8,00
$12.00
$25.00
$63.10
I Plan Reviews I
Date Paid
3/13/06
3/13/06
3/13/06
3/13/06
3/13/06
3/13/06
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00296
ISSUED: 03/13/2006
APPLIED: 03/13/2006
EXPIRES: 09/13/2006
VALUE:
-
'-
Receipt Number
1200600000000000289
1200600000000000289
1200600000000000289
1200600000000000289
1200600000000000289
1200600000000000289
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.
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 herein,:
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 readahle from
the street, that the permit car . at the front of the property, and the approved set of plans win remain on the site
at all times during const uctlon.
tv1
-----... ----
Owner or Contractors Signature
2 of 2
1J~-13do
Date
, I
"
lZ5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
, ,
Job/Journal Number
H'
COM2006-00296
cl:>M2006-00296
COM2006-00296
COM2006-00296
COM2006-00296
COM2006-00296
Payments:
T)1le of Pa)11lent
CreditCard
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3/13/2006
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Jiiity of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200600000000000289
Date: 03/13/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
BRIAN TILLER
Received By
djb
1 of 1
Item Total:
Lheck NwnDer AutnQrizatlon
Batcb Number Number How Received
094789 In Person
Payment Total:
1I:23:44AM
Amount Due
3,60
4,50
8,00
12,00
25,00
10.00
$63.10
Amount Paid
$63,10
$63.10