HomeMy WebLinkAboutPermit Mechanical 2006-8-22
.
~ITY OF ;:,rKu"'itJl'lf,LD
Building/Combination Permit
PERMIT NO: COM2006-01069
ISSUED: 08/22/2006
APPLIED: 08/18/2006
EXPIRES: 02/22/2007
VALUE:
Status
Issued
225 Fifth Strcct, Springficld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 750 ISLAND ST
ASSESSOR'S PARCEL NO.: 1703341204100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Contractor Type
Mechanical
Contractor
COMFORT FLOW
equ'IP;\IonelNiiinber:
nlawr '-'.,
ATTENTION: Ore90 tne Oregon Utility
.~II()W rules adop\e~,~;"" ",Ies are set tort~
,,1.....+ifir~t\On \.Jt:;\llvlo ~ "-~')U h OAK ~o.c.-VV'
I CONTRACTOR INF:ORM~'T10N IJi~S 01 the rules by
0090. You may u~~~.. "Note: the t~\ep~o.ne ,
calling the cflJlcensgn U\i!!(~p'!!jatIon,(Date
_, ,,,,her lor tr46(j)re~~~ ".,?_?3.\l~(27/2007
541-913-8534
Owner: AFRIKA MUCHA
Addrcss: 750 ISLAND ST
SPRINGFIELD OR 97477
Phone
541-726-0100
..... -.q..- I ---
BUILDING INFORMJ\TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Watcr Typc:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Othcr:
Occupant Load:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
GO'..
Ove,rJmQUtl., RE IF IHE 'IN ~~!al:
# St!;l~~~~~~!I~:S\-I"\"\.. E)(P~ PERMll \$ ~Handicapped:
Pavc~W~'1~~'I~'J UNDER 1\-1\ ONEO FO" Compact:
% of,,,"ot ~overate: OR IS ",,"ND ,
~?~~~~~A~ PeRIOD,
I PUBLIC IMPROVEMENTS I
Frontyard Setback:
Side 1 Sctback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
,
"
Sidewalk Type:
DownspoutslDrains:
Notcs:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Datc Calculated
Pa~e I on
.
.LIt i OF ~rIuNGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I069
ISSUED: 08/22/2006
APPLIED: 08/18/2006
EXPIRES: 02/22/2007
VALUE:
Status
Issued
225 Fifth Strcet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fp.p.s P~id I
Fee Description
-Mechanicallssuancc Fe....
+ 10% Administrativc Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid Date Paid Rcceipt Number
$10.00 8/22/06 1200600000000001325
$4.50 8/22/06 1200600000000001325
$2.25 8/22/06 1200600000000001325
$3.60 8/22106 1200600000000001325
$8.00 8/22/06 1200600000000001325
$12.00 8/22106 1200600000000001325
$25.00 8/22/06 1200600000000001325
Total Amount Paid
$65.35
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.
I ~~i7\1';rrr~ IIlSfp.r.tions I
Rough Mechanical: Prior to Covcr
Final Mechanical: When all mechanical work is completc.
By signaturc, I statc and agrce, that I have carefully elamined the completed application aud do hereby certify that all
information hcrcon is true and correct, and I further certify.that any and all work pcrformed shall be done in accordancc with
the Ordinances of the City of Springfield and the Laws of thc Statc of Orcgon pertaining to the work described hercin, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further ccrtify that only contractors and employees who are in compliance with ORS 701.005 will bc uscd on this project.
I further agree to ensurc that all required inspections are requested at the proper time, that each address is rcadable from the
street, that the permit card is located at the front of the property, and the approved sct of plans will remain on the site at all
"mm '71'7L L" n
Date
2I:J06
Owner or Contractors Signature
Page 2 of 2
· iiL~
C~f Springfield Official Receipt
~opment Services Department
Public Works Department
225 Fifth Street
Springfitld, O;;&gon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 I 069
COM2006-0 I 069
COM2006-0 I 069
COM2006-0 I 069
I COM2006-0 t 069
COM2006-0 I 069
COM2006-0 I 069
Paymcnts:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000001325
Date: 08/22/2006
2:25: I3PM
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
2.25
3.60
4.50
8.00
12.00
25.00
10.00
$65.35
Paid By
COMFORT FLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
In Person
Payment Total:
$65.35
$65.35
35338
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8/22/2006