HomeMy WebLinkAboutPermit Mechanical 2006-02-09oFs
Buildin g/Co mbin ation Permit'
Status: Issued
"'225 Fifth Street, Springfield OR
541:7263753 Phone
541-7264676F.ax
541:12637 69 Inspection Line
PERMITNO: COM2006-00169ISSUED: 0210912006APPLED: 02/09/2006E)GIRESz 0810912006
YALUE:r/\
SITE ADDRE$S: 1163 7TH ST
ASSESSOR'S PARCEL NO.: 1703264312300
PROJECTDESCRIPTION: Installfurnace
Springlield TYPE OF
TYPE OF USE:
Heating System
New Residential
Phone
541-747-7445
Owner:
Address:
Contractor Type
Mechanical
DOROTHY MILLIGAN
1620 W 24TH A\rE
EUGENE OR 97405
Phone Number: 541-342-2143
F
Contractor
MARSHALLS INC
License
25790
Expiration Date
12t23t2009
CONTRACTOR INFORMATI ON
,uU tO
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback:
Side l Setback:
- Side 2 Setback:
Rearyard Setback:
Solar Setbac}s:
Street
Storm Sewer Available:
Special Instruction:
Notes:
'h
R-3
vN
Range Type:
Energy Path:
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o of Lot Coverage:
Floor:
Floor:
32 -2349.
Sq Ft Other:
nla Occupant Load:
$ Per Sq Ft
or muhip[er
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Square Footage
or Bful Amount" Description Tvpe of Construction
lol 2
Value Date Calculated
e9on
are s
utitit v
D
Status: Issued
225 Fifth Street, Springfield, OR
541:7263753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
Buildin g/Co mbination Permit
PERMIT NO: COM2006-00169ISSUED: 0210912006APPLIED: 0210912006E)PIRES: 08/0912006
VALUE:
- Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 87o State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
$10.00
$4.50
$3.60
$6.00
$12.00
$27.00
$63.10
Total Value of Project
Date Paid
2t9t06
2t9t06
2t9t06
2t9t06
219t06
219106
Receipt Number
1200600000000000138
1200600000000000138
1200600000000000138
1200600000000000138
1200600000000000138
1200600000000000138
Fees Pa
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
leouired fnsnections
By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accondance
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 OCCUPAIICY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiff that only contractors and employees who are in compliance witlt 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 stree! 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 construction.
(
Owner or Contractors Signature
2of2
Date
7-7-c 6
*5
To Request an inspection call the24 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.
225Fitth Street
Springfietd, Oregon 97 47 7
541-726-3759 Phone
-.-i1y of Springfield Official Receipt
tevelopment Services Department -
Public Works Department
RECEIPT #: 1200600000000000138 Date: 0210912006 1:44:56PM
Job/Journal Number
coM2006-00169
coM2006-00169
coM2006-00169
coM2006-00169
coM2006-00169
coM2006-00169
Description
+ 8% State Surcharge
+ l0% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.60
4.50
12.00
6.00
27.00
10.00
Item Total:$63.10
Payments:
Type of Payment Paid By
uheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MARSHALLS INC djb t9107 In Person
Payment Total:$63.10
$63. l0
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