HomeMy WebLinkAboutPermit Mechanical 2006-01-26Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00101ISSUED: 0112612006APPLIEDz 0112612006
EXPIRESz 0712612006
VALUE:
SITE ADDRESS: 361 17TH ST
ASSESSOR'S PARCEL NO.: 1703362404000
PROJECT DESCRIPTION: Install gas furnace
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-673-0491
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Expiration Date
12t23t2009
Residential
Phone
541-747-7445
"" Owner:
Address:
BONITA WHITAKER
405 SABLE DR
ROSEBURG OR 97470
License
25790
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
R-3
YII
Floor:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
$ Per Sq Ft
or multiplier
THI
AUTH ORIZED UNDER
COMMENC EO OR IS ABfff$@$FBtF,ffiains:
ANY 180 D AY PERIOD.
Square Footage
orBid Amount
EXPIRE IT TI{EWORI(
ixtr+urmfifle$loT
Description Type of Construction
Page 7 of 2
Value Date Calculated
Iru|.L-l,rll\ tr rr\I (rIUYlA l. l(r1\ |
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:ON: Oregon law
Height of Structure by the
r. Those rules
-0010 through
obtain coPies
center.(Note: the
Oregon ld{di.rY Load:
may
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
.. 541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00101ISSUED: 0112612006APPLIEDz 0112612006EXPIRESz 0712612006
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 87o State Surcharge
Appliance Vent
Furnace - up to 1001000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.60
$6.00
$12.00
$27.00
$63.10
Total Value of Project
Date Paid
u26t06
u26t06
u26t06
u26t06
u26t06
u26t06
Receipt Number
2200600000000000r32
2200600000000000132
2200600000000000132
2200600000000000132
2200600000000000132
2200600000000000132
tr'ees Paid
Plan Reviews
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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will 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 70f.005 wilt 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
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 construction.
Owner or Contractors Signature
Pase2 of2
Date
t -3/--d/
225 Fifth Street
Spragfield, Oregon 97 477
541-726-3759 Phone
eity of Springfield Official Receipt
,evelopment Services Department
Public Works Department
RECEIPT #: 2200600000000000132 Date: 0112612006 11:51:08AM
Job/Journal Number
coM2006-00101
coM2006-00101
coM2006-00101
coM2006-00101
coM2006-00101
coM2006-00101
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
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check MARSHALLS INC djb 19078
,t
I
'('
t
Page I of I
tBFntt*cFrgLD
In Person $63.10
Payment total :
-563.-iT-
U26t2006