HomeMy WebLinkAboutPermit Mechanical 2006-9-22
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.
Status
Issued
*
.ITY OF ~rKll'\il>FIELD
Building/Combination Permit
PERMIT NO: COM2006-01193
ISSUED: 09/22/2006
APPLIED: 09/14/2006
EXPIRES: 03/22/2007
. VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 604 MANSFIELD ST
ASSESSOR'S PARCEL NO.: 1703233410900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump and air handler
Owner:
Address:
q~!l\l"
NOVER EDWARD P TE X. W "i~\;. '0. ~C\
11825 PRESTON TRAIL . 't.'1,.'r\'f' 'i\\<tI\"i ~\1
NORTH RIDGE CA 913~\\C~;t!\" '2l~\l-\.;Q. ,,~\'2l !~~'t.~ ~Cy..
~\':) {~. en \l,ia r,y\\>.,t"...-
" \\....~lJclJNTd~.<<I.\-Mlf.INFORMA TION I
".\,II " "' il i~
r ~~\:.\.-. \,\:.f\' .
Contractor CO N '\'01.'1 ~\l-'1 License
REYNOLDS EL~~TRIC 17252
MARSHALLS INC 25790
Expiration Date
02/08/2007
12/23/2009
Phone
541-343-7297
541-747-7445
Contractor Type
Electrical
Mechanical
BUILDING INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupan~boad:
.\ \
r DEVELOPMENT INFORMATION I '~0"''';$\~~r
~qp.~ efbO~lJl!i~~:'.:P PARKING
~~ O~ ~e '9'\
Overlay Dist: o~'I. ~e '- tal~ .
# Street Trees Rqd: .O\0~eb 'O~ ~ I\\O~ij4h~~~
Paved Drive Rqd: \O~. OO~~ ~ ~~O:.\Il.1PP.MV> -
%ofLotCover~'\ re>'bl ~e\' ~()~#..:.~ <t>~'-
:0 ~ cP ~ f)~ - .,IJ,.0':~ 'o..t."\.
I" ""~ ",rt- ~"'.Jl'I'Il \~, ~'-'f1'!r
I PUBLIC IMPROV~~isj; ~'l~~9':
'\~ lJii>' ..~ 1,~\{I; hpe:
\j(J _~ ~'1 ~
V"' ~vP ~~nspouts/Drains:
(\~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page I of 3
-L!.... NN. ~~
~..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescriPtion
Tvpe of Construction
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extepd Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01193
ISSUED: 09/22/2006
APPLIED: 09/14/2006
EXPIRES: 03/22/2007
VALUE:
I Valuation Oeseriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~. P~illl
Amount Paid
Receipt Numher
Date Paid
.9/14/06
9/14/06
9/14/06
9/14/06
9/14/06
9/22/06
9/22106
9/22/06
9/22/06
9/22/06
9/22/06
9122/06
2200600000000001293
2200600000000001293
2200600000000001293
2200600000000001293
2200600000000001293
1200600000000001438
1200600000000001438
1200600000000001438
1200600000000001438
1200600000000001438
1200600000000001438
1200600000000001438
$4.90
$2.45
$3,92
$43.00
$6.00
$10.00
$4.50
$2.25
$3.60
$12.00
$12.00
$21.00
$125.62
I 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,
I R'pollirptllosnections'
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Page 2 of 3
.
6:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01193
ISSUED: 09/22/2006
APPLIED: 09/14/2006
EXPIRES: 03/22/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 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
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.
./3"7n ---- ~-""--
Owner or Contractors Signature
}?-,2J..-oc:.,
Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.~~
Ci_f Springfield Official Receipt
D.pment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1193
COM2006-0 1193
COM2006-0 1193
COM2006-0 1193
COM2006-0 1193
COM2006-0 I ) 93
COM2006-0 1193
Payments:
Type of Payment
Check
cRcceinll
RECEIPT #:
1200600000000001438
Date: 09/22/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
19429
In Person
Payment Total:
Page ) of )
11:13:49AM
Amount Due
2.25
3.60
4.50
12.00
12.00
21.00
10.00
$65,35
Amount Paid
$65.35
$65.35
9/22/2006