HomeMy WebLinkAboutPermit Mechanical 2006-9-22
SITE ADDRESS: 4520 DAISY ST ~Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1702324304302 ~~~ ~
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PROJECT DESCRIPTION: Install heat pu[te'Sin~~~ler
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Owner: JULlE~OL ~N <'-..~~~~~'\~~~~~~'"
Address: 4525 CA ~~~'";J ~<vv ~~'f'
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~ ~~'\~ ~~~\J<v~ <<. I CONTRACTOR INFORMATION I
~~ ~~~
Contractor Type ~ractor License
Electrical EYNOLDS ELECTRIC 17252
Mechanical MARSHALLS INC 25790
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special I nstruction:
Notes:
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01221
ISSUED: 09/22/2006
APPLIED: 09/21/2006
EXPIRES: 03/22/2007
VALUE:
TYPE OF USE:
Residential
New
Phone Number: 541-747-6771
Expiration Date
02/0812007
12/23/2009
Phone
541-343- 72 97
541-747-7445
R-3
BUILDING INFORMA nON.
# of Stories: $~~:
Height of Structure ~-"'.Wj I~r:
Type of Heat: lJ ~q, ~oor:
Water Type: I.~~ ~n
Range Type:
Energy Path: I ~. .f .
Sprinkled Building: f...!l/Ii ~~~ . .~:
I DEVELOPMENTINFORM.dt)~Clllf #jZ~
ff I s i; ~ ~ ,#iEQUlRED PARKING
Overlay Dist: ~~, ().~ eff. ~# !otal:
# Street Trees ~~ ~ ~<f:ctfT ~ cJr4 cf " Handicapped:
Paved Drive ~~ .~. *' ~"":rIP ~ t:' Compact:
% of Lot CovenLi~ -i: ..1..0 ~..# #
-# O~.~ J; (f
-$:' Nlli ;$J
I PUBLIC IMPROVEMENT~ I r... cf
Sidewalk Type:
Downspouts/Drains:
VN
Pae:e 1 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01221
ISSUED: 09/22/2006
APPLIED: 09/21/2006
EXPIRES: 03/22/2007
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$10.00 9/22/06 1200600000000001440
$4.50 9/22/06 1200600000000001440
$2.25 9/22/06 1200600000000001440
$3.60 9/22/06 1200600000000001440
$8.00 9/22/06 1200600000000001440
$12.00 9/22/06 1200600000000001440
$25.00 9/22/06 1200600000000001440
Total Amount Paid
$65.35
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.
~e(]uirecUnSDections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pae:e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01221
ISSUED: 09/22/2006
APPLIED: 09/21/2006
EXPIRES: 03/22/2007
VALUE:
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.
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Owner or Contractors Signature
9-p ;2.-oh
,.
Date
Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Cf~".~f Springfield Official Receipt
OO''tiopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1221
COM2006-0 1221
COM2006-0 1221
COM2006-0 1221
COM2006-0 1221
COM2006-0 1221
COM2006-01221
Payments:
Type of Payment
Check
c Receint I
RECEIPT #:
Date: 09/22/2006
1200600000000001440
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-
Paid By
MARSHALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
19429
In Person
Payment Total:
Page 1 of I
11:15:36AM
Amount Due
2.25
3.60
4.50
8.00
12.00
25.00
10.00
$65.35
Amount Paid
$65.35
$65.35
9/22/2006