HomeMy WebLinkAboutPermit Mechanical 2006-1-6
,)' Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRlNGFIELD-'
Building/Combination Permit
PERMIT NO: COM2006-00024
ISSUED: 01106/2006
APPLIED: 01105/2006
EXPIRES: 07/06/2006
VALUE: '
SITE ADDRESS: 3639 HAYDEN BRIDGE RD
, ASSESSOR'S PARCEL NO.: 1702194205500
Springfield TYPE OF
Heating System
Contractor Type
Mechanical
Contractor
MARSHALLS INC
TYPE OF USE: New Residential
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AlIEN \ ~u~"~doPted by ttph~i~~ni6et?rt~I-744-0367
,allOW r~ e'center. I110se ru~ OAR 952-00 -
Noti'icatlon 01-001 0 thro~g 'the ruleS bY
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-~ VI"\II m. ,'Note: II .' tlon
I CONTRACTORl]NFO~l'l!!Jl'Nllr. \ Utility Not\,\ca
\J......'b~ tor tile ~re~~_332-2344).
num ~E~s:es 1-"Expiration Date Phone
25790 12/23/2009 541-747-7445
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'i PROJECT DESCRIPTION: Install furnace
Owner:
Address:
NUCHELLE TORKELSON
3639 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
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I BUILDING INFORMATION.
# of Units:
Primary Occupal!cy Group:
,; Secondary Occupancy
.! Yrimary Construction Type
, Secondary Construction
# of Bedrooms:
':10 Front yard Setback:
)' Side 1 Setback:
- Side 2 Setback:
Rearyard Setback:
, Solar Setbacks:
# of Stories: Lot Size:
R-3 Height of , Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Typ~: Sq Ft Basement:
Range Type: , ' Sq Ft Garage/Carport
Energy Path: Sqft~' 'I'WOR'" '
Sprinkled N01\C~:. c{.YAll Ey..~ [l ,,!~01 ,
~O\t-ft\i iJ _\ \\C' 0 H. '
I DEVELOPMENT I~~~~; ~Bf\~06NEO ,"un
~ QO REQUIRED PARKING
Overlay Dist: ~~'i ~ 80 Of\~ p~R\' Total:
# Street Trees Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
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IPUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspoutslbrains,
Notes:
I Valuation Description ~
.'-!.
~:, Description
.ttii
J'vpe of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00024
ISSUED: 01/06/2006
APPLIED: 01/05/2006
EXPIRES: 07/06/2006
VALUE:
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1.
- Status: Issued
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
-~~
Total Value of Project
LFees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.60
$12.00
$33.00,
1/6/06
1/6/06
1/6/06
1/6/06
1/6/06
1200600000000000021
1200600000000000021
1200600000000000021
1200600000000000021
1200600000000000021
Total Amount
$63.10
I Plan Reviews I
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.~' To Requ~st an inspection call the 24 hour recording at726-3769. 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein;t
. and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, T
'~ Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be usedw
, on this project.
I ~ 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 wiD remain on ,the site
at all times during construction.
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Owner or Contractors Signature
Date
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>! :
225 Fifth Street
Springfield, Oregon 97477
-5.41-726-3759 Phone
Job/Journal Number
COM2006-00024
COM2006-00024
COM2006-00024
COM2006-00024
COM2006-00024
Pllyments:
TWe of Payment
Check
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1/6/2006
~ity of Springfield Official Receipt ", !
.Jevelopment Services Department .' :
Public Works Department
RECEIPT #:
1200600000000000021
Date: 01/06/2006
1l:43:58AM
Description
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
+ 8% State Surcharge .
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Amount Due
12.00
33.00
3.60
4.50
10.00
$63.10
Paid By
MARSHALL'S INC.
Item Total:
Lheck Number Authorization
Received By, Batch Number Number How Received
nJm 19043 In Person
Payment Total:
$63.10
$63.10 .. :
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Amount Paid
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