HomeMy WebLinkAboutPermit Miscellaneous 2006-6-15
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00nO
ISSUED: 06/15/2006
APPLIED: 06/1312006
EXPIRES: 12/1512006
VALUE:
i'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3389 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802062104400
Springfield TYPE OF WORK: Heating System
..
PROJECT DESCRIPTION: Install heat pump and air handler
TYPE OF USE: New
,
Residential
Owner: DAVID MADSEN
Address: 3389 DOUGLAS DR
SPRINGFIELD OR 97478
Uell:tl
THIS PERMIT SHAltl@)!jJl1R~~e"fHEMJGm-4106
AUTHORIZED UNDER THIS PERMIT IS NOT
rnMMI'Nr.m olt IS ABANDONED FOR
~."\{ J Q!1. f'W PERIOD.
I CONTRACTOR INFORMATJO'N I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
Litense
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
).
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
!__... ~rl'\1 \ to
I DEVELOPMENT INFORM$1:JDN'" 0189<; ~~7h;o~e90n Utlllty""-
follOW ;'JIJ5 ~doPt\h se rJ,tI)!Q,UIREUCl'ARKING
.' r n center. 0 . ()H~ 952-001-
Overlay Dist: Notlflca 10 01-0010 throUgl'otal: les by
# Street Trees Rqd:OAR 952-0 btain copieHii'~di'ta~~ed:e
Paved Drive Rqd':l090. You may 0 ter (No\e:Ciiitili~cii'\~;' n
% of Lot Coverage' calling the cen ' n I H"'IV !\If. J,c" \0
. h Orego" c-.'
numberfor\ e 1_fJGO-332-23 A). '
""",ntpr IS
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
/~
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00720
ISSUED: 06/15/2006
APPLIED: 06/13/2006
EXPIRES: 12/15/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~s ~
$10.00
$4.50
$3.60
$8.00
$12.00
$25.00
6/15/06
6/15/06
6/15/06
6/15/06
6/15/06
6/15/06
Receipt Number
2200600000000000841
2200600000000000841
2200600000000000841
2200600000000000841
2200600000000000841
2200600000000000841
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Total Amount Paid
$63.10
I Plan Reviews I
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.
L. ~~~'Il,(wursn~~t~
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, 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.
g~ r:?~_
6',-/"'}--o b
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
/
. r;;"~,,', .,. '.,'.
1&:.. ~ ~~ --.
C..iiI.of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00nO
COM2006-00nO
COM2006-00nO
COM2006-00nO
COM2006-00nO
COM2006-00nO
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000000841
Date: 06/15/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Air Handling Unit Up to 10.000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARSHALL'S INC.
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
ddk 19288 In Person
Payment Total:
Page I ofl
11:31:14AM
Amount Due
3.60
4.50
8.00
12.00
25.00
10.00
$63.10
Amount Paid
$63.10
$63.10
6/15/2006