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HomeMy WebLinkAboutPermit Miscellaneous 2006-8-9 . .CITY OF SPRJl~u..IELD Building/Combination Permit PERMIT NO: COM2006-00950 ISSUED: 08/09/2006 APPLIED: 07/28/2006 EXPIRES: 02/09/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3727 DOUGLAS DR ASSESSOR'S PARCEL NO,: 1802061204308 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless mini split AC Owner: Address: GLORIA MAE ROA T REVOCABLE LIVING TR 3727 DOUGLAS DR R--'t- SPRINGFIELD OR 97478 v.~ ~\J.\()\ f ~\.. 'f '''' c \' ,\ ,- ..0:,_ -~!'\~__~9- I cONroftiio'[ijk<INJ'URMATION I 'y" , , . ~~""'\'(\'- $)\)'" Co,!~~\\ s ~()~~ ~ro~~ License E~ffl'ti~~l"4t~ING 149452 , \ ~~'\\\~~~"'(;,hJ Bl'frLDING INFORMATION I ,,()~ <0<;) \l' , ~~ '\ . ,# of Stories: ~R-3 -" Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone Numher: 541-736-1120 Contractor Type Mechanical Expiration Date 10/22/2007 Phone 541-726-7654 # of Units: Primary Occupancy Group: '. Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: <VN Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft,Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I ,0 .,ov '$F,~IRED PARKING , ""--. \:J'" !\o'r.~ ~f(, 0<:- <o~tiYl 'Q4. <.,f?>(5:.01--f?>C$ I--f?> !;lll\~.a~ped: ~ ",,'Ii' ~oo)l,~l: ~,'If >$'f?> .sf?> O~ 15:;-0 _.~ ~o~ ~ >.'Q~ F:>f?><; !f (j.'" ~f?>~~v'lf Ol--f(, f?>v 0 0'5 F:> f?>'" & ~'" ~ ,~<; ;,f?> _'<'< ~ ); I PUBLIC IMPROVEMENW. 'l>ov;.~.~"r:;;, ~ v:&q,:,~'<::i ~~. (.~f?><O 0'" \:)'" ~ "'- "V [l;' -00'~, <.,'5 ~ ()~cte~kJy~e.'f !:)''l>'l> '?- 0'" ivO ~ ~,,~ 1--q,~J SS ,~.~v'1f <l>~_~dWnSP'o!!,QiD{'lIins: _,& ~ 4,0 >$'f?> I--~ ~{> " O!:). R> ,0 ",f?> '-$' s:,q) ~<::' ~ ()0<:- <;:j v'lf If> <:-'5 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pafe 1 of2 -ilk' . .CITY Ut< ~rKINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00950 ISSUED: 08/09/2006 APPLIED: 07/28/2006 EXPIRES: 02/09/2007 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 Fees Pfclid , Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Appliance Not Listed Amount Paid Date Paid $10.00 $4.50 $3.60 $45,00 8/9/06 8/9/06 8/9/06 8/9/06 Receipt Number 1200600000000001235 1200600000000001235 1200600000000001235 1200600000000001235 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. I Reouired \rsnections I 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 he 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. ~' ~ '\ ~-"I-O""= Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, 'Oregon 97477 541-726-3759 Phone . aPAlNOFlSLD ~..,.... Wi!~, _. ~ - .~. ,', '--.. . Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00950 COM2006-00950 COM2006-00950 COM2006-00950 Payments: Type of Payment CreditCard cReccint 1 RECEIPT #: Date: 08/09/2006 1200600000000001235 Description + 8% State Surcharge + 10% Administrative Fee Appliance Not Listed -Mechanical Issuance Fee- Paid By MOLLY BRADY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 075327 In Person Payment Total: Page I of I 2:35:13PM Amount Due 3,60 4.50 45,00 10,00 $63.10 Amount Paid $63,10 $63,10 8/9/2006