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HomeMy WebLinkAboutPermit Mechanical 2006-6-15 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 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 SITE ADDRESS: 3530 GAME FARM RD SPACE 73 ASSESSOR'S PARCEL NO.: 1703154003100 PROJECT DESCRIPTION: Air Handler & Heat Pump Springfield TYPE OF WORK: Heating System ATTy.pE'OFI~golj..lad"tiij~lJires you to follow rules adopted by tile Uregon Utility Notification Center, Those rule; ?~e _s_e~ f.?~h Owner: Address: NORMAN CINDY L 3530 GAME FARM RD SPACE 073 SPRINGFIELD OR 97477 In UJ-\n :j'_..It::.-vu ,-vv I v U ''''''''''::::1'' ~, ,. . ....--- - - . 0090, You may obtain copies of the rules by calling the center. (Note: the telephone nlJmher for the Oreoon Utility Not:fication r.pnter is 1-800-332-2344). , CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor MNB ELECTRIC INC HOME COMFORT HEATING & AIR License 162191 84164 Expiration Date 11119/2006 06125/2007 Phone 541-726-8601 541-345-2838 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: . Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: NOTICE: Sq Ft GaragelCarport Energy Path: THIS PERMIT SHALLsqWll~tl;.:rHE WORK Sprinkled 'Buildi1\~THORIZE!Y~NDEFPAG@.w.~M:IS NOT . ",,,,,,,...,,,, -, I un hJ MUf'\I"~~;"'~[, f~f. I DEVELOPMENT INFORMATlON..1 PERIOD , REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: ' ~ Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsIDrains: Notes: Paee I 00 7~j ~ 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 + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustmeot Electrical -Mechaoicallssuance Fee- + 10% Administrative Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump MinimumlAdjustment Mechanical Total Amount Paid . . CITY OF SPRIN<"t<lI'..LD Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/1512006 APPLIED: 06/15/2006 EXPIRES: 12/15/2006 VALUE: I Valuation DescriDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number 2200600000000000843 2200600000000000843 2200600000000000843 2200600000000000843 2200600000000000865 2200600000000000865 2200600000000000865 2200600000000000865 2200600000000000865 2200600000000000865 $4.50 $3.60 $43.00 $2.00 $10.00 $4.50 $3.60 $8.00 $12.00 $25.00 6/15/06 6/15/06 6/15/06 6/15/06 6/21106 6/21106 6/21106 6/21106 6/21106 6/21106 $116.20 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. ~enlliretUnsnections 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. Paee 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRlN&t<u,LU Building/Combination Permit PERMIT NO: COM2006-00742 ISSUED: 06/15/2006 APPLIED: 06/15/2006 EXPIRES: 12115/2006 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informatinn 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. ~~- L 6-d/-ot Owner or Contractors Signature Date Paee 3 of3 225 Fibh Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00742 COM2006-00742 COM2006-00742 COM2006-00742 COM2006-00742 COM2006-00742 Payments: Type of Payment CreditCard cReceintl . ~~....-....q-~..~.. .. Wit, . . .-.-.-.-.... ~ , . l' J ., , - .'~ -: <;;& of Springfield Official Receipt .Iopment Services Department Public Works Department RECEIPT #: 2200600000000000865 Date: 06/2112006 Description Heat Pump Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical + 8% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received HOME COMFORT HEATING ddk 167126 In Person Payment Total: Page I of I 9:09:18AM Amount Due 12.00 8.00 25,00 3,60 4.50 10,00 $63.10 Amount Paid $63,10 $63.10 6/21/2006