HomeMy WebLinkAboutPermit Mechanical 2006-11-13
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01447
ISSUED: 11113/2006
APPLIED: 1111312006
EXPIRES: 05113/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 PhoDe
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1669 RAMBLING DR
ASSESSOR'S PARCEL NO.: 1703252102800
SpriDgfield TYPE OF WORK: HeatiDg System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: IDstall electric heat pump
OWDer:
Address:
DAVE LUTHER
15809 63RD AVE NE
KENMORE WA 98028
PhoDe Number: 541.744.8749
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
Expiration Date
12123/2009
Phone
541-747-7445
VB
BUILDING INFORMATION I . 0
A..TTEI~Tlu'\!'Cr'~c(,t' l~\':, i:":U" J8 yuu. ~~
# of Stories: follo\'! rules :>c;OpI8d ':1;ot Size:- Trn Utl!,'V
Height of StrDcture ~:"on C"n' or 'I n~Sq:F) lst:Floor:;;,)\ 10.1
'\lUlll~Cl.~. u U._. .
Type of Healh OAR 952_~J1-C010:!,!q,F!2ndF:loor: :,.o~:
Water Type: <'0 You mi:!' 0:,12\'1 e.'l.-f.!:~a..s.elTleDt:~I.:3 G
RaDge Type:OOv '1' t'l'" ~r11~r (~.~q F,tG~rag~/~arp9!t
Energy Path: cal .ng , ~ 4-' O~. .,5q, Ft ,Other:,>ification
SpriDkled Buildilijfber lor t1DIa ~r ~,- -OccuP~Dt'Lo~d:
(':Ant0.r I!.:; 1-80t:-, '."l":-~v..;,.'tJ'
#4 of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary CODstruction Type
SecoDdary ConstructioD Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
FroDtyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
~aved Drive Rqd: NOTICE: Compact:
:--. of Lot Coverage:THIS PERMIT SHALL EXPIRE IF THE WORK
AIITUnnl"7cn ''''lncn TUIC' nCDUIT 1(' ~lnT
Street Improvements:
Storm Sewer Available:
SpeciallDstructioD:
I PUBLIC IMPROVEMENiHlllMENCED OR IS ABANDONED FOR
ANY 180S\.ll\\V~~~:.
DOWDSpoutslDraiDs:
Notes:
I Valuation Descrintion I
Description
Tvpe of ConstructioD
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pace I of2
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01447
ISSUED: 11/13/2006
APPLIED: 11/1312006
EXPIRES: 05113/2007
VALUE:
Status
Issued
225 Fifth Street, SpriDgfield, OR
541-726.3753 PhoDe
541-726-3676 Fax
541.726.3769IDspection LiDe
Total Value of Project
L.F""s PllUU
Fee DescriptioD
-MechaDicallssuaDce Fee-
+ 10% AdmiDistrative Fee
+ 5% TechDology Fee
+ 8% State Surcharge
Heat Pump
MinimumlAdjustmeDt MechaDical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$12.00
$33,00
11/13/06
11/13/06
11/13/06
11/13/06
11113/06
11/13106
Receipt Number
1200600000000001637
1200600000000001637
1200600000000001637
1200600000000001637
1200600000000001637
1200600000000001637
Total AmouDt Paid
$65.35
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.
Rough MechaDical: Prior to Cover
FiDal MechaDical: When all mechanical work is complete.
By signature, I state and agree, that [ have carefully examiDed the completed applicatioD and do hereby certify that all
iDformatioD hereoD is true aDd correct, aDd 1 further certify that aDY and all work performed shall be done in accordance with
the OrdiDances of the City of SpriDgfield and the Laws of the State of OregoD pertaiDing to the work described herein, aDd
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, BuildiDg Safety.
I further certify that oDly cODtractors and employees who are iD compliaDce with ORS 701.005 will be used on this project.
I further agree to eDsure that all required inspectioDs are requested at the proper time, that each address is readable from the
street, that the permit card is located at the froDt of the property, and the approved set of plans will remain on the site at all
times during construction.
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OWDer or Contractors SigDature
Date
Pace 2 of2
225 Fifth Street
.' .
Springfield, Oregon 97477
541-726-3759 Phone
_~QFlIIU>
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car Springfield Official Receipt
dl!Wlopment Services Department
Public Works Department
Job/Journal Number
, COM2006.01447
! COM2006.0 1447
COM2006.0 1447
COM2006.01447
COM2006.0 1447
COM2006.0 1447
Payments:
Type of Payment
Check
cRe:ccintl
RECEIPT #:
1200600000000001637
Date: 11/13/2006
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARSHALLS INC
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
djb
19505
In Person
Payment Total:
Page 1 of 1
2:14:17PM
Amount Due
12,00
33,00
10,00
2,25
3,60
4.50
$65.35
Amount Paid
$65,35
$65.35
11/1312006