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HomeMy WebLinkAboutPermit Mechanical 2006-11-13 , -iii~ . .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. r ~- - ~~. //~/?-ah OWDer or Contractors SigDature Date Pace 2 of2 225 Fifth Street .' . Springfield, Oregon 97477 541-726-3759 Phone _~QFlIIU> . ;'.'-'" '.' ... ~, -., p - ". ........ " 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