HomeMy WebLinkAboutPermit Mechanical 2006-7-13
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00737
ISSUED: 07/13/2006
APPLIED: 06/14/2006
EXPIRES: 01113/2007
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6030 QUARTZ AVE
ASSESSOR'S PARCEL NO.: 1802033400185
Springfield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Air Conditioner
TYPE OF USE: Addition
Residential
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I PUBLIC IMPROVEMENT:S"~\ ,~; ,
"-x' 0'<;.'0 ...CS
':;..\.<:(,1''0\'0' Rl~SlSilIewalk Type:
,~~. .\>,'0 S'0~\)S~ ~~....~~ DownspoutslDrains:
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Owner:
Address:
ORTEGA EURELlANO CONRADO
6030 QUARTZ AVE
SPRINGFIELD OR 97478
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I CONT.RA1U1I9R INFORMATION I
1 "
laW''''''- n U\\\I'1
Contractor Type €.~i',t!tIla6,(8~0; b'j t\W ore~~e set lort". License
Mechanical P,11.,I>>~.RSH,^,ilJ;s;'1\I,Ge rule;'.Q 952'00~ . 25790
~~~\i\catiOn ~~~~oo~O t"r(I':BUiiDlNG:I~E.ORMA T10N I
'n O{>..\'\ 952' obtain CO" . 'he te\"',~"- tion
# of Units: \ 90. 'IoU rfla'j enter. ll'lo\e. iii((P.f\Sti\n~s:
Primary occupancyqg~g.P';\g tne \e oregon Ijt .,~~gh\ of Structure
Secondary Occupancy (;JR\\p;r lor \ is ~.BOO-331ype of Heat:
Primary Construction l'ype center Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building: nla
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I V ,1>.';'; D . t' I
a uatJon escrIn IOn
Description
$ Per Sq Ft
or ,Jultiplier
Square Footage
or Bid Amount
Type of Construction
Pa~e I ofl
Expiration Date
12/23/2009
Phone
541-747-7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
.
. CITY OF ~n~u\it.I' IELD
Building/Combination Permit
PERMIT NO: COM2006-00737
ISSUED: 07/13/2006
APPLIED: 06/14/2006
EXPIRES: 01/13/2007
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
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
Appliance Not Listed
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.60
$9.00
$36.00
7/13/06
7/13/06
7/13/06
7/13/06
7/13/06
Receipt Number
2200600000000000967
2200600000000000967
2200600000000000967
2200600000000000967
2200600000000000967
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
I
day.
I Rf'nu~
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.
-&~~
- -
7-/5-0(:.
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, 0regon 97477
541-726-3759 Phone
.
~
1Ili:.
<a of Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00737
, COM2006-00737
COM2006-00737
COM2006-00737
COM2006-00737
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000000967
Date: 07/13/2006
Description
Appliance Not Listed
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARS HALLS INC
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
djb 19318 In Person
Payment Total:
Page I of 1
II :30:0 1 AM
Amount Due
9.00
36.00
10.00
3.60
4.50
$63.10
Amount Paid
$63.10
$63.IU
7/13/2006