HomeMy WebLinkAboutPermit Mechanical 2004-5-7
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2004-00548
ISSUED: 05/0712004
APPLIED: 05/07/2004
EXPIRES: 11/07/2004
VALUE:
SITE ADDRESS: 2795 CASTLE DR
ASSESSOR'S PARCEL NO.: 1703233306000
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install gas forced air unit
Owner: VOGT JOHN HARVEY & KATHRYN
Address: 2795 CASTLE DR SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
DEAN M SCHULTZ
License
133733
I BUILDING INFORMATION.
# of Units: # of Stories:
Primary Occupancy Grom-:TENTJO~bregOn fa~i hh of Str.wW:C
Secondary Occupancy GfmMlW rules ;:!rlo ted b..!l f*ifel{ . ..
Primary Construction 'Mllrticat' CVNt p Y 'W:~~.Jtility
Secondary construction. ~P.R Ion en er. Thos8}{Y ~~ fOrth.
# of Bedrooms: III 'VA 952-001-001 ~ thro~ ~~:Ri2"()()1.
LOgO. You may obtain caples 0 the rules by
callina thp. r.l=mtp.r (Nnto. +h~"':F.t
number for th~ UrEQlir~l~' -'m) h~ftlHti'RMATION .
SETBACKS Center IS 1-~uu- -
. .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
New
Residential
Expiration Date
02/23/2005
Phone
541-767-0626
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
. I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERMIT SHALL EXPIRE IF THE WOR~ownspouts/Drains:
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Pa2e 1 of2
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid'
Fee Description
~Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date.Paid
$10.00
$4.50
$3.15
$6.00
$12.00
$4.00
$23.00
517104
517104
517104
517104
517104
517104
517104
Total Amount Paid
$62.65
I Plan Reviews'
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00548
ISSUED: 05/0712004
APPLIED: 05/07/2004
EXPIRES: 11/0712004
VALUE:
Receipt Number
2200400000000000500
2200400000000000500
2200400000000000500
2200400000000000500
2200400000000U00500
2200400000000000500
2200400000000000500
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 Reauired Insnections .
1 Rough Mechanical: Prior to Cover
2 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 inspec ions are requested at the proper time, that each address is readable from the
street, that the permit ca:~ is '(jated t the fro Of.tf1 propert~0'nd the approved set of plans will remain on the site at all
tim''Tp;;:OA _ I /~s--- '7 - tJ/f-
Owner or Contractors Signature // Date
Pa2e 2 of2
225 Fifth Street
,..
Springfield, Oregon 97477
541-726-3759 Phone
~.I'!.'..lJ.,,~l,~.~~I:.~..~.'ii.".'..'.~ .l
i1r'l' l
. ,> . .:,.; '~- .'
, ~I' ~
. .. ~..7 -";
~_~ ~___~ n'
""~~y of Springfield Official Receipt
.;velopment Services Department
Public Works Department
RECEIPT #:
2200400000000000500
Date: 05/07/2004
3:03:54PM
Job/Journal Number
t., COM2004-00548
COM2004-00548
COM2004-00548
COM2004-00548
COM2004-00548
COM2004-00548
COM2004-00548
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Gas Outlets 1-4
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
3.15
4.50
12.00
6.00
4.00
23.00 .
10.00
$62.65
Amount Paid
Check '
DIHINC
djb
232
In Person
Payment Total:
$62.65
$62.65
.
...,
1c..
~''''
5/7/2004
Page 1 of 1