HomeMy WebLinkAboutPermit Mechanical 2003-12-5
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CITY OF SPR1j~ljt<l~LD .
Building/Combination Permit
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
PERMIT NO: COM2003-01215
ISSUED: 12/05/2003
APPLIED. 12/0512003
EXPIRES. 06/05/2004
VALUE'
SITE ADDRESS 3745 CHEROKEE DR
ASSESSOR'S PARCEL NO 1802061203800
Spnngfield TYPE OF WORK Heatmg System
TYPE OF USE
PROJECT DESCRIPTION Replacement furnace
Owner GONZALES JOSE G
Address 3745 CHEROKEE DR SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Mechamcal
Contractor
BUILDERS ELECTRIC INC
CHARLES VAUGHN HUGO
LIcense
4296
117043
BUILDING INFORMATION'
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary Construchon Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type to
Energy Pathc\Ulfes'lOU It"
011 laW It; 011 Uti I,
_. ,-rlnN Ofeg .~" Ine Ofeg _ ~"I 101'1
F\\ \.... - .- ,,~. - .~- uo-
II0w fulll"DEVELOPMENT L)'''l.mNIAifION I
~~tl\lcatIOI1 ~;~_0010tn:~~,~S 01 tne fU~;e
OF\B 952 oOverlay. DlSt lne tele?n n
In '{au {"(laY # Stn!.!'tljWes R d'otl\lCatlO
0090 ne eel ,l. ~ 11'.\,,9
calling t nlt.v.edJ>rlve,RH'!344)
bef 10f t . 300-3~tc
nurn r .....~"'()l%~of Lot Coverage
SETBACKS
Frontyard Sethack
SIde 1 Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
AlteratIOn
ReSIdential
Expiration Date
12/10/2003
09/03/2004
Phone
541-485-0922
541-937-2859
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
ImpervIOus Surface Area
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS'
NOTllit: Sldewalk..lYJli'
THIS PERMIT SHALL EXPIHt: It THE WORK
AUTHORIZED uNr/lVi"W8S~RfvnVsIS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Street Improvements
Storm Sewer AvaIlable
SpeCIal Instruchon
Notes
Pa!!e I of3
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation Descrmtion I
DescrmtlOn
$ Per Sq Ft
or multIplIer
Square Footage
or BId Amount
Tvpe of ConstructIOn
Total Value ofProlect
Fpp~ P~liI J
Fee DescnptIon
-Mechamcal Issuance Fee-
+ 10% AdmmlStratlve Fee
+ 10% AdmlmstratIve Fee
+ 7% State Surcharge
+ 7% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Clrc Ea Add
Furnace - up to 100,000 btu
Mmlmum/AdJustmeut Mechamcal
Amount PaId
Date PaId
$1000
$450
$460
$315
$322
$43 00
$300
$12 00
$33 00
12/5/03
1215/03
12/5/03
12/5/03
12/5/03
12/5/03
1215103
12/5103
12/5/03
Total Amount PaId
$11647
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01215
ISSUED: 12/0512003
APPLIED: 12/05/2003
EXPIRES: 06/0512004
VALUE:
Value
Date Calculated
ReceIpt Number
2200200000000001842
2200200000000001842
1200200000000002555
2200200000000001842
1200200000000002555
1200200000000002555
1200200000000002555
2200200000000001842
2200200000000001842
To Request an mspectIon call the 24 hour recordmg at 726-3769. All inspectIOn requested before 7.00 a m.
will be made the same workmg day, mspectlOns requested after 7'00 a.m. wtll be made the followmg work
day.
I PP'Wlrpil Inf.npptinn<J
1 Fmal Electnc When all electncal work IS complete
2 Rough Mechamcal Pnor to Cover
3 Fmal Mechamcal When all mechamcal work IS complete
Paee 2 of3
_~.'N~'~ ~
,ja -
~.
CITY OF SPRll'~lJJ<mLD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-01215
ISSUED 12/05/2003
APPLIED 12/0512003
EXPIRES 06/0512004
VALUE:
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
By Slgnatnre, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerllfy that all
mformallon hereon IS true and correct, and I further cerllfy that any and all work performed shall be done 10 accordance WIth
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work deSCrIbed herem, and
that NO OCCUPANCY WIll be made of any structure Without permISsIOn of the CommuDlty Services DIVISIOn, Bmldmg Safety
I further certify that only contractors and employees who are 10 comphance With ORS 701 005 wIll be used on thiS project
I further agree to ensure that all reqUIred mspecllons are requested at the proper lime, that each address IS readable from the
street, that the permit ca~d i located at the front of the property, and the approved set of plans wIll remam on the SIte at all
lImes;,ng !Jtruct~o~ (/J
ci~~~ - )Z-S-o>
ownerc~actors SI~nature V Date
Paee 3 013
225 FIfth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01215
COM2003-01215
COM2003-01215
COM2003-01215
COM2003-0 1215
Payments
Type of Payment
Check
-'
.....p R1NGFlaq~
. A~ -
\Ii:-.
ReceIpt #: 2200200000000001842
DescriptIOn
+ 7% State Surcharge
+ 10% Admmlstrahve Fce
Furnace - up to 100,000 btu
M,mmumlAdJustment Meehamcal
~Mechamcal Issuance Fee-
PaId By
PAC WEST REA TING
Received By
dJb
Check Number
Batch Number AuthorizatIOn Number
CIty of l.pnngfield OfficIal Receipt
Development ServIces Department
PublIc Works Department
Date 12/05/2003
11 20 OSAM
Amount Paid
.
Item Total
3 15
450
1200
3300
10 00
$62 65
How Received
In Person
Payment Total
Amount Paid
$62 65
$62 65