HomeMy WebLinkAboutPermit Mechanical 2002-11-20
.
. CITY OF SPRINGFIELD
Building/Combination Permit
cOM2002-01310
11/20/2002
11120/2002
OS/20/2003
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SITE ADDRESS: 1138 CUSTOM WAY rc:::-;c::' I ,sp~i~ Vgfi'~I~V314(\lT.)'iCE1a1fl
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ASSESSOR'S PARCEL NO.: 1703263408000
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Heating System
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: New Gas Furnace
Owner:
Address:
LACEY GERALD R & LISA M AI
1138 CUSTOM WAY SPRINGFIELD OR .n./JrICE:
rH/e>... .
A \~ CIfM.,
CONT
Contractor ANy 180 tED OIL;%~ r~/;~VfJ'i'tIiti~ate
HOME COMFORT HEATING & AIR ~y PE"d€JI8AIVDOCf!MJ.jf,/Y'1. 0<<-
LACEY GERALD R & LISA M fJ~' '''cD FnlJ Or
I BUILDING INFORMATION'
Contractor Type
Mechanical
Owner
I)hone
~i41-345-2838
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
1m pervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS'
Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Footae:e
Value
Date Calculated
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01310
ISSUED: 11/20/2002
APPLIED: 11/20/2002
EXPIRES: OS/20/2003
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
I Fees Paid I
Fee Description
+ 7% State Surcharge
+ 8% Administrative Fee
-Mechanical Issuance Fee-
Gas Fireplace
Minimum/Adjustment Mechanical
Amount Paid
Date
$3.15
$3.60
$10.00
$15.00
$30.00
11/20/02
11/20/02
11/20/02
11/20/02
11/20/02
Receipt Number
1200200000000000269
1200200000000000269
1200200000000000269
1200200000000000269
1200200000000000269
Received By
IIh
IIh
IIh
IIh
IIh
Total Amount
$61.75
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 folHowing work
day.
I Required Insoections I
1 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
2 Final Gas: When all gas work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certnfy 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work d,escribed
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.'1)05 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 J'eadable 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~;:ZCllOn. //_ 70 <:::5 7
(.,/ ....... ,-t. '-.r "
Owner or ContractqrS Sign~ture Date
/
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