HomeMy WebLinkAboutPermit Mechanical 2005-8-15
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.. CITY OF SPRINGFIELD
BuildinglCombina'tion Permit
PERMIT NO: COM2005-01099
ISSUED: 08/15/2005
APPLIED: 08/15/2005
EXPIRES: 02/15/2006
VALUE:
/
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
, 541-726-3769 Inspection Line
SITE ADDRESS: 2329 DORNOCH ST
ASSESSOR'S PARCEL NO.: 1703272207608
Springfield TYPE OF
Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install Gas Furnace and AlC
Owner: PETERS CHARLES N & wENDY E
. Address: 2329 DORNOCH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMA nON I
'j
ContractorTvpe
. Mechanical
Contractor
JAMES HEATING
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License
Expiration Date Phone
Front yard Setback:
Side 1 Setback:
- Side 2 Setback:
Rearyard Setback:
. Solar Setbacks:
I
X- 'I: BUILDING INFORMA nONI
{j.~ 'X'<...". ~,-
# of Units: -::....\.- <:.r;. "\~S :v'\)~#ofStories:
Primary Occupancy Gr!,up: Sy:-'''?i- '&-~ 'fS>'r-~ Height of.
Secondary Occupan~y~Q.~"\ '\)~'V \S"?i- Type of Heat:
Primary Constructlon,Type,'<.,'\) '" \J~ c.'\J'V' Water Type:
,,, ,',' ,,,,... <.\.> (.\"
Secondary Const~~tio~$J"\' ~'\;v :-l. 'X'" Range Type:
# of Bedrooms: ~'\)'\ .,,~Y:- . 'V~ Energy Patb:
'\;\J"'.', \'0" Sprinkled
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I DEVELOPMENT INFORMA'l'ION1 [(\
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Overlay D~"\,}~ eO' S ~e ~~'/: S '0'\
# Stree~if:r~~~., ,.y.e o'r~ e ,.y.e f:".0
p~~'ii>~ri.ve ~gtI:~~q,'(\ 0\ ~ ~e~'(\O s.\0~
.<\0/.1 ofl:t:o'fS~e~ge:,,\eS e ,e ~\,c,'l>
..-<0- ~es e~~ R),\l c,0'< . ~ ~o
~' ." ,oJ ^ CJ _vI:! ..;,.\~ ..\o,e..,,,-\l.'\ ,1',.0.'\-
IPUBJ;IC;i;MPiov~~J:S~':l':l'/:"'-
ut
\' or' -{ov e v v >>v
\~ R). ^ ~ ~..:s-e \S V Sidewalk Type:
<;)<;)'1l -&.\~..." \ \0 ~e'
c,'l> '!:Je ci~'
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
Storm Sewer Available:
Special Instruction:
DownspoutslDrains
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
I of 2
.'
Issued
... 225 Flfth Street, Springfield, OR
541.726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Furnace - up to 100,000 btu
7' Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount
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. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01099
ISSUED: 08/15/2005
APPLIED: 08/15/2005
EXPIRES: 02/15/2006
VALUE:
Total Value of Project
L.Ff'f'S Paid I
Amount Paid Date Paid Receipt Number
$10.00 8/15/05 1200500000000001191
$4.50 8/15/05 1200500000000001191
$3.15 8/15/05 1200500000000001191
$8.00 8/1 5/05 1200500000000001191
$12.00 8/15/05 1200500000000001191
$4.00 8/15/05 1200500000000001191
$21.00 8/15/05. 1200500000000001191
$62.65
I Plan Reviews ,
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.
IRpn~
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
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 bt accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertabtlng to the work described herebt,
and that NO OCCUPANCY wiD 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.. located at the front of the property, and the approved set of plans wID remain on the site
a~al mes durin~ constructiolL
. A. .1\LvlA~ flJllfl IDS-
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Owner or Contractors Signature Date
2 of 2
;. 225 Fifth Stre\lt
I ., .
Springfield, Oregon 97477
.' 541-726-3759 Phone
Job/Joornal Number
COM2005-0 I 099
COM2005-0 I 099
COM2005-0 I 099
COM2005-0 I 099
COM2005-0 I 099
COM2005-0 I 099
COM2005-0 I 099
Payments:
T)lIe of Payment
Check
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8/15/2005
.
RECEIPT #:
~.
.J/I1ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001191
Date: 08/15/2005
Deserlption
Gas Outlets 1-4
Air Handling Unit Up to 10,000
Furnace. up to 100,000 btu
Minimum/Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Paid By
JAMES HEATING & AIR
CONDITIONING
Item Total:
LoeCK Numoer Aumonzauon
Received By Batch Number Number How Received
Jmp 1409 In Person
Payment Total:
I of I
3:04:25PM
Amoo nt Due
4.00
8.00
12.00.
21.00
3.15
4.50
10.00
$62.65
Amount Paid
$62.65
$62.65