HomeMy WebLinkAboutPermit Mechanical 2008-4-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00492
ISSUED: 04/09/2008
APPLIED: 04/09/2008
EXPIRES: 10/09/2008
VALUE:
Springfield TYPE OF WORK: Heating System
SITE ADDRESS: 325 25TH ST
ASSESSOR'S PARCEL NO,: 1703361417200
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas furnace
Owner: BRESHEARS HOLLI A
Address: 325 25TH ST
SPRINGFIELD OR 97477
\reJt~ \'L1B
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
BEYMER HEATING & SHEET METAL CO 4483
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Expiration Date
11/14/2008
Phone
541-688-5004
R-3
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Wate.r '1;r~e:il}';N Oregon law requir~S }bI6ement:
Range-Ty')e: Liles adopted by the oretr i' ge/Carport
I ~ot, 'f "li1on C · Th
Enerlf.r_PlJn: enter, ase rules a M ff:
sprOOi~ ~1l~hQ21-001 ~ thrfilAagh OAI<POOBle8~Joad:
" : ....?U... ~~v ohtAlnM,l"li""~ -:4 tJ;i-::. ;~Ioo L
I DEVELOP_t~Fp~~'fHj'NJtl: the telephone 1
C IJ t1~:~! ....~Vll JtjJjty NotificatioeEQUlRED PARKING
enter IS 1-800-332-2344)
Overlay Dist: · Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
VB
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERMIT SHAll EXmBidl;JlLI&IWGQ~
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00492
ISSUED: 04/09/2008
APPLIED: 04/09/2008
EXPIRES: 10/09/2008
VALUE:
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
Receipt Number
$20,00
$5,00
$6,00
$2.50
$7,00
$14,00
$5,00
$24,00
4/9/08
4/9/08
4/9/08
4/9/08
4/9/08
4/9/08
4/9/08
4/9/08
2200800000000000423
2200800000000000423
2200800000000000423
2200800000000000423
2200800000000000423
2200800000000000423
2200800000000000423
2200800000000000423
$83,50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reouired Insoections I
Gas Service: After line is installed and line has been connected to a mmimum of one appliance including required
testing, Presure test done at this pomt,
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.
~t? d--.-----?
Owner or Contractors Signature
'1-;-08
Date
Pae:e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00492
COM2008-00492
COM2008-00492
COM2008-00492
COM2008-00492
COM2008-00492
COM2008-00492
COM2008-00492
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
Date: 04/09/2008
2200800000000000423
DescriptIOn
Furnace - up to 100,000 btu
ApplIance Vent
Gas Outlets 1-4
MInImum/AdJustment MechanIcal
~MechanIcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
PaId By
BEYNER HEATING
Item Total:
Check Number AuthorizatIon
ReceIved By Batch Number Number How Received
dJb
43750
In Person
Payment Total:
Page 1 of 1
11 :05:56AM
Amount Due
1400
700
500
2400
2000
250
600
500
$83,50
Amount PaId
$83 50
$83.50
4/9/2008