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HomeMy WebLinkAboutPermit Mechanical 2003-03-12LD Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:7 26-37 69 Inspection Line Buildin g/C omb in ation Per mit PERMIT NO: COM2003-00161ISSUED: 0311212003APPLIEDz 0311212003E)GIRES: 0911212003 VALI]E: PROJECT DESCRIPTION: Install gas furnace and gas line Owner: WALI(ERDAVIDM & JANETL Address: 3024 WAYSIDE LOOP SPRINGFIELD OR 97477 SITE ADDRESS: 3024 WAYSIDE LP ASSESSOR'S PARCEL NO.: 1703224103800 Springfield TYPE OF TYPEOF USE: License 154686 Heating System New Residential Contractor Tvpe Mechanical Owner Contractor PRIORITY ONE HEATING & AC INC WALKERDAVIDM&JANETL Expiration Date 03nu2005 Phone 541-689-1004 OR # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: ity b' Ft Overlay Dist: # Street Trees Paved Ihive Rqd: %o ofLot Coverage: '00ru3d Avo 08t INV uol olt\friffffiBvryPgo olcNltilt loc loN sl llt^luEld€fithugoMt€lzluoHrnv vu0M lHt Jl lUldxl llVHS llt'IU3d SlHl :3Cll0ll Area: REQUIRED PARKING Total: Handicapped: Compact: Notes: PUBLIC IMPROVEMENTS lof2 Value Date Calculated D Ul_t-rl-rlt\ rJ t1\ tt t tlYttq l_!I2l\|-l Description Tvpe of Construction $ Per Sq Ft Square Footage Valuation Description I Buildin g/C ombination Permit Status: Issued 225 Fifth Street Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2003-00161ISSUED: 0311212003APPLIEDz 0311212003E)GIRESz 0911212003 VALUE: Amount Paid Total Value of Project DateFee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7%o State Surcharge Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount $10.00 $4.s0 $3.15 $12.00 $4.00 $29.00 3lt2t03 3lt2t03 3fi2t03 3n2t03 3fi2t03 3n2t03 Receipt Number 1200200000000000814 1200200000000000814 1200200000000000814 1200200000000000814 1200200000000000814 12002000000000008r4 $62.6s Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Reorf red Insnecfions By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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 hereiq and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff that only contractors and employees who are in compliance with ORS 701.005 wilt 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 perm property, and the approved set of plans will remain on the site at all times du Owner or it card is located at the front of the 2of2 Date Z- H ees rar(l I 3/t2/2003 l:53:l7PM City of Springfield Development Services Department Public Works l)epartment Official Receipt 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone Receipt #: 12002000000000008 1 4 Date: 0311212003 Line ltems: Amount PaidJob/Journal Number Description coM2003-00161 coM2003-00161 coM2003-00161 coM2003-00161 coM2003-00161 coM2003-00161 Furnace - up to 100,000 btu Gas Outlets l-4 -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical + 7%o State Surcharge + l0Yo Administrative Fee Payments: 12.00 4.00 10.00 29.00 3. r5 4.50 Line Item Total:$62.6s Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check PRIORITY ONE djb In Person 62.65 Total:$62.6s Page I of I cReceipt.rpt gpttlu*Flllo I 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUESTT 726-37 69 OFFICE: 726-3759 STALLATIONo5r LEGAL DESCRIPTION aOS ZZa t D 38,c.a JOB DESCRIPTION zontng and does not req uire sPecitic land G r, Permits are if work is not started wilhifulfigda)gratr.rre of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ELECTRICA- dERMIT APPLICATION CityJobNumber C Z- co V36 -Ol 3. COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or Multi-Family per dwelling unit. Service Included: itted has the lollowing ltems use 1000 sq.ft. or less Cost Sum $106.00 $ r9.00 $ 50.00 500r ).-o Z-"portion Electrical Contractor AddressqD.Box i llome or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over I000 amps/volts Reconnect Only E. 5. SUBTOTALOFABOVE 7o/o Stale Surcharge 8% Administrative Fee (wic rn Supervisor License Nurnber Expiration 0l+ Constr Contr. Number '4+q C. Expiration Date q OL Signature of Supervising Electrician G owners Na,r" bS/Ef- u/ALG.l=L Branch Circuits Address3CZ c( owN INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. New, Alteration or Extension Per Panel -i-'lffin+uW:ffiffiW "''*1';1ff .;; ,gffi'Wi i mnPar Pump or irrigation $50.00Sign/Outlinclighting $50.00 Limited Energy/Res $25.00 Limited Energy/Comm $45.00 L}--qqT- 5 0'/ s Je'6 7 -Og z{ 7Z Owners Signature: TOTAL L/f Ph*1U_-TZd I $ 63.00 63 $ 7s.00 $125.00 $r63.00 $375.00 $ s0.00 aqc-2i44\. I Over 600 "8" above Centeris I , -inl tul !-r.:JIIUi-1LJ ;t'?Ei $ i:0iIU iHtl[il; ii] Auti; Ilu[ ;Li58ir00- iC : *Ei'.lu,ji City of Springfield 225 F frth Streef Sprin gfi eld, OR 97 47 7 541-726-3759 Phone 541-726-3676 Fax r* '$e - August 25,2003 WALKER DAVID M & JANET L 3024WAYSIDE LOOP SPRINGFIELD OR 97477 Job Number: Location: coM2003-00161 3024 WAYSIDE LP Project:Install gas fumace and gas line Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begtn wthin I 80 days of the dati of isuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 3024 WAYSIDE LP which is set to expire on 911412003. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notifu you that your permitG) will be expiring shortly. Ifyou are ready to request an inspection for your project, please phone the inspection line at 541-726-37 69. If you do not request an inqpection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-7263790, Sincerely, P,,Lisa Hopper Buildin g Safety Sup ervisor