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