HomeMy WebLinkAboutPermit Mechanical 2002-12-05CTTY F PRIN
Buildin g/C ombin ation Permit
Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
PERMIT NO: COM2002-01281ISSUED: 1210512002APPLIED: 11/13 12002E)PIRES: 06/0512003
VALUE:
SITE ADDRESS: 718 WOODCREST DR
ASSESSOR'S PARCEL NO.: 1703341215900
PROJECT DESCRIPTION: Replacement gas FAU
Owner: BOWER MARy L
Address: TlSWOODCRESTDR SPRINGFIELD OR 97477
Springfield TYPE OF
TYPE OF USE:
License
66894
47396
Heating System
Alteration Residential
Contractor Type
Electrical
Mechanical
Owner
Contractor
DIXON ELECTRIC
CHITTIM ENTERPRISES I INC
BOWER MARY L
Expiration Date
07n8t2003
03/08/200s
Phone
541-895-2440
) NTRACT OR INF ORIT{ATI ON
D
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Constru ction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sohr Setbacks:
Street
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of
Tvoe of Heat:
wit".ttyf,&il E:
Range Type:R MIT SHALL
Energy;ftgppflp,i ZED UNDER
COMMENC
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
ED OR IS
Sq Ft 2nd Floor:
FXPIRE MTHBTA&A*:;;,i ppg6fffi{pEarport
nu nr'i o ffip,gffi: r,,",ce Area
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
PUBLIC IMPROVEMENTS
Notes:
I of 3
D U ILLrIl.\ (, ll\ I UluYrfllfll\]
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
OF SPRTNGFIELD
Building/C ombination Permit
PERMIT NO: COM2002-01281ISSUED: 1210512002APPLIED: 11/1312002E)0IRES: 06/0512003
VALI]E:
Description Type of Construction $ Per Sq Ft Square Footage
Total Value of Project
Amount Paid Date Receipt Number
2200200000000000175
22002000000000001 75
2200200000000000175
2200200000000000175
2200200000000000r75
2200200000000000175
2200200000000000270
2200200000000000270
2200200000000000270
2200200000000000270
Date Calculated
Received By
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Value
Fee Description
+ 7olo State Surcharge
+ 87o Administrative Fee
Medical Piping l-4 Outlets
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Minimum/Adj ustment Electrical
+ 7Vo State Surcharge
+ 8% Administrative Fee
Add, Alter, Extend Circ
Total Amount
$3.1s
$3.60
$4.00
$10.00
$12.00
$29.00
$2.00
$3.15
$3.60
$43.00
$113.50
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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 Gas: After line is installed and required testing and capped if not attached to an appliance.2 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.
3 Rough Mechanical: Prior to Cover
4 Final Gas: When all gas work is complete.
5 Final Mechanical: When all mechanical work is complete.
6 Rough Electric: Prior to Cover
7 Final Electric: When all electrical work is complete.
2of3
Valuation Description I
Keourreo lnsDectrons I
Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541 :7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01281ISSUED: 1210512002APPLIED: 11/1312002E)GIRES: 06/0512003
VALI]E:
By signature, I state and agree, that I have carefully examined the completed apptication 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 to ensure that all required inspections are requested at the proper time, that each address is readabh from
the
ata
that the it card is located at the front of the property, and the approved set of plans will remain on the site
durin truction.-oz
Signature Date
3 of 3
INST
SCRTPTIO
180 dnys
2. CONTRACTOR INST
Address
ELEu - ri.ICAL PERN{IT APPLI CATION
Citv Job
3. COMPLETE FEE SCHEDULE BELOW
A. Ncll Rcsidential-Singlc or
Multi-Famill' per du'elling unit.
Sen'ice Included:
Items Cost
$106.00
s r 9.00
or Feeder
B. Services or Feeders
$ 50.00
$ 63.00200
201
I
Supen'isor
E.\p1ratlon
of Supen'ising Electrician
.101 a
D. Branch Circuits
Nerv Alteration or Extension
l
- One Circuit
Each Additional Circuit or
or Feeder Perrnit
f . I\'Iiscellaneous (Ser-vice/l'ccder
-Each installation
Pnmp or irrigation
Sign/Outline Lighting
Linrited Energv,R.es
Limited Energv/Comm
I\Iinimum Electric Permit Inr
{. SUBTOTALOFABOVf,
77o State Surchirrge
8 7o Arlminist rativc Fcc
ration Date
ti itlr Scn'.ice
-$3.00 -not includcd)
olvn is not intendcd
for sa1e, lease or rent.
Ow'ncrs Signature:
spcction Fee is S{5.00 * Surchargcs
.6D
TOTAL
a
225 FIFTH STREET
SPzuNGFIELD. OREGON 97477
INSPECTION REQUEST 126-31 69
OFFICE: '126-3759
Phonc_
sq. ft or
Home or
C. ,Temporar-v Scrvices or Feeders
Installirtion, Alteration or Relocation
Y/
o
less
500
I
Constr Contr.q
I
OrYners
OWNER
200 arrrps or less
201 amps to 400 amps
Over 40I to 600 amps
Over 600 amps or 1000 volts see
" 8 " ltbot'c
$s0.00
$69.00
$100.00
$50.00
$s0.00
$25.00
$45.00
Status: Issued
225Ftfth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2002-01281ISSUED: 1111312002
APPLIEDT llll3l2002E)GIRES: 05/1312003
VALT]E:
SITE ADDRESS: 718 WOODCREST DR
ASSESSOR'S PARCEL NO.: 1703341215900
PROJECT DESCRIPTION: Replacement gas FAU
Springfield TYPE OF
TYPE OF USE: Alteration Residential
Owner: BOWER MARy L ATTEN I ION IUIB$O{r rav! iequl
Address: Tl8WOODCRESTDR SPRINGFIELD OR 97477 opted bY the Ore
r. Those rules are set
coPies ol the rules
gon Util
Contractor Type
Mechanical
Owner
Contractor
CHITTIM ENTERPRISES I INC
BOWER MARY L
catli center. (Note: the
numbe
03/08/2005
te l€Ptior tu
ohSffi!*rPtrrou
r is 1-800-
# 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:
Sohr Setbacks:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Im pervious Surface Area:
N0TICE: .- *.,Fo'.'+r[6*rCMtT sHALL ExPIRE-IF T.Ht
ffJrffiffitoi,,#ilJ#il5ffii
% of ffip(ffi&AY PERI0D.
REQUIRED PARKING
u{qB[
IttlQli."pp.a'
0tompact:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
Total Value of Project
Sidewalk Type:
Downspouts/Drains
INFO
PUBLIC IMPROVEMENTS
lof2
Value Date Calculated
Valuation Description I
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-fi76 Fax
541-726-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01281ISSUED: llll3l2002
APPLIEDz llll3l2002EIGIRES: 05/1312003
VALI]E:
Fee Description
+ 77o State Surcharge
+ 87o Administrative Fee
Medical Piping 1-4 Outlets
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount
Total Fees Paid Prior to 9l3OlO2
Amount Paid Date
$3.1s
$3.60
$4.00
$10.00
$12.00
$29.00
Receipt Number
220020000000000017s
2200200000000000175
2200200000000000175
2200200000000000r75
2200200000000000175
2200200000000000175
Received By
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$61.7s
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
2 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
3 Rough Mechanical: Prior to Cover
4 Final Gas: When all gas work is complete.
5 Final Mechanical: When all mechanical work is complete.
Reouired Insnections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 certiff that only contractors and employees who are in compliance with ORS 701.0ffi 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 plars will remain on the site
at
11- /3-oZ-
Owner or Contractors Signature
2of2
Date
F ees rard I
d[+irq d u rin g-cons truction.
>A-rEJV,