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Home My WebLink AboutPermit Mechanical 2003-02-13GFIE 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 ombin ation Per mit PERMIT NO: COM2003-00081ISSUED: 0211312003APPLEDz 0211312003E)GIRES: 08/1312003 VALT]E: SITE ADDRESS: 203 19TH ST ASSESSOR'S PARCEL NO.: 1703364201300 PROJECTDESCRIPTION: Gasfurnaceinstallation Owner: MAyHEW WALLACE & ANGELINE B Address: 203 N 19TH ST SPRINGFIELD OR W477 Springfield TYPE OF TYPE OF USE: Heating System Repair Residential Phone 541-895-2440 \$\' $ Contractor Tvpe Electrical Mechanical Owner Contractor DIXON ELECTRIC CHITTIM ENTERPRISES I INC MAYHEW WALLACE & ANGELINE B rr)\8 66894 q( w o\n$t # of Buildings: Primary Occupancy Group: Secondary Occupancy Frimary 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: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Paved Dr o/o of Lot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARIilNG N'{? Sidewalk Type: Downspouts/Drains DEVELOPMENT INFORMATION Notes: l of 3 \"- 1 \t Status: Issued 225 Fifth Streef Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line Buildin g/C ombin atio n Per mit PERMIT NO: COM2003-00081ISSUED: 0211312003APPLEDz 0211312003E)GIRES: 08i1312003 VALI]E: Descrbtion Type of Construction $ Per Sq Ft Square Footage Total Value of Project Amount Paid Date Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Electrical Minimum/Adj ustment Mechanical Total Amount $11s.30 $10.00 $4.s0 $3.15 $43.00 $6.00 $12.00 $4.00 $2.00 $23.00 2n3t03 2n3t03 2n3t03 2n3t03 2n3t03 2n3t03 2n3t03 2lt3t03 2fi3t03 Value Receipt Number 1200200000000000694 1200200000000000692 1200200000000000692 1200200000000000692 1200200000000000694 1200200000000000694 1200200000000000694 1200200000000000692 1200200000000000694 Date Calculated 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. 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. leorilred fnsnecfions 2of3 Valuation Description I Fees ralo I Status: Issued 225 Fifth Stree! SPringfield, OR 541:726-3753 Phone 541-726-1676 Fax 541:7 26-Y 69 InsPection Line at during Owner or Contractors Signature By signature, I state and agree, that I have carefully examined the completed application and do hereby certis that all information hereon is true and correct, and r furthlr certify that any "na uu woit< pertormed 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 permisslon of the c-ommunity 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. r 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 tt " "pp.on"d set of plans will remain on the site CI rf' Buildin g/C ombin ation Permit PERMIT NO: COM2003-00081 ISSUED: 0211312003 APPLIEDz 0211312003 E)0IRES: 08/1312003 VALI]E: t3-d> Date 3 of 3 2/13/2003 2:37:53PM City of Springfield Development Sewices Department Public Works I)epartment Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541:126-3759 Phone Receipt #: 12002000000000 0069 4 Date: 0211312003 Line Items: Job/Journal Number Description Amount Paid coM2003-00081 coM2003-00081 coM2003-00081 coM2003-00081 coM2003-00081 coM2003-00081 coM2003-00081 Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical + 7o/o State Surcharge + l0%o Administrative Fee Payments 12.00 6.00 4.00 10.00 23.00 3.l5 4.50 Line ltem Total:$62.6s Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check JAMES HEATING djb In Person 62.65 Total $62.65 Page I of 1 cReceipt.rpt *FimrfiffimJ* ( 225 FIFTH STREET . SPRINGFIELD, OP_97477 ' PH:(541)726-3753 o ELECTRICAL PERMIT APPLICAffON trrhe(9|(64rntr06{66& submitted has the tollowing zoning and does not require specific land use City Job Number CA 1 t t,t Zc.o3-CI>O{l ox" approval 3 O-S Zoninso'z ao3 p.rr-,^,+.< C 3 A. D. New Alteration or Extension Per One Circuit Each Additional Circuit Service or Feeder Limited Energy/Commercial Minimum Electric Permit Inspection 7%o State Surcharge 10% AdministrativeFee TOTAL Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. I ?f&"' 5 LEGAL DESCzuPTION 3 0') 3()l z /3cO JOB DESCRIPTION $106.00 s 19.00 $s0.00 G#;Qj-t/-l Permits are non-transferable and expire if work is not started within L80 days of issuance or if work is Suspended for 180 daYs. ,, Electrical Contractor Address Phone Supervisor License Number 3 lqs Expiration Date o Constr. Contr. Numb ", 2O -€mc. Expiration Date lo o of Supervising Electrician Owners vvl* Address V3|\/?lk City *Rucn OWNER INSTALLATION The installation is being made on properff I own which is not intended for sale, Iease or rent. Owners Signature: s 63.00 $ 7s.00 $12s.00 $ 163.00 s375.00 s 50.00 $ s0.00 $ 69.00 $ 100.00 v3 LJPil €lr,/ E. $ s0.00 $ s0.00 $ 2s.00 $ 45.00 $45.00 + qf 3/) yso SZ 6f Inspecfion Request.. 226_3769 4. S hard Driv{T: ),Du rldkg Foms/Elqfic al P abl App lic ation I _03. doc :::::::.:i I : ll.= l e.rr,,'*.esideniial ormttti-faxil*Uni; #rer*{ibtrs #**todiirio*:. 43.00 $ 3.00 i{}jVll"'B.s"iu#afr.,etdiiE: \o \t ci@ >)- Stattrs: i:r: r,.'ll 225 Fifth S(r'r't't. S2rittol ' ' 541-726-37 ,.i I 541:726-36;', t 541-71.6-?-',' PROJECI' l' ': lt:''r one x .4.1.fi6p I ion Owner: Adrlress: 2 Contr:r" Electric:r i Owner Yiltiw r91'tI: )t # Of rlltil(lirr(, Prir. :rr". . Sectt rttl ', r' Prirrrarl ( Sec ,trli"'. # of llcd;'r' rr'\'Cro Fron tr'rr r' Sid-' i , t Sirl I :ir Rea'r,a" Solr l' sllTi! ,cKS lr Street Stornt Scr.',',' ..r . :rilltlrle SPt""r' t ' 'l: Not . CITY OF SPRINGFIE Buildin g/C ombination Permit PERMIT NO: COM2003-00081ISSUED: 0211312003APPLBDt 0211312003E)0IRES: 08/1312003 VALT]E: .,,!:rtion INE Rit 97{i7 ,.'] & ANCT-!-'NE B Expiration Date 07118t2003 Phone 541-895-2440 Sirringfield TYPE OF TYPE OF USE: f@ License 66894 Heating System Repair Residential Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carportr Sq Ft Other: Impervious Surface Area: l,\r i!!)tAIlqNl rrt;,' "criptetr ILL ExPl \SN NBhN N\?ER\OrUsidewalk Type: DownspoutVDrains ,.1r,,ri'o Footage REQTIIRED PARKING Total: Handicapped: ",QomPact: u1 " ist: 'ces e Rqtl: ''overage rtf\\ ,S 'r S,'Desc rilltirur 'ft,lre r,l ' lof2 Value Date Calculated SIl E A'' AS:I]S -rlt.l) f)r', \r 1HE \90 FIGLr} W.q -,^-_n i'-:-_ Stal rt s: " l: ".'tl 225 l: il't h S l rte '. !i 1) l'in . t': 541-72(r-3 i5l ! ')ne 541-72(,-31761: r 541-1:" -"'.;" I '11'1'1i1"t pgg l)r'5r'1 irrt;'111 + I r' ', ""rtiYt'l:,','+-.. Sl. rrgr Arlr . .\lr .. I (l'r' l\l . rrr llclll "'r"'rl Buildin g/C ombin ation Per mit PERMIT NO: COM2003-00081ISSUED: 0211312003 APPLIEDT 0211312003E)PIRES: 08/1312003 VALI]E: .r rtttttt lt t l):t i r I 'lrre of Project Date $J .'1.50 2fi3t03 2n3t03 2tL3t03 2n3103 Receipt Number r200200000000000692 r200200000000000692 1200200000000000692 1200200000000000692 . -) ( - L :JJ Tol 11 i I din. Pys' ir" r r., | "r'r-i' I;lr l'l tlSC,' I furt . the ": at: t 'lsr r s' ll c.' 2ofZ Date () ,, ^t726-3769. All inspection requested before 7:00 a.m. uested after 7:00 a.m. will be made the following work 'llJ ,',1 'r',, ,',rrnpleted application and do hereby certiff that all . ,irr .i ^.,\' and all work performed shall be done in accordance r;l' tlrt Slate of Oregon pertaining to the work described 'clrr re u'ithout permission of the Community Services Division, ',!r' es who are in compliance with ORS 701.005 will be . I at the proper time, that each address is readable from )! and the approved set of plans will remain on the site 'le 1r't: l: '',,s 1 o( ' lir: ,:1. eltsll !' 'l)( , I COI!',. r{ () t' 't' '''lyc ' .,r 2/1312003 l:07:46PM City of Springfield D,:r"-'t. ;: :'rent Scrvices Departnr cnt .' r:blic \\'orks I)cparti, ient Ollicial Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone .'a'"" '^) UrUuVUUutrL/ n, t,t. n1/ra/1nO1 coM2003-00081 coN{2003-00081 coM2003-00081 coM2003-00081 Add, Alter, Extend Circ Minimum/Adj ustment Electrical + 7%o State Surcharge + llYo Administrative Fee Payments 43.00 2.00 3.15 4.50 Line Item Total:$52.6s Tpe ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid Check DIXON ELECTRIC djb In Person 52.65 TotaI:$s2.6s Page I of I cReceipt.rpt tt I I