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Home My WebLink AboutPermit Mechanical 2003-03-13Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00169ISSUED: 0311312003APPLIED: 03/1312003EXPIRES: 04/0812005 VALUE: SITE ADDRESS: 224 SEWARD AVE Springfield TYPE OF WORK: Heating System ASSESSORTS PARCEL NO.: 1703233203600 TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace, ac unit, gas piping and gas water heater Owner: SA1IDERS CHARLES L & SHIRLEy SHAW Address: 224 SEWARD AVE SPRINGFIELD OR 97477 ContractorContractor Type Electrical Mechanical # of Units: Primary Occupancy c&s TED License 3849 73806 nla Expiration Date 09/01/2008 05/15/2005 Phone 541-741-2236 541-338-7ss0 {o$of Structure of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ( Secondary Occupancy Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: \9 $ Per Sq Ft or multiplier 15 PARIflNG Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Pase 1 of3 Value Date Calculated \\e $e Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00169ISSUED: 0311312003APPLIED: 03/1312003EXPIRES: 04/0812005 VALUE: E'ees Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets l-4 Minimum/Adj ustment Mechanical + l0o/o Administrative Fee + 77o State Surcharge Perm Serv/Fdr 200 amps or less -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Minimum/Adj ustment Mechanical Wood Stove/Insert Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $12.00 $4.00 $9.00 $6.30 $4.41 $63.00 $10.00 $4.s0 $3.1s $15.00 $30.00 $199.01 Receipt Number 1200200000000000827 1200200000000000827 1200200000000000827 1200200000000000827 1200200000000000827 1200200000000000827 1200200000000000827 1200200000000000827 1200200000000001797 1200200000000001797 1200200000000001797 1200400000000001449 r200400000000001449 1200400000000001449 1200400000000001449 1200400000000001449 3/r3/03 3/13/03 3/13/03 3n3t03 3/13/03 3t13103 3n3t03 3/13/03 7t2il03 7t2U03 7t2u03 t0t8t04 t0t8t04 t0t8t04 t0t8t04 t0t8,t04 Plan Reviews To Request an inspection call the 24 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. wiII be made the following work day. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Electric Service: Approval required prior to utility company energizing service. Wood Stove: After Installation. Reouired fnsnections Paee 2 of3 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00169ISSUED: 0311312003APPLIED: 03/1312003EXPIRES: 04/0812005 VALUE: By signaturer l 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 OCCUPAI\CY 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 construction. g -ou or Contractors Signature Date Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-72G3759 Phone -'ty of Springfield Official Receipt -cvelopment Services Department Public Works Department RECEIPT #: 1200400000000001449 Date: 1010812004 2:27:43PM Job/Journal Number coM2003-00169 coM2003-00169 coM2003-00169 coM2003-00169 coM2003-00169 Description + 7oh State Surcharge + l0% Administrative Fee Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 30.00 15.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check ABC STOVE SERVICE djb 2445 In Person $62.65 Payment Total: -56ffit t018/2004 Page I of I 5l Status: Issued 225 Fifth Street Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 lnspection Line FTELD Buildin g/C ombination Per mit PERMIT NO: COM2003-00169ISSUED: 0311312003APPLIED: 03/1312003E)PIRES: 09/1312003 VALT]E: SITE ADDRESS: 224 SEWARD AvE ASSESSOR'S PARCELNO.: 1703233203600 PROJECT DESCRIPTION: Springfield TYPE OF TYPE OF USE: Install gas furnace, ac unit, gas piping and gas water heater Heating System New Residential Owner: SAIIDERS CHARLES L & SHIRLEy SHAW Address: 224SEWARDAVE SPRINGFELD OR 97477 Contractor Type Mechanical Owner Contractor HARVEY & PRICE CO SANDERS CHARLES L & SHIRLEY SHAW License Expiration Date 10t3U2004 Phone 541-746-162177 BUILDING INF'ORMATION # 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: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Paved Drive Rqd: %i of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq tr't Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: \t Street Storm Sewer Alailable: Special Instruction: Notes: Description Type of Construction $ per Sq Ft Square Footage Type: DownspoutVl)rains REQUIRED PARJflNG Total: v lof2 VaIue Date Calculated \-\-,].\ rrlrr\-r rr[. r.\.r! Y5]flllfll4l l \$ Status: Issued 225 Fifth Streel Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541:7 26-37 69 Inspection Line Buildin g/C omb in ation Permit PERMIT NO: COM2003-00169ISSUED: 03/13/2003APPLIED: 03/13/2003E)GIRES: 09/1312003 VALI]E: Total Value of Project DateFee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Amount Paid $10.00 $4.s0 $3.1s $8.00 $12.00 $12.00 $4.00 $9.00 $62.6s 3n3t03 3lt3t03 3n3t03 3n3t03 3fi3/03 3lt3l03 3n3t03 3lt3t03 Receipt Number 1200200000000000827 1200200000000000827 1200200000000000827 1200200000000000827 r200200000000000827 1200200000000000827 1200200000000000827 1200200000000000827 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 Rough Mechanical: Prior to Cover 3 Final Gas: When all gas work is complete. 4 Final Mechanical: When all mechanical work is complete. Reouired 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 701.06 will be used on this project. I further agree to ensure that all required inspections are requested at the prop€r 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 plarn will remain on the site 3f3o3timesa,at or Contractors Signature 2of2 Date f1 ees rato I 3/13/2003 2:29:llPM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #z 12002000000000 00827 Date: 0311312003 Line Items: Job/Journal Number Description Amount Paid coM2003-00169 coM2003-00169 coM2003-00169 coM2003-00169 coM2003-00169 coM2003-00169 coM2003-00169 coM2003-00169 Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets l-4 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0%o Administrative Fee Payments: 12.00 8.00 12.00 4.00 9.00 10.00 3.15 4.50 Line ltem Total: Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check HARVEY AND PRICE djb In Person 62.65 Page I ofl Total:$62.6s cReceipt.rpt $62.6s