HomeMy WebLinkAboutPermit Mechanical 2002-12-26Status: Issued
225 Fifth Streetr SpringfieH, OR
541:126-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01395ISSUED: 1212612002APPLEDz 1212012002E)PIRESz 0612612003
VALT]E:
SITE ADDRESS: 2467 38TH ST
ASSESSOR'S PARCEL NO.: 1702194209800
PROJECT DESCRIPTION: Install gas furnace
Owner: KACHINA PROPERTIES INC
Address: 82719 S BRADFORD CRESWELL OR y7426
Springfield TYPE OF
TYPE OF USE:
Heating System
New Residential
INFOR]VIATION
Contractor Type Contractor
# 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:
oenter. (Note : the telept}one
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Im pervious Surface Area:
IRE IF THE WEQHIRED PARKING
overr$tf,ibl0RlzED UNDER THIS PERMIT lfrStfiT
# stre&Otu&LtE NC E D 0R I S ABAND0N E D F0Handicapped:
Paved el{felB00AY PERIOD. Compact:
o/o of Lot Coverage:
Sidewalk Type:
Downspouts/Drains
PUBLIC IMPROVEMENTS
Notes:
l of 3
in OAR
Status: Issued
225Ftrth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Buildin g/C ombin atio n Permit
PERMIT NO: COM2002-01395ISSUED: 1212612002
APPLIEDz 1212012002E)GIRESz 0612612003
VALT]E:
Description Type of Construction $ Per Sq Ft Square Footage
Total Value of Project
Amount Paid Date
Fee Description
-Mechanical Issuance Fee-
+ loh Stile Surcharge
+ 87o Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
+ lYo Stile Surcharge
+ 87o Administrative Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount $113.s0
Value Date Calculated
$10.00
$3.15
$3.60
$12.00
$33.00
$3.1s
$3.60
$43.00
$2.00
12t20102
12t20102
12t20102
12t20t02
12t20t02
12t26t02
12t26t02
12t26t02
12t26t02
Receipt Number
120020000000000044s
1200200000000000445
1200200000000000445
120020000000000044s
1200200000000000445
1200200000000000459
12002000000000004s9
1200200000000000459
1200200000000000459
lees Paid
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 Rough Electric: Prior to Cover
4 Final Electric: When all electrical work is complete.
Reouired fnsnections
2of3
Valuation Description I
Status: Issued
225 Fifth Street, Springfield, OR
541:126-3753 Phone
541-726-'3676 Fax
541-726-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01395ISSUED: 1212612002APPLIED: 1212012002E)PIRESz 0612612003
VALUE:
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
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 701.005 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 during construction.
Owner or Contractors Signature Date
3 of 3
75
BELOW
aG'
sq.fr. or less
additional 500
per drvelling unit.
Circuit or with
Items Cost
$106.00
$ 50.00
$2s.00
$45.00
JO DES
\('Each
sq. ft or portion
Date
Supervising Ele0ffiaYou maY
callingthece nter. (Note
umbsrlorthe Orogon
D. Branch
Permit
4. SUBTOTALOTABOVE
77o State Surcharge
8% Administrative Fee
ectionFee* 6D
TOTAL 5t.-1s
Permits are
if work is
ofissuance
180 days.
within I80
ls
thereof
EXPmE{rds}i8luffil(
COMMENCED OR IS
6809AY PEBlQflrui"es or Feeders
Installation,
Relocation:
200 amps or
201ampsto
401 amps
I amps
12t26/2002
9:31:33AM'
City of Springlield
D evelopment Serryices D epartm ent
Public Works Department
Oflicial Receipt
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
Receipt #: 1200200000000000459
Date: 1212612002
Line ltems:
JoMJournal Number Description Amount Paid
coM2002-01395
coM2002-01395
coM2002-01395
coM2002-01395
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
+ 7o/o State Surcharge
+ 8% Administrative Fee
Payments:
43.00
2.00
3. l5
3.60
Line Item Total:$51.75
Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check KS ELECTRIC ddk In Person
Total:75
51.75
Page I of I cReceipt.rpt
F SPRING
Buildin g/C ombination Permit
PERMIT NO: COM2002-01395ISSUED: 1212012002
APPLIEDz 1212012002E)PIRESt 0612012003
VALT]E:
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-K76 Fax
541:726-37 69 Inspection Line
SITE ADDRESS: 2467 38TH ST
ASSESSOR'S PARCEL NO.: 1702194209800
PROJECT DESCRIPTION: Install gas furnace
Owner: KACHINA pROpERTIES INC
Address: 82719 SBRADFORD CRESWELL OR y7426
Springfield TYPE OF
TYPE OF USE:
License
Heating System
New Residential
Contractor Type
Mechanical
Owner
Contractor
COMFORT FLOW
KACHINA PROPERTIES INC
460
Expiration Date
06t27t2003
Phone
541-726-0100
C ONTRACT OR INFORIT{ATI ON
BUILDING INF(
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
# of Stories:
Height of
\pe of Heat:
Water
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
\
Sidewalk Type:
Downspouts/Drains
Floor:
2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Im pervious Surface Area:
Rearyard Setback:
Sohr Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
lof2
Value Date Calculated
Valuation Descrintion I
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-3676 Bax
541-726-37 69 Inspection Line
TY OF SPRING
Buildin g1C ombination Permit
PERMIT NO: COM2002-01395ISSUED: 1212012002
APPLIEDz 1212012002E)GIRES: 0612012003
VALUE:
Amount Paid
Total Value of Project
Date
Fee Description
-Mechanical Issuance Fee-
+ 77o State Surcharge
+ 87o Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount
$10.00
$3.1s
$3.60
$12.00
$33.00
12t20t02
12t20102
12t20t02
12t20t02
12120102
Receipt Number
120020000000000044s
1200200000000000445
120020000000000044s
120020000000000044s
1200200000000000445
$61.7s
tr'ees Pa
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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,
BuiHing Safety. I further certi$ 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 plars will remain on the site
at d iZ'ZI- oz-
Owner or Contractors Signature
2of2
Date
Kequrreo lnsDectrons I
1212012002
l:32:53PM
City of Springfield
Development Services Departm ent
Public \ilorks Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000445
Date: 1212012002
Line ltems:
Job/Journal Number Amount Paid
coM2002-01395
coM2002-0139s
coM2002-01395
coM2002-01395
coM2002-01395
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ 8% Administrative Fee
Payments
12.00
33.00
10.00
3.15
3.60
Line Item Total:$61.75
Type ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid
Check COMFORT FLOW djb In Person 61.7 5
Total:75
Page I of I cReceipt.rpt