HomeMy WebLinkAboutPermit Mechanical 2002-11-12Buildin g/C ombination Permit
PERMIT NO: COM2002-0127 6Status: Issued
225 Fifth Streef Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
SITE ADDRESS: 664 SUNSET DR
ASSESSOR'S PARCEL NO.: 1703341410200
PROJECT DESCRIPTION: Install gas furnace
Owner: DRAGGOO THOMAS E & TERI S
Address: 664 SUNSET DR SPRINGFIELD OR 97477
Springfield TYPE OF
TYPE OF USE: New
ISSUED:
APPLIED:
E)PIRES:
VALT]E:
tyt2t2002
tut2t2002
0511212003
Contractor Tvpe
Mechanical
Owner
Contractor
MARSHALLS INC
DRAGGOO THOMAS E & TERI S
License
25790
Expiration Date
1212312003
Residential
Phone
541-747-7445
CONTRACTOR INFORMATION
# 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:
PARIilNG
Overlay Dist:
#Trees
Total:
Handicapped:
Compact:Rqd:
IZED 8E,F I,
DownspoutVDrains
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction S Per Sq Ft Square Footage
DEVELOPMENT IN
Total Value of Project
Value Date Calculated
tutv
# ofStories:
Height of
Type of Heat:
Water
Range Type:
Energy Path:(
to
/.s,
Valuation Descrintion I
,s IVOI
Status: Issued
225 Fifth Streel SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
OF SPRING
Buildin g/C ombination Permit
PERMIT NO: COM2002-0127 6ISSUED: llll2l2002
APPLIEDz llll2l2002E)CIRES: 0511212003
VALT]E:
tr'ees Pa
Fee Description
+ 77o State Surcharge
+ 8%o Administrative Fee
Gas Outlets 1-4
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid Date
$3.15
$3.60
$4.00
$10.00
$12.00
$29.00
Receipt Number
2200200000000000r68
2200200000000000168
2200200000000000168
2200200000000000168
2200200000000000168
2200200000000000168
Received By
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$61.75
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Gas Seryice: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
4 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
5 Final Gas: When all gas work is complete.
Reouired Insnections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 certifr 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 that the permit card is located at the front of the property, and the approved of plans
du truat
Owner or Contractors Signature
2of2
Date
L
remain on the site
Total Fees Paid Prior ta 9l3ii.102