HomeMy WebLinkAboutPermit Mechanical 2004-03-19,s.
CITY O
Building/Combination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-003ISSUED: 0311912004APPLIED: 03/1912004
EXPIRESz 0911912004
VALUE:
09
k
SITE ADDRESS: 1512 VERA DR
ASSESSOR'S PARCEL NO.: 1703243200302
PROJECT DESCRIPTION: Install gas furnace, ac and h20 heater
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Phone Number: 541-726-6806Owner:
Address:
GORDON HAFDAHL
I5I2 VERA DR SPRINGFIELD OR 97477
) rules
phone
Contractor Tvpe
Mechanical
Contractor
MARSHALLS INC t2/23t200s
Phone
541-747-7445
License
25790
tION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group :
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
T nts prnulr s
U
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
Vlhr
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
overlay ?iUf HOntZfO
r:rnllffimlBi?
FxPIRE tF THftillffift[rD PARKTNG
^,#iJ5[IB]ffi:"I,.,,D. Compact:
$ Per Sq Ft
or multiplier
NOER
OR IS
PERIO
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
Total Value of Project
Page 1 of2
PUBLIC IMPROVEMENTS
Description Type of Construction Value Date Calculated
f
Valuation Description I
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00309ISSUED: 0311912004APPLIEDz 0311912004EXPIRESz 0911912004
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7Yo State Surcharge
Air Handling Unit Up to 10,000
Appliance Not Listed
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid Date Paid
3119t04
3figt04
3n9t04
3lt9t04
3n9t04
3n9t04
3figt04
$10.00
$4.s0
$3.15
$8.00
$9.00
$12.00
$r6.00
Receipt Number
1200400000000000352
1200400000000000352
12004000000000003s2
12004000000000003s2
12004000000000003s2
1200400000000000352
12004000000000003s2
$62.6s
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.
By signature, I 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 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 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
or
Pase2 of2
Date
r ees rarq I
Kequrreo Inspecilons
Dn ut13t& Vq-ro-LOCATION OF PBOPOSEO TA'ORK:
ASSESSOBS MAP:
RESTDENTIAL
PERMTT APPLICATION
lnspcctlonr: 726-3769
Olflca: 726€759
JOB NUMBER-
225 Firlh Street
Sprlngtleld, Otegon 97 4Tl
LOT- BLOCK:sueotvlstoN:
TAX LOT:
OWNEB:PHOTJ E:
CITY:STATE:ztP..
c-
OTHEFIREMODEL- AODITION- OEMOLIS
OESCRIBE
NEW
ADDRESS EXPIRES r PHONECONTRACTOB'S NAME
GENERAU
ELECTRICAL:
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR '
_ OFFICE USE _
ZONING CODE:, OF UNITS:
RANGF-:
OUAD AREA:
E OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BORMS:OCSY GROUP:
E OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE: -.-FLOOD PLAIN:
fo'qqrte.t an lilsp"cf!rn, yau trtf,st arll 7?a 37,-:9. fl;15 :E r al l-,j!; r.!oiii,ny. Aii lnsljc-iior,r rL,qusjieu iJerore i;uo a.rn. wllt Demade the same worklng day, lnspecllons requested after 7:OO a.m. wlll be made the lollowlng work day.
REOUIRED INSPECTIONS
[--l Temporary Electrlc
[-l Masonry - Steel locatlon, bondlJ beams, groulln0.
l---l Foundatlon - Atler ,orms are
'J erected but prlor to concrete
placement.
l--l Undorground Plumblng - PrlorlJ to lllllng trench.
f--l Underlloor Plumblng, Mochanlcalu - Prlor to lnsulatlon or decklng.
l--l Post rnd Borm - Prlor to ,looru lnrulatlon or decklng,
[--l Ftoor lnsulallon - Prlor to
'J decklng.
[-l Sanltary Sewer - Prlor to lllllngu lrcnch.
l--l Storm Srwcr - Ptlot to lllllngu tmch.
t-l W.tet Lln. - Ptlor to lllllngt-J 16666.
l-I 8ou!h Plumblng - Prlor tou covcr.
[--l Rough Mechanlcal - prtor roU cover
[-_l Rough Electrlcal - Prlor tolJ cover-
l--l Flnal Plumblng - When a[
'J plumbing work ls complele.
E
Slts lnspocllon - To bo mado
after excavatlon, but prlor to
sottlng lorms.
Undsrslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Flnal Electrlcal - When alt
electrlcal work is complete.
Flnal Mechanlcal - When all
mechanlcal work is complete.
Flnal Bulldlng - When ailrequlred lnspectlons have been
approved and bullding is
compleled.
MOBILE HOME INSPECTIONS
Eleclrlcal Servlco - Must be
approved to obtaln permanent
olectrlcal powar.
Flreplace - Prlor lo faclng
materlals and lramlng lnsp.
[-_l Framlng - Prlor to covcr
Wall/Celllng lnsulatlon - Prtor to
cover.
l---l Orywall - Prtor lo raptng
Wood Stovo - After lnstallatlon
Curbcul & Approach - Alter
fotms ar6 orecled bul prlor lo
placemont ol concrele.
f_l other-
l--l tnscrt - Altor ftreptace approval* and lnstallatlon ol unlt.
Elocklng and Set.Up - When ailblockln0 ls complete.
Plumblng Connecllons - When
home has been connected to
water and sewel
Elactrlcrl Conncctton - Whenn Sld.wllk & Drlvewly - Alter
'J excavatlon ls comploto, lormsand aub.balo matsrlal tn pl.co-
! Fcncc - lvhen co.ilpleted.
n Sf..t T!o[ - When all requtredu |rc!! arc planlod.
blocklng, ret.up. and plumbtng
ln3pectlons hava baan rpDrov.drnd tha homc ll conncctad to
tl
lhe servlce panel.
l-l Ftn.l - Alt.? .lt Equtrcdu ln3pecilon! ara lpproycd andporcho!, rklrtlnot dack3, rndvanllng hrya baan lnrtallGd.
:,r:i:
'. :: ,.:
.l:::.i.
.::::r;..
WATER HEATER:
-_
tl
225 Fiith Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Officlil Receipt
Development Services Department
Public Works Department
Receipt #: 1200400000000000352 Date: 031L912004 3:01:37PM
coM2004-00309
coM2004-00309
coM2004-00309
coM2004-00309
coM2004-00309
coM2004-00309
coM2004-00309
Appliance Not Listed
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Minimum/Adj ustment Mechanical
+ 7%o State Surcharge
+ llYo Administrative Fee
Item Total:
9.00
10.00
12.00
8.00
16.00
3.15
4.50
$62.6s
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number AuthorizationNumber llowReceived Amount Paid
Check MARSHALL'S INC.ddk 17904 In Person
Payment Total:
s62.65
$62.6s