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HomeMy WebLinkAboutPermit Mechanical 2002-10-17Status: Issued 225 Fifth Street SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line CITY OF SPRIN FIELD Building/C ombination Permit PERMIT NO: COM2002-01226ISSUED: 1011712002 APPLIEDz 1011712002 E)GIRESz 0411712003 VALUE: SITE ADDRESS: 157 lzTIJ ST SPACE 47 ASSESSOR'S PARCEL NO.: 1703354100201 PROJECT DESCRIPTION: Owner: JOHNSON BESSIE A Address: 4851 MAIN ST APT 205 SPRINGFIELD OR 97478 Springfield TYPE OF WORK Heating System TYPE OF USE: New Owner: SpRING LANE MOBILE VILLAGE Address: l57lzTH ST #85 SPRINGFIELD OR 97477 ATTENI l0t\l:Uregon iaw regutres you tc Owner: BOyDE BEHNKE follow rules adopted bythe Oregon Utitity Notification Center. Those rules are set foril'Address: t57lzTH sr SPACE#47 SPRINGFELD oR 9flOAR952-001-0010th rough oAB 952-001 ,center. (Note: the telephone the Oregon Utility Notification Contractor Type Mechanical Owner Contractor HOME COMFORT HEATING & AIR JOHNSON BESSIE A Phone Number: 541-726-9853 Phone Number: 541-726-9853 Expiration Date Phone 06t25t2003 541-345-283884r64 Contractor EVELOPMENT # 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 Avaitable: Special Instruction: # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: tffilr3fr&E:dtdt'Ituy uoj 0I N00 Nve6$bHeen$dd{ l 0 3 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Jl luldxl]'lvHS llt/''Juld slHl REar,frtil0ifirrNc Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains Notes: I of 2 Status: Issued 225 Fifth Stree[ SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line CITY Buildin g/C ombination Permit PERMIT NO: COM2002-01226ISSUED: 1011712002 APPLIEDT 1011712002E)PIRES: 0411712003 VALT]E: Valuation Description Description Type of Construction $ Per Sq Ft Square Footage Total Value of Project Value Date Calculated Fee Description + 7%o State Surcharge + 87o Administrative Fee -Mechanical Issuance Fee- tr'urnace - up to 100.000 btu Minimum/Ad i ustment Mechanical Amount Paid Date Receipt Number 2200200000000000077 2200200000000000077 2200200000000000077 2200200000000000077 2200200000000000077 $3.1s $3.60 $r0.00 $r2.00 $21.00 10n7t2002 10n7t2002 10n7t2002 10fi7t2002 101t7t2002 Received By ddk' ddk ddk ddk ddk Total Amount $49.7s Total Fees Paid Prior ta 9l3ii.102 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. Fees Paid Plan Reviews Required Inspections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permissbn of the Community Services Division, BuiHing Safety. I further certi$ 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 plans will remain on the site at all times during construction. Owner or Contractors Signature ."/rntt/", ." 7. -2of2 Date ./(i -/ F-a Z- I 225 FIF|H STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689 CityJobnu^O"rW{s 6* (* 6'4 d4 ffi LOCATION OF PROPOSED WORK:f ar'/1 €'e t #c ASSESSORS MAP:t7 b3fr +l ADDRESS: CITY: DESCRITTION OF WORIC NEW: - REMODEL:_ TAX LOT: PHONE:72(o -qs53 ztP: f,l a {17 DEMOLISH: OTHER-VALUE: I a?h 4 r1a I NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR #EXIIRES PHONE GENERAL: 35 ELECTRICAL: l\# FT4 $+ 0 B w hd4 6'{i *'{q il't{ kr @* & Furnace Exhaust Hood Vent Fan No. Wood Stove/lnsert/tireplace Unit Mechanical Permit State Issuance Administrative Fee State Surcharge Total Mechanical Permit Fees State Issuance Administrative Fee State Surcharge Total Miscellaneous Permits MM Fixtures Residential Bath(s) No. Sanitary Sewer FI. Water FI. Storm Sewer FI. Plumbing Permit Administrative Fee State Surchalge Total Plumbing Fees Total Mechanical Permits Total Plumbing Permits Total Miscellaneous Permits TOTAL TEE Demolition h6eehaffifea-E' P'[tmb,l*g' W...{[sqdEaneous 2t)I 3r*1, 6f? INSPECTION REQUEST '726-3769 OFFICE: 726-3159 .;.,225 FtFTtl STREET Z,:' SO**OaIELD, OREGON 97477 I. LOCATION INSl-h TAILATI L DESCRIPTION EL IUCAL PERMIT APPLICATION Jorr Number C.O fn ?NL'd>e,b .. 3. COMPLETE FEE SCTIEDULE BELOW City z$t- tlrvelling unit. Itenrs Cost Sum $ r 06.00oI 500 or portion thereof Each Mauufd Horne or Ivlodular Du'elling Sen,ice or Feeder $ s0.00 " $50.00 $69.00 $1oo.oo _ Permitsarenon-transferablean0e.$iie q,noa\o(€ if rvork is not started rvithin I80 dpygurrzect "'- of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor rse 1',Expiration Date -o Su;lcnising Electriciun B. Scrliccs or Feedcrs AIf,fiNTItJN r[fits,9{],h?v;, : (1 s r { c':; n'c . folh$[ulFoiddopt€d b-y=th-e oregor Notification Center. Those rules ar n O00trgS3{01sS010 th:'ouoh il-)A s 63.00 $ 75.0000g0lYopsua{nbtetr copies ct t 6Al I SngnhE 6€Shrp$l r;tCI : ih r; t +-$ 125 .00 _ n{frI{ ge-WnSpttff Orerye n Ll t i i i1v Ni -_- src:.00 s375.00 s 50.00 Feeders or Relocation Oryners Name P OWNER ALLATION The installation is being made on property I orvn lvhich is not intended for sale, lease or rent. l€ Be h,r ke '' 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "8" abot'e E. I\'Iiscellnneous (Sen'icc/fceder. not inclutled) -Each installation Pump or irrigation Linrited Energr'/Res Li nrited Energry'Cornnr 4. SUBTOTALOFABOVE 7%o Stltc Surchurgc 8 7n Admini.stratit'c Fce \51 tLYh s|+{1 Bralrch Circuits UOfTgtf,teration or Extension Pcr panel iiirs.nE-nmgr$Hi!! EXeTRE lF THE *0ff0, 43_ - nuifdniitri' il tl o r n T H I s P E R rvtff4$Nl C 0 ffi#l'tt*uioa r l6iA&aNilQlrffi .[08 ANflBfSrfeeRtOO. $ 3 oo $50.00 $50.00 $25.00 $+s,00 C I\Iininrunr Electric Pernrit Ins;tcction Fce is S-15.00 * Surchar.gcs43- Oryncrs Signature TOTAL 5t.1S Ncw'or Inclutled: aoc _ $ 19.00 -