HomeMy WebLinkAboutPermit Mechanical 2003-05-23Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 lnspection Line
Building/C ombination Permit
PERMIT NO: COM2003-00395ISSUED: 0512312003APPLIED: 0512212003
EXPIRES: 1112312003
VALUE:
PMENT
SITE ADDRESS: 425 S 3RD ST
ASSESSOR'SPARCELNO.: 1703353400700
PROJECT DESCRIPTION: Relocate furnace and ductwork
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration Residential
PhoneNumber: 541-345-4751Owner:
Address:
MIKE FOUMAL
425 S 3RD ST SPRINGFIELD OR 97477
Contractor Tvpe
Mechanical
Owner
Contractor
ATR AIR INC
MIKE FOUMAL
Expiration Date
03t26t2005
Phone
541-349-0839
541-345-4751
REQUIRED PARKING
Total:
Handicapped:
Compact:
#,9 Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
# of Buildings:
Primary Occupancy GrouP:
Secondary Occupancy GrouP:
Primary Construction TyPe
Secondary Construction TYPe:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
\glr bNo
.(
.@t ,Na
Overlay Dist:
# Street Trees
Paved Drive
,h
.N\o
Sidewalk Type:
Downspouts/Drains:
v
rs{
Notes:
Square FootageDescription Tvpe of Construction $ Per Sq Ft
Page 1 of2
Value Date Calculated
ft3 L]
t
'r$
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00395ISSUED: 0512312003APPLIED: 0512212003
EXPIRESz 1112312003
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7oh State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets l-4
Minimum/Adjustment Mechanical
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$10.00
$4.s0
$3.15
$6.00
$12.00
$4.00
$23.00
$62.65
Receipt Number
1200200000000001320
r200200000000001320
1200200000000001320
1200200000000001320
1200200000000001320
1200200000000001320
120020000000000r320
5t23t03
5t23t03
5t23t03
5t23t03
5t23t03
st23t03
st23t03
Fees Paid
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 Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
4 Final Gas: When all gas work is complete.
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 during construction.
IC--.ZrZ-s/zs /rs
Owner or Contractors Signature
Pase 2 of 2
Date
L':L-i
t(eourreo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #z 120020000000000 1 320 Date: 0512312003
coM2003-0039s
coM2003-00395
coM2003-0039s
coM2003-00395
coM2003-0039s
coM2003-00395
coM2003-00395
Furnace - up to 100,000 btu
Appliance Vent
Gas Outlets l-4
Minimum/Adj ushnent Mechanical
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ l0%o Administrative Fee
Payments:
12.00
6.00
4.00
23.00
10.00
3.15
4.50
Item Total:$62.6s
Check ATRAIRINC djb In Person
Payment Total:
62.65
$62.65
s/23/2003 l:03:56PM Page I of I cReceipt.rpt
*FBIIiISFIE.LS
City of Springfield
225 Fifth Street, Springfield, OR97471
541-726-3759 Phone
541-726-36768a,x
December 02,2003
FOUMAL
425 S 3RD ST
SPRINGFIELD
Job Number:
Location:
oR 97477
coM2003-00395
425 S 3RD ST
MIKE
Project:Relocate furnace and ductwork
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at 425 S 3RD ST which is set to expire on
121512003. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff you that your permit(s) wiil be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
W$p'P
Building S afety Supervisor
I