HomeMy WebLinkAboutPermit Mechanical 2002-12-04Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-'3676 Fax
541:726-37 69 Inspection Line
Buitdin g/C ombination Permit
PERMIT NO: COM2002-0I345ISSUED: 1210412002APPLIED: 1210412002E)PIRES: 0610412003
VALTJE:7
SITE ADDRESS: 1305 sTH ST
ASSESSOR'S PARCELNO.: 1703263401000
PROJECT DESCRIPTION: Install gas furnace
Owner: CHURCH OF CHRISTSpGFLD
Address: lf69CST SPRINGFIELD OR 97477
Springlield TYPE OF
TYPE OF USE:
License
84t64
Heating System
Addition Commercial
Contractor Type
Mechanical
Owner
Contractor
IIOME COMFORT HEATING & AIR
CHURCH OF CHRIST SPGFLD
Expiration Date
06t25t2003
Phone
541-345-2838
CONTRACTOR INFORMATI ON
ING INFORMATION
# 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
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Imp Surface Area:
Handicapped
Compact:
Rearyard Setback:
Solar Setbacks:
o/o of Lot
Street
Storm Sewer Availabh:
Special Instruction:
Notes:
Description TVpe of Construction $ Per Sq Ft Square Footage
*
Sidewalk Type:
Downspouts/Drains
PARKING
DEVELOPMENT INFOR]VIATION
I of 2
Value Date Calculated
Valuation Description I ci
G\)
Status: Issued
225 Fifth Street SpringfieH, OR
541:726-3753 Phone
541-726-3676Fax
541 :7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: COM2002-01345ISSUED: 1210412002APPLIED: 1210412002E)PIRESz 0610412003
VALI]E:
Total Value of Project
Fee Description
+ 7Yo State Surcharge
+ 8% Administrative Fee
-Mechanical Issuance Fee-
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid Date
$3.1s
$3.60
$10.00
$12.00
$33.00
Receipt Number
r200200000000000337
r200200000000000337
1200200000000000337
1200200000000000337
1200200000000000337
Received By
djb
djb
djb
djb
djb
t2l4t02
tzt4t02
tzt4t02
t2t4t02
t2t4t02
$6r.75
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
1 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 empbyees who are in compliance with ORS 701.005 witl 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
/Z- c-//--at--*
Owner or Contractors Signature
2of2
Date
F ees l-rr(l I
Keourreo rnsDectrons I
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TION
AL.DIS ON olooc)
B DES
Permits are ilon-transferable and explre
if lvork is within 180 days
Multi-Family per dlvelling unit.
Service Included:
Items Cost
$ 106.001000 sq.ft. or less
Each additionai 500
sq. ft or portion
tliereof
Each Manufd Horne or
Modular Drvelling
Service or Feeder
$ 19.00
$ 50.00
not include
S-15.00 * Sr.rrcharges
of issr:ance
180 days.
2
Electrical
Address
work is suspended for
YrlAk-
U
ALLATION ONLY B. Ser-vices or Feeders
Installntion,
Relocation:
200 amps or
201 trurps to
401 amps
I amps
Date
Super-visin g Electrician
.N\[ton*
D. Branch
Nerv
b
E
SUBTOTAL OF ABOVE
7Yo St;t'te Surchitrge
8%o Administrative Fee
TOTAL
3b(
'75v
Fee i
^.t
above
-..\\\
Status: Issued
225 Fifth Street SpringfieH, OR
541:726-3753 Phone
541-726-fi76Fax
541-726-37 69 Inspection Line
FTELD
Buildin g/C ombin ation Permit
PERMIT NO: COM2002-01345ISSUED: 1210412002APPLIEDz 1210412002E)GIRESz 0610412003
VALTJE:
SITE ADDRESS: 1305 sTH ST
ASSESSOR'S PARCEL NO.: 1703263401000
PROJECT DESCRIPTION: Install gas furnace
Owner: CHURCH OF CHRISTSp6FLD
Address: 1169CST SPRINGFIELD OR 97477
Springfield TYPE OF
TYPE OF USE:
License
84164
Heating System
Addition Commercial
Contractor Type
Mechanical
Owner
Contractor
HOME COMFORT HEATING & AIR
CHURCH OF CHRIST SPGFLD
Expiration Date
06t25t2003
Phone
541-34s-2838
CO NTRACT OR INF OR]VIATI ON
# 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:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carportr
Sq Ft Other:
Im pervious Surface Area:
# Strdet Trees
Paved Drive Rqd:
Yo ofLot Coverage:
Sidewalk Type:
Downspouts/Drains
REQUIRED PARKING
Total:
Handicapped:
Compact:
\Street
Storm Sewer Available:
Special Instruction:
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
lof2
Value Date Calculated
*J "-.(
Valuation Descrintion I
Status: Issued
225 Fifth Streef Springfieh, OR
541:726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
FS
Building/C ombination Permit
PERMIT NO: COM2002-01345ISSUED: 1210412002APPLIED: 1210412002E)GIRES: 0610412003
VALT]E:
Total Value of Project
Fee Description
-Mechanical Issuance Fee-
+ 7oh State Surcharge
+ 8% Administrative Fee
Furnace - up to 100,000 btu
Minimurn/Adj ustment Mechanical
+ loh State Surcharge
+ 87o Administrative Fee
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
Total Amount
Amount Paid Date
$10.00
$3.15
$3.60
$12.00
$33.00
$3.1s
$3.60
$43.00
$2.00
Receipt Number
1200200000000000337
1200200000000000337
1200200000000000337
1200200000000000337
1200200000000000337
1200200000000000366
1200200000000000366
r200200000000000366
r200200000000000366
Received By
t2t4t02
tzt4t02
t2t4t02
tzl4t02
tzt4t02
t2n0t02
12n0t02
12fiot02
t2n0t02
djb
djb
djb
djb
djb
djb
djb
djb
djb
$113.50
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.
1 Rough Mechanical: Prior to Cover2 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
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,
BuiHing Safety. I further certify that only contractors and empbyees who are in compliance with ORS 701.005 witl 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 hcated at the front of the property, and the approved set of plans will remain on the site
at all during construction.
l7- tD'- oz
Owner or Signature
2of2
Date
)