HomeMy WebLinkAboutPermit Mechanical 2002-12-11Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541 :126-37 69 Inspection Line
GFIELD
Buitdin g/C ombinatio n Permit
PERMIT NO: COM2002-01363ISSUED: l2llll2002APPLIED: 12/11/2002
E)PIRESz 06lll/2003
VALI]E:
SITE ADDRESS: 1956 lsTH ST
ASSESSOR'S PARCELNO.: 1703252302900
PROJECT DESCRIPTION: Gas furnace and ducts
Owner: TIM GORMAN
Address: 1956 lsTH ST SPRINGFIELD OR 97477
Springlield TYPE OF
TYPE OF USE:
License
47396
Heating System
New Residential
Phone Number: 541-729-3137
Phone Number: 541-729-3137
Expiration Date Phone
03/08/2005
541-729-3137
Contractor Type
Mechanical
Owner
Contractor
CHITTIM ENTERPRISES I INC
TIM GORMAN
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:
# of Stories:
Height of
Tlpe of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
%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:
nuillt
Street
Storm Sewer Availabh:
Special Instruction:
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
NfiffiHHW*ffiff87
REQUIRED PARKING
Total:
Handicapped:
Compact:
I of 2
Value Date Calculated
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Valuation Descrintion I
Status: Issued
225Ftrth Stree( SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
Buitdin g/C ombination Permit
PERMIT NO: COM2002-01363ISSUED: l2llll2002APPLIEDz 1211112002E)CIRESz 0611112003
VALI]E:
LD
Total Value of Project
Fee Description
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ 8% Administrative Fee
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid Date
$10.00
$3.1s
$3.60
$12.00
$4.00
$29.00
Receipt Number
1200200000000000380
r200200000000000380
1200200000000000380
1200200000000000380
1200200000000000380
1200200000000000380
Received By
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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 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
2 Rough Mechanical: Prior to Cover
3 Final Mechanical: When all mechanical work is complete.
Reouired fnsnections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that atl
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 furtheragree to ensure that all required inspections are requested at the proper time, that each address is readabh from
the street, that the permit card is bcated at the front of the property, and the approved set of plans will remain on the site
at all constru
Owner or Contractors Signature
2ofZ
Date
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