HomeMy WebLinkAboutPermit Mechanical 2005-04-25Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa.x
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00481ISSUED: 0412512005APPLIED: 0412512005EXPIRES: 1012512005
VALUE:
SITE ADDRESS: 2387 32ND ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702193400620
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Replace electric water heater with gas water heater
Owner:
Address:
KING AL & DENISE
2387 32ND ST
SPRINGFIELD OR 97477
Contractor Type Contractor License Expiration Date Phone
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
rsl
Sidewalk Type:
Downspouts/Drains:
Square Footage
or Bid Amount value
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
$ Per Sq Ft
or multiplier
IT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of2
Date Calculated
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Notes:
AU INUHI/TU UNIJER TI
COIv1MENCED 0R tS ABr
Building/C ombination 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: COM2005-00481ISSUED: 0412512005APPLIED: 0412512005EXPIRES: 101251200s
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/" Administrative Fee
+ 77o State Surcharge
Appliance Vent
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.50
$3.15
$6.00
$4.00
$35.00
$62.65
Total Value of Project
Date Paid
4t2st05
4t2st05
4t25tos
4t2st05
4t25t05
4l25t0s
Receipt Number
2200500000000000491
2200s00000000000491
2200s00000000000491
2200s00000000000491
2200500000000000491
2200500000000000491
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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Reouired Insnections
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 70f .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.
or Contractors
Pase2 of2
Date
STRlll. o
LOCATION OT PROPOSE|I WONI
ASSESORS MAP:
726-3
# ciryJob Number c5:@40r ,aa 3t
TAX LOT:
1a Lo-lb ;lOWNER:
CITY:
AfIDRESS:
PI{ONE:
St-
STATE:CL lq-)lZIP:
AT-IDI'I'ON:DEMOLISH:OTIIER:VALUE:
DESCRITflON OF WORK:
NEW: REMODEL:
0
0dIq
u
uI-
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c
F
{Jrr{
CONTRACTOR'S NAME ADDRESS
CONST.
CONTRACTOR #EXfIRES PI]ONI
)
GENERAL:
PLUMBING:
MECHANICAL:
ELEC-TNCAL:
MrcHAMCALPERMIT
ITEM
Furnace
Exhaust Hood
Vent Fan No.
Wood Stove./lnsert,/Fireplace Unit
PLUMBING PERMIT
FEE ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
FEE
No.
m
t'T
FT
0
Mechanical Permit Subtotal
**Minimum of $45.OO
State Surchar5le 77o
Administrative Iee I 07o
Issuance lee
TOTAL MECHANICAL
Plumbing Permit Subtotal
**Minimum of $45.00
State Surcharge 7%
Administrative F ee 1 OVo
TOTAL PLUMBING
I
MiscellaneousaPlumbingt
Shared Drive(T:)/Building Foms/Pemtit Worksheet 3-04.doc
aa
225 FifthStreet
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000000491 Date: 0412512005 2:32:ttPNx
Job/Journal Number
coM2005-00481
coM2005-00481
coM2005-00481
coM2005-00481
coM2005-00481
coM200s-00481
Description
Appliance Vent
Gas Outlets l-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7Yo State Surcharge
+ l0% Adminishative Fee
Amount Due
6.00
4.00
3s.00
10.00
3.15
4.s0
Item Total $62.6s
Payments:
Type of Payment Paid By
checkNumber Authorizatlon
Received By Batch Number Number How Received Amount Paid
Check AMBASSADORPIPING INC dIM 8520 In Person $62.65
Payment total:
-$6ffi
't
4125/200s Page I of I
rya
City of Springfield
225 Fifth Street, Springfield, Ox.97477
541-726-3759 Phone
541-726-3676Ftx
September 20,2005
KING AL & DENISE
2387 32ND ST
SPRINGFIELD
Job Number:
Location:
oR 97477
coM2005-00481
2387 32ND ST
Project:Replace electric water heater with gas water heater
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 within 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 at2387 32ND ST which is set to expire
on 1012712005. 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) will 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,
Lisa Hopper
Building Safety Supervisor