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Home My WebLink AboutPermit Mechanical 2008-10-20 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01551 ISSUED: 10/20/2008 APPLIED: 10/20/2008 EXPIRES: 04/20/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691J1spection Line . . SITE ADDRESS: 25 SEWARD AVE ASSESSOR'S PARCEL NO.: 1703224400700 Springfield 'TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Replaceing an oil boiler wlgas Owner: NICKELSON JERRY D & JOYCE H Address: 25 SEWARD AVE SPRINGFIELD OR 97477 . I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor AUTOMATIC HEAT License 149452 Expiration Date 10/22/2009 Phone 541-726-7654 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: , Primary Construction Type: Secondary Construction Type: # of Bedrooms: . # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Side 1 Setback: #Street Trees Rqd: Side 2 Setbac~: J:; ITIO~: Oregon law requires you!W'ed Drive Rqd: Rearyard sli~~s..~ules adopted by the Oregon Ut'il'l't?f Lot Coverage: Solar setb~!iiGalion Center. Those rule~ a~e _s_e~ l,?rth in UAii ~:)G-UU I-YV r v Ull VU~" ......Pt.L~~~ ~.~ 1 ~ .. 0090. You may obtain copies of t~~IPROVEMENTS , Street ImprO(lemcud!1e cenJer. (I~ote:t.he tele~no~e number for the Oregon Utility Notification NOTICE' Stor~ Sewer A~ailae~,:,le[ is 1-800-332.-2.344). ' ERMITg~r~EU'~~mpll1srHE WORK SpeclallnstruCllOn: THIS p. ER THIS PERMIT IS NOr AUTHORIZED UNO COMMENCED OR IS ABANDONED FOR MIV 1 RO DAY PERIOD. Total: Handicapped: . Compact: Sidewalk Type: Notes: I, Valuation DescriDtion I DescriPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of2 Status 'Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01551 ISSUED: 10/20/2008 APPLIED: 10/20/2008 EXPIRES: 04/20/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectinn Line Total Value of Project Fees Paid I Fee Description -Mechanical Issuance Fcc- + 10% Administrative Fee + 12% State Surchargc + 5% Technology Fee BoilerlComp Up To 100,000 htu Gas Outlets 1-4 Minimum/Adjustment Mcchanical Amount Paid' Date Paid Receipt Number $21.00 $5.20 $6.24 $2.60 $15.00 $6.00 $31.00 10/20/08 10120/08 10120/08 10/20/08 10/20108 10/20/08 10/20/08 2200800000000001532 2200800000000001532 2200800000000001532 2200800000000001532 2200800000000001532 2200800000000001532 2200800000000001532 Total Amomit Paid $87.04 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~ Reouired Insnections I Rough Mechanical: Prior to Covcr Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully cxamined the completcd 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 ~f Springfield and the Laws of the State of Oregon pertaining to the work describcd herein, and that NO OCCUPANCY will be made of any structurc 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 agrce to ensure that all required inspections are requcsted at the proper time, that each address is readable from the strcet, that the permit card is located at the front of thc property, and the approved set of plans will remain on the site at all times duri':1g construction. ~ C-/ ' Owner or Contractors Signature 10 ~ lQ- CJ't ~~ Date Paee 2 of 2 225 Fifth Stil-cet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1551 COM2008-0 1551 COM2008-0 1551 COM2008-0 1551 COM2008-0 1551 COM2008-0 1551 COM2008-0 1551 Payments: Type of Payment Cash cReceiotl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000001532 Date: 10/20/2008 Description Gas Outlets 1-4 Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mecharical' -Mechanical Issuance Fee- + 5% Technology Fee. + 12%,State Surcharge + 10%,Administrative Fee Paid By AUTOMATIC Item Total: Check Number Authorization Received By Batch Number Number How Received njm In Person Payment Total: , . Page 1 of 1 1:13:48PM Amount Due 6.00 15.00 31.00 21.00 2.60 6.24 5.20 $87.U4 Amount Paid $87.04 $87. U4 10120/2008