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Home My WebLink AboutPermit Mechanical 2008-11-10 CITY OF ~n<.1I"It..J:<lELD , Building/Combination Permit Status Issued PERMIT NO: COM2008-01637 ISSUED:" -- 11/10/2008 ' "APPLIED: II/IO/2008 EXPIRES: 05/10/2009 VALUE: 225 Fifth Street,'Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,_" ,,,nuireS ~0~~;~'1 __ ,.....\,-,~\. oreid.""'\' ". j.\.-,.~ rHeq:J\\ "':';'~~~h PROJECT DESCRIPTION: Four station gas line - furnace f.\ll'-" ..lr,rY::~)"'J \c>('a{e::lV~'- Springtie1d,oTJV,PEJO F(WO RK:cMeclianicalJ QnlyOO ~. 1(it. cente', " \1 Uk" ~~ "otil\Ca\lon ~O~ 0 t\1roug \ the rules b'f " - 0 "!J - ~ SO" . in Ol.i\(BE]'OF 0 !Slain Newe \18 telepnoni'ubhc 0090. ."'o~:ea~enter. \Not~ti;iW No\i\icatIOl\ calling ._, .10" oregon ~""L?::l44). nUO\UCi' ,- ',s l-OV""' -' center ' SITE ADDRESS: 340 36TH ST ASSESSOR'S PARCEL NO:: 1702314204500 Owner: SHELTON TINA B Address: 340 36TH ST SPRINGFIELD OR 97478 Owner: MYERS GLENN 0 Address: 340 36TH ST SPRINGFIELD OR 97478 Contractor Type Contractor I CONTRACTQFrI1W!IlQRMATION t IRE II' THE \NOR\( IS PERMIT tiH/-\1.. EX:" DI=.fiMIT IS NOT , TH HORIIHHW~ER TE\iPlriNi~I'B\I;te Phone AUT.. .r"rCII OR IS ABANDO t BUILDING INil0RMArfT0NfERIOlJ. '.1(., , # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: WaterType: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: , Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %.01' Lot Coverage: REQUIRED PARKING Total: , Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee I of 3 -~~~j~~jJl$!~i;-:t\iJ)ljt'#~;;~i~""',: ~l Status 'Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of,Construction Fee Description -Mechanical Issuance Fee- + 100/0 Administrative Fee + 12% State Surcharge + 5% Technology Fee Furnace - up to 100,000 blu Gas Outlets 1-4 MinimumlAdjustment Mechanical , Water Line - 1st 50 Feet Total Amount Paid I Valuation Descrintion I ,$ Per Sq Ft or multiplier Square Footage or Bid Amount CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-0I637 ISSUED: 11/10/2008 APPLIED: 11/10/2008 EXPIRES: 05/10/2009 VALUE: Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $21.00 11110/08 2200800000000001628 $10.40 11/10/08 2200800000000001628 $12.48 11/10/08 2200800000000001628 $5.20 WI 0/08 2200800000000001628 $15.00 11/10/08 2200800000000001628 $6.00 WI 0/08 2200800000000001628 $31.00 WI 0/08 2200800000000001628 $52.00 WIO/08 2200800000000001628 $153.08 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. ' ~rprllnsnec.tinns I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Water Line: Prior to lilling trench and including required testing. Paee 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01637 ISSUED: 11/10/2008 APPLIED: lI/I0/2008 EXPIRES: 05/10/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 fnrther certify that any and all work performed shall be done in accordance with tbe 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 CommimityServices Division, Building Safety. I further certify that only contractors and employees wbo are in compliance with ORS 701.005 will be nsed 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 :JIp;::fi"ftA<-- . - 1/ ~/() ,,,,,9, Owner or CO~Itractors si,("aif Date Page 3 of 3 225 Fifth 'Street Springfield, Oregon 97477 541-726-3759 Phorie Job/Journal Number COM2008-0 1637 COM2008-0 163 7 COM2008-0 1637 COM2008-01637 COM2008-0 1637 COM2008-01637 COM2008-0 1637 COM2008-01637 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001628 Date: 11/10/2008 Description Minimum/Adjustment Mechanical ~Mechanical Issuance Fee- Water Line - 1 st 50 Feet + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Gas Outlets 1-4 Paid By GLENN 0 MEYERS Item Total: l.:heck Number Authorization Received By Batch Number Number How Received njm 21018a In Person Payment Total: Page I of I 10:18:30AM Amount Due 31.00 21.00 52,00 5,20 12.48 10.40 15,00 6.00 $153.U8 Amount Paid $153.08 $153,U8 1111012008 ConstructionCoiltractors Board 700 Summer'St NESuite 300, ,PO Box 14140 ' Saleni, OR 97309-5052 ; ; .. .'. Phone: 503~378-4621 .. Web Address: www.ccb.state~or.us h, - Penpit i Coin 2_oV ~ O/q? j, 7 ,.' " -iA.". , Ad<lres~: 3L./o ,:3 ~ ' , " 5'- ;'~' " .' " . O:J"" ISsue y:' f/1 /'d . Date:! / -- /() - / /1 I ,+ ' Statement: .Informati~n Notice to Property Owners '.About :Constructian Responsibilities '" .. ... . " Note,' Oregon Law, ORS, 701, 055(4) requires residential construction permit applicants whoare not , licensed with" the' Construction Contractors Board to sign the jollowing statement before a building ;: permi(c(In'be.issued. Thisstateme'!t is requiredfor residential building, 'electrical, mechanical and 'plumbing permits. Licensed architect'and engineer applicants, -exemptfrom licensing under ' - ORS 701,010(7), peed not submit this sta(ement, This statementwil/ b'ejiled with the permit., ., . , , Fill in the appropriateblanks,and initial boxes 1 and 2, and either box 3A or 3B: . ~ . '. - . " m., ,~, D ~~ . I.' . I own, re~ide in; or will reside in the completed structure. . " ,-. t. " ,D 3A. My gtmeral,coritractoris ~ .;' (Name) (CCB #) , I will instruct my general contractor that all subcontractors who work on the structure must be licensed with, tjle Cons~ction Contractors Board. OR: , , ~' . 3B. I will be my own general contractor: If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board, If I change my mind.and hire a general contractor, I wmconlract with a contractor who is 'licensed with the CCB and will immedialely notify the office issuing this building permitoflhe . flame of the contractor. , . :. - . , .". - . . .1 hereby certify thaHhe above information is correct and that I have re~d and do understand the Information Notice to.p . p,erty Owners ab~ut Constructi~n Responsibilities on the reverseside,ofthis form. - ~ ~. ___ /I /0- It'applicant) (D!lte) 'Py to issuing agency permit file" pink copy to applicant) {)Q ~ , Property_owner.doc 06:~1-04' :