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Home My WebLink AboutPermit Mechanical 2008-10-7 (2) CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01S10 ISSUED: 10/07/2008 APPLIED: . 10/07/2008 EXPIRES: 10/01/2009 VALUE: Status Issued 225 Fifth Street, Spring/ield, OR 541-726-375J-Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1167 SEQUOIA AVE ASSESSOR'S PARCEL NO.: 1703273402808 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Panel Change and Heat Pump Installation TYPE OF USE: Alteration Residential Owner: BROWN THOMAS W & KIMBERLY B Address: 1167 SEQUOIA AVE SPRINGFIELD OR 97477 I CONTRACTOR IN~ORMATION I Contractor Type Electrical Mechanical License 3849 . Contractor C & SELECTRIC OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secoudary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: Water Type: ATTENT.'f'\~I. G-on,., I . Ran~e Type:n aw reqUires you to follow n'E'''~ "riCp"nthr! by the Oregon Utility N t.f. I. nergy a. . 0 I lea 'rs~ I~iri~i.fd. Bi,hfdi~ 'ules are s\\Horth In OAR 951'uUl-UUlO lhrotfah OAR 95?-nn1- vi J)EYELOP-MENT:iIS:F0RMiTION':,J by - " - f- _ne number for the Oregon Utility Notification ('(i)veflay' DiS1DO-332 -2344). # Street Trees R'ld: Paved Drive Rqd: 6/0 of Lot. Coverage: R-3 VB Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: . Storm Sewer Available: Special Instruction: Expiration Date 09/01/2010 Phone 541-741-2236 Lot Size: Sq Ft 1st Floor: S'l Ft 2nd Floor: S'l Ft Basement: S'l Ft Garage/Carport S'l Ft Otrer: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewal~ Type: Downspouts/Drains: Notes: NOTICE: - HE WORK THIS PERMIT S~~~~ ~~~~~~~\T IS NOT AUTHORIZED UOR IS ABANDONED FOR COMMENCED ANY 180 DAY PERIOD. Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V alu.~~i~~ De~criqti?n I DescriDtion $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Valne of Project FP'i' f"W Fee Description + I 0% Administrative Fee + 12% State Surcharge + 5% Technology Fee, Add, Alter, Extend Circ Ea Add Perm Serv/Fdr200 amps or less + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid $8.30 $9.96 $4.15 $10.00 $73.00 $9.48 $3.95 $79.00 10/7/08 10/7/08 10/7/08 10/7/08 10/7/08 411/09 4/1/09 4/1/09 Total Amount Paid $197.84 I Plan Reviews I ClTYOF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01S10 ISSUED: 10/07/2008 APPLIED: 10/07/2008 EXPIRES: 10/01/2009 VALUE: Value Date Calcnlated Receipt 'N umber. 1200800000000001044 1200800000000001044 1200800000000001044 1200800000000001044 1200800000000001044 2200900000000000317 2200900000000000317 2200900000000000317 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. . I ~.f,ollirel\...Jnsne.ctions I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mechanical: Prior to Coyer . Final Mechanical: When all mechanical work is complete. Paee 2 of 3 By signature, I state and agree, that Ihave carefuUy examined the completed application and do hereby certify that aU information hereon is true and correct, and 1 further certify that any and aU work performed shaU 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 structnre without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who arein compliance with ORS 701.005 wiU be used on this project. I further agree to ensure that aU reqnired 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 aU times during construction. ~. Owner or Contn6'Signat';;:;; _~AJI!I~"IEI.D; ;- . J Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Pa2e 3 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0IS]0 ISSUED: 10/0712008 APPLIED: 10/0712008 EXPIRES: ]0/0112009 VALUE: 6~h/~'! " ./ .Date '" 225 Fifth Street Spririglie;ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 151 0 COM2008-0 151 0 COM2008-0 IS I 0 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: D.escription 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By THOMAS BROWN City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000317 Date: 04/01/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 574791 In Person Payment Total: Page I of I IO:58:34AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 4/112009