HomeMy WebLinkAboutPermit Mechanical 2003-6-17
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00S18
ISSUED: 06/17/2003
APPLIED: 06/17/2003
EXPIRES: 1211712003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4045 NORTH ST
ASSESSOR'S PARCEL NO.: 1802061406900
Springfield TYPE OF WORK: Heating System
.TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install gas furnace and water heater
Owner: BILL MEIWES
Address: 4045 NORTH ST SPRINGFIELD OR 97478
Phone Number: 541-746-3263
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
MARSHALLS INC
BILL MEIWES
License
25790
Expiration Date
12/2312003
Phone
541-747-7445
541-746-3263
BUILDING INFORMATION'
All \# of Stories:
- \' "-1
Primary Occupancy Group: R-3.}11 "'~ . \,\'\Height of Structure
Secondary Occupancy Group: \ 1~>Il \ ~O\3<&O(\ ~c\tyjJe of Heat:
. . .,V' "VN .e ~ W'" T
Primary Construcl1on Type'" 0'0'1 ,\ \p5 ~\ C\~~,- ater ype:
Secondary Constructlo'n..lType:....""'~c II}, O~",. ',Rang'\;Type:
~ ~~. \ \,.... ("\{\ ~ ,'"
# of Bedroom. 's: . ..,\e'" I,,,.i. ,.,-(\ll. Ol\X\~ Energy Path:
. 'v .,\,.. 4('\.',0' . r" 0\'.... (\
\0\\"" . VII \.r \ C\), ~I'\" \e\l'~., '1;.\10
, ,1.\ ,. \,\' .. . ~....\.\\ ("'. _" \~e . _':f.\r\'.c
\~~~)>.\ ',~\I \II"'J U~\r.\. ,~~'~\ \\I;DEVELOPMENT INFORMATION I
SETBACKS 'n' r.C 0\("0,0 ,,'y-
\.J,.r~ ,\\\('~ \~\\\'1. ) ",\..~.r~".1
Frontyard Setback(I\)C' \ ~f\\C\ 1-'
Side 1 Setback:f\l}' C "
Side 2 Setback:
# of Buildings:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
% of Lot Coverage:
~~2"/'lr,j:' -"""'1 l. eT{nc \~ Tt\J. WOR~
I PUBLIC II\'U',~QV.:EMENi'S:t~R 1\-1\S PERNI\1 I~ ~'lU
A~tr~~;ctD -~R IS ISlcl~~W~J,O
~\'l,{ 180 DA'{ PERIOtbownspoutsIDrains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
Square Footaee
Value
Date Calculated
Paee 1 of2
.
. \..,11 l' OF ~rKll'lljt<lELU'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00S18
ISSUED: 06/1712003
APPLIED: 06/17/2003
EXPIRES: 12/17/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees Pairl I
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$6.00
$12.00
$4.00
$23.00
6/17/03
6/17/03
6/17/03
6/17/03
6/17/03
6/17/03
6/17/03
Receipt Number
1200200000000001574
1200200000000001574
1200200000000001574
1200200000000001574
1200200000000001574
1200200000000001574
1200200000000001574
Total Amount Paid
$62.65
I Plao Reviews I
To Request an inspection call the 24 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 Reollirerl Insnedions I
1 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
2 Rough Mechanical: Prior to Cover
3 Final Gas: When all gas work is complete.
4 Final Mechanical: When all mechanical work is complete.
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 Safcty.
I further certify that only contractors and employees who are in compliance with ORS 701.005 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.
,&t~, !Jfv~
Owner or Contractors Signatur{
!fi/"17tfY-
/
/
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00518
COM2003-00518
COM2003-00518
COM2003-00518
COM2003-00518
COM2003-00518
COM2003-00518
Payments:
Type of Payment
Check
6/17/2003
City of Springfield
Development Services Department
. I
Public Works Department
Official Receipt
L
Receipt #: 1200200000000001574
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance F eo-
Paid By
MARSHALLS INC
Received By
djb
2:11:4IPM
Date: 06/17/2003
Item Total:
Amount Paid
3.15
4,50
12,00
6,00
4,00
23-00
10,00
$62.65
Check Number Conl1rm No
How Received
In Person
Payment Total:
Amount Paid
62.65
$62.65
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