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HomeMy WebLinkAboutPermit Mechanical 2003-2-18 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00088 ISSUED: 02/18/2003 APPLIED: 02/18/2003 EXPIRES: 08/18/2003 VALUE: ., Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3827 WINSLOW AVE ASSESSOR'S PARCEL NO.: 1702194102000 Springfield TYPE OF Heating System PROJECT DESCRIPTION: Install gas furnace TYPE OF USE: New Residential . ....\\J~'t-- ::<, '\~ ....\\J'\ Sidewalk ~Y\>~:0. ,<0 \~ Do.w~~ ~ 'fJ)~ ~~\,\, 'Y,,~~~:\J\:J~t~ ~,\\~\~~~\)~\JX-~ ~~~~ ~_, \6 ~ ",o.\l~ ,,(\ \:J~o.\\)\J' "'\'fov ~\.J": ~ '< y V aluation Desc~?: ~i't~ ~ \J~ ~~ Square Footaee Owner: ROSS S & CAROL J PHIBBS REVOC LIVIN Address: 3827 WINSLOW SPRINGFIELD OR 97477 I CONTRACfOR INFORMATION. Contractor Type Mechanical Owner Contractor MARSHALLS INC ROSS S & CAROL J PHIBBS REVOC LIVIN BUILDING INFORMATION' License 25790 # of Buildings: Primary Occupancy Group: Secondary Occupancy Vrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: ,\0 Water Type: 5~P~ ,~{\.~ ~ Range TYP$.0 O~ 'V'\~ \0<\ . -po . ~0" ~'\ Energx~ath.~~ ec:l n,(j, ~ \1>" U' ~ S'" 'OJ O~ ~e eC?; ~ <?j '(\eC?; .,,0: ,,^~ ,,~;I......~ . (\)i _c>. !\, _J\."- _lA' ,,_'-' ."''''' ~_.,' " J!lvJj:pe>'BMJ3NJ:\.iNE~RMA\'J'IQ~'" ,~y 5'0-- ~ev () '\.'" <'1\'<.1 e ,,- ~ ,- ''\.~ .s.0 e~ R)'\. (j0~ . ~ ~O ~\ ~ '\ ~ G (9f:.S r''''D'' 'f'ie .~\\.~ f>t~" ~O ~O '10~\ v~!lY ~~ '. 'V~ rz,l?) \0 ,~,\v'l} n~?: A\~~tre~j~Tr,(e,~-'\ n..'Of?: 0:<...\ a-J '\'1p'''~ ~~."" R"~.il ~ O~'-..!.OVo ~~eu 0'lV~'VqU: .~ R). ~ ,,,,0. ~ \' '\ ()()9J ~\~'Y> ~l?<c!>~of~.(jt:Coverage: (j?>: to'Oe Ge'(\ ",...;s. IPUBLIC IMPROVEMENTS. SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft 1 of 2 Expiration Date 12/23/2003 Phone 541-747-7445 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00088 ISSUED: 02/18/2003 APPLIED: 02/18/2003 EXPIRES: 08/18/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Number -Mechanical Issuance Fee- $10.00 2/18/03 1200200000000000712 + 10% Administrative Fee $4.50 2/18/03 1200200000000000712 + 7% State Surcharge $3.15 2/18/03 1200200000000000712 Air Handling Unit Up to 10,000 $8.00 2/18/03 1200200000000000712 Appliance Vent $6.00 2/18/03 1200200000000000712 Furnace - up to 100,000 btu $12.00 2/18/03 1200200000000000712 Gas Outlets 1-4 $4.00 2/18/03 1200200000000000712 Minimum! Adjustment Mechanical $15.00 2/18/03 1200200000000000712 Total Amount $62.65 I Plan 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 ReQuired Insnections I 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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 ail 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 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,1ur_ingf}_ 0 s~uction. if . - :;2.-(X'-o3 Owner of::Xac&/s S~nature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00088 COM2003-00088 COM2003-00088 COM2003-00088 COM2003-00088 COM2003-00088 COM2003-00088 COM2003-00088 Payments: Type of Payment Check Paid By MARSHALLS Description Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets 1-4 Receipt #: 1200200000000000712 Date: 02/1812003 Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ + 7% State Surcharge + 10% Administrative Fee Received By Check Number Confirm No djb Page 1 of 1 2/1811003 11:31:42AM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 12.00 8.00 6.00 4.00 15.00 10.00 3.15 4.50 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 $62.65 Payment Total: cReceipl.rpt