HomeMy WebLinkAboutPermit Mechanical 2006-6-9
Status
Issued
,CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-01128
ISSUED: 06/09/2006
APPLIED: 08/19/2005
EXPIRES: 12/09/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2385 CLEAR VUE LN
ASSESSOR'S PARCEL NO.: 1703271203800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas furnace and ac
Owner:
Address:
MICHAEL BLASDEL
2385 CLEAR VUE LN
SPRINGFIELD OR 97477
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\){\\'oe~ e0\eW'%f Stories:
R-3 C Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
03/1712007
10/11/2006
Phone
541-344-3561
541-746-1040
Contractor Type
Electrical
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA nON I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Com'p.' act:
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
~."I
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
Renew Mechanical Permit
Amount Paid
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$6.00
$12.00
$12.00
$4.00
$11.00
$4.50
$45.00
8/22105
8/22/05
8/22/05
8/22/05
8/31/05
8/31/05
8/31/05
8/31/05
8/31105
8/31105
8/31/05
8/31/05
6/9/06
6/9/06
Total Amount Paid
$165.97
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01128
ISSUED: 06/09/2006
APPLIED: 08/1912005
EXPIRES: 12/09/2006
VALUE:
Value
Date Calculated
Receipt Number
2200500000000001133
2200500000000001133
2200500000000001133
2200500000000001133
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200600000000000833
1200600000000000833
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.
~eouiredJnsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa!!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01l28
ISSUED: 06/09/2006
APPLIED: 08/19/2005
EXPIRES: 12/0912006
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 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 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
, i~~f]~:C:; rrO:'hC property, aod the approved set ~iqi(~: 00 the site at all
Owner or Contractors Signature Date
Pal.!e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01128
COM2005-01128
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
+ 10% Administrative Fee
Renew Mechanical Permit
Paid By
INNOV ATIVE AIR INC
cj4-, of Springfield Official Receipt
1 Jopment Services Department
Public Works Department
1200600000000000833
Date: 06/09/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
In Person
Payment Total:
5717
Page 1 of 1
8:12:14AM
Amount Due
4,50
45.00
$49.50
Amount Paid
$49.50
$49.50
6/9/2006