HomeMy WebLinkAboutPermit Mechanical 2005-8-31
\..
'Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01128
ISSUED: 08/2212005
APPLIED: 08/19/2005
EXPIRES: 02/28/2006
VALUE:
SITE ADDRESS: 2385 CLEAR VUE LN
ASSESSOR'S PARCEL NO.: 1703271203800
Springfield TYPE OF
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
..
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Mechanical
Contractor ' Lice~~u \OExpiration Date
EUGENE ELECTRIC SERVICE INC \a\N temi~~n ut\\\\'l 03/17/2007
INNOVATIVE AIR INC _ ",,,,. Otegon .....~I \net0I~'!?o c;e\ \ottn 10/11/2006
~~~~~@~.~m;'R 952-UV~'1
\ 'IV' . on vel "GoT '\ 0 \nt~ ~ \ne tu\eS
~otW\C~~f>'2.tQtThs90 ~a\n co?\es oe \e\e?~o~~t Size:
R-3 \n O~ ~ 0'0 { ~~o\e" ~~ ~o\\\\ca\\~ Ft 1st Floor:
009~Y"p'e~~ 'egon U\\\\%344). Sq Ft 2nd Floor:
C~~f~~ t roOO-332- Sq Ft Basement:
(\\ltQ~~e~e! \S \- Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
,Sprinkled n/a Occupant Load:
Phone
541-344-3561
541-746-1040
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
VN
I DEVELOPMENT INFORMATION.
; Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
..
Street
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPROVEMENTS.
, Sidewalk Type~t. \I'l0\\"
. DO~JtP.f1t~~a\"Q ~O\
l\01\~~~~\\ S~~i\\ \t\\S 6t~~~ rO\\
\t\~~\-\O\\\lt.D \J 0\\ \S f\'Of\~ ' " '
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Notes:
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
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fees Paid I
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
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
8/22/05
8/22/05
8/22/05
8/22/05
8/31105
8/31/05
8/31105
8/31105
8/31/05
8/31/05
8/31/05
8/31/05
Total Amount
$116.47
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01128
ISSUED: 08/22/2005
APPLIED: 08/19/2005
EXPIRES: 02/28/2006
VALUE:
Value
Date Calculated
Receipt Number
2200500000000001133
2200500000000001133
2200500000000001133
2200500000000001133
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
1200500000000001269
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 aft.er 7:00 a.m. will be made the following
, work day. '
~
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.
2 of 3
, Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax '
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-01128
ISSUED: 08/22/2005
APPLIED: 08/19/2005
EXPIRES: 02/28/2006
VALUE:
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 certity 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 win be made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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
reet, that the permit card is located at the front of the property, and the approved set of plans wiD remain on the site
(:uta~~ti eSdu~ .LL- B(3J Jas
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street
SpringtYeld, Oregon 97477
,54'1-726-3759 Phone
C'ity of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01128
.CpM2005-01128
, C.oM2005-01128
COM2005~01128
-:)
C0M2005-0 1128
COM2005-01128
COM2005-01128
COM2005-01128
Payments:
Type of Payment
Check
..
.. ~\
1
01,
'I
'(
)
! '~l
n
\
1;.
:1
"
8/31/2005
RECEIPT #:
1200500000000001269
Date: 08/31/2005
Description
Furnace - up to 100,000 btu
Boi1er/Comp Up To 100,000 btu
Appliance Vent
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee,
Paid By
INNOVATIVE AIR INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 5195 In Person
Payment Total:
1 of 1
8:26:44AM
Amount Due
12.00
12.00
6.00
4.00
11.00
10.00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65