HomeMy WebLinkAboutPermit Mechanical 2006-8-8
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01015
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/08/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4668 UNION TER
ASSESSOR'S PARCEL NO.: 1702324308701
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install Gas Furnace
Owner:
Address:
DEBBIE YBARRA
4668 UNION TERRACE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Contractor c.) 1+
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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 INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Storm'Sewer_ Available:
.1'. '111'.
Spectall~s~ructIon: >
, "l_ ~ ,_.
.J':"/'i/~':" 1.. / till/I. ,--.~,--.,...... - l'
Notes: ,~ ,'.1'_ ',; T.'-", ': IF Tt "
l' /'-:' . 'c) p,~,_ ,Ie 'II~_
'e' , ' _,-fI"!I?" .,. ~J,'I";'
, ,"--.' .-.. \~
.1\ I':!':, lJ.....,lJ'J. Ult::8U11 IO.V1! IV~\.,.oI"""'''''' y.....- ~-
I PUBLIC IMPROVEMEN.T~,I. ru::-:~ 2,C:C;:8Q b;' the Oregon Utility
[\'0" ;cc.tic,,:Sidewalk Type::; n..:!:=::s are set 'forth
r\ - -~ -,-.' r'~10t'l-u-un'-C~Ror:;2-001-
in I... , \. :,: ":..'I-~l) I" ..::!II " 0'-'-
. , Downsp,outs/Drams:f th la by
OC~~.".),1 r-::,/ C...,,2Iil CG:':I';;~ 01,- :9 r~,,,,s
. . I' ('" 'n' . 1" ',"'0"" one
C.-' -r' -10 CC""',':::l{ t\! ~iv...J ."'j .,_:......1,')11 I
-..,'. .::. ~~"- I ....1. -', 1+"'.'. .. \-.:,.~.-.,.,t'
nl''- '.J- '-'I' 'I 'no Orr'80il U",,,,\/,\;-..l11\';0 Ion
;, I, ~ . '-' ..I v ' '- ,-J ..
Ce.,:ter is 1-Bl.O-332-23LlA).
Street Improvements:
",i[ '/\lED !~;','7IValuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-01015
ISSUED: 08/08/2006
APPLIED: 08/08/2006
EXPIRES: 02/08/2007
VALUE:
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$2.25
$3.60
$12.00
$12.00
$4.00
$17.00
8/8/06
8/8/06
8/8/06
8/8/06
8/8/06
8/8/06
8/8/06
8/8/06
2200600000000001112
2200600000000001112
2200600000000001112
2200600000000001112
2200600000000001112
2200600000000001112
2200600000000001112
2200600000000001112
$65.35
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.
L Reouired Insoections I
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.
Rough Mechanical: Prior to Cover
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 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 during construction.
~.-?
Owner or contra~gnature
fi/~6
Date
Pa2e 2 of2
225 Fift-h Street
Springfield, Oregon 97477
541-726-3759 Phone
"ty of Springfield Official Receipt
""evelopment Services Department
Public Works Department
Job/Journal Number
COM2006-0 1 0 15
COM2006-0 1 0 15
COM2006-01015
COM2006-0 1 0 15
COM2006-0 1 0 15
COM2006-01015
COM2006-0 1 0 15
COM2006-0 1 0 15
Payments:
Type of Payment
Cred jtCard
cReceint I
RECEIPT #:
Date: 08/08/2006
2200600000000001112
Description
Furnace - up to 100,000 btu
Boiler/Camp Up To 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
~Mechanical Issuance Fee-
Paid By
C& H HEATING AND
COOLING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Ikw 056956 In Person
Payment Total:
Page 1 of 1
2:16:26PM
Amount Due
12.00
12.00
4.00
17.00
2.25
3.60
4.50
10.00
$65.35
Amount Paid
$65.35
$65.35
8/8/2006