HomeMy WebLinkAboutPermit Building 2010-10-13
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www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00499
IVR Number: 811142935300
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SPR.,..INGFIE .L.~
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;~ '. OREGON
pe rmitcenler@ci.springfleld.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/13/2010
ISSUED:
APPLIED: 10/13/10
EXPIRES: 4/11/2011
VALUE: $0.00
SITE ADDRESS: 945 28TH ST, Springfield, OR 974774316
ASSESOR'S PARCEL NO: 1702310001101
SCOPE: Heating System
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Finalize installation of gas furnace
OWNER:
ADDRESS:
BROWN FIELDS lAND & DEVELOPMENT llC
2851 NW 9TH ST STE 0
CORVALLIS OR 97330
Phone Number:
Contractor Type
Mechanical Contractor
Contractor Name
MARSHALLS INC
CONTRACTOR INFORMATION I
Lie Type
CCB
BUilDING INFORMATION I
Lic No
25790
Lic Exp
12/23/2011
Phone
541-747-7445
# of Units:
o
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
Electric,al Specially Code Edition: ATTENTION'
SpringfIeld Fire Code Edition: tallow I ' Oregon law equires you t
Mechanical Specially Code Edition: Notitic ~u es adopted by th Oregon Ur,.?
Municipal I Development Code: in OAR a9~;_ Center, Those rules are set / I ~
Plumbing Specially Code Edition: 0090 ~ 001-0010 through OAR 952-0~
Residential Specially Code Edition: cali, oUh may obtam Copje~ at the rut b1-
Structural Specially Code Edition: num~g i e center, (Note: the teleph es y
er or the Oregon Utilit N " one
I Site Information I Center is 1-800_3321!34~t.Jtlcatlon
I
"
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
-I
NOTICE: I
;~~S/ERM/T SHALL EXPIRE ,IF THE WORK
COM OR/ZED UNDER THIS PERMIT IS NOT
MENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. l
Springfield Bullding Permit
10/14/201 9:39:51AM
Page 1 of 3
........1". ~ ~_
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00499
IVR Number: 811142935300
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SPX~NG-=:EL~
~~
~OREGON
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/13/2010
ISSUED:
APPLIED: 10/13/10
EXPIRES: 4/11/2011
VALUE: $0,00
SITE ADDRESS: 945 28TH ST, Springfield, OR 97477-4316
ASSESOR'S PARCEL NO: 1702310001101
SCOPE: Heating System
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Finalize installation of gas furnace
DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvee of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
1
Total Amount Paid
~ ..... - -.--..
~E~SJ~...ID
Amount Paid
$79.00
$10.32
$4.30
$7.00
$100.62
r ---~, - ".. '"0 :~. "\: - -'-.4.-
l
Descriotion
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Gas Piping up to 4 outlets
Date Paid
10/13/2010
10/13/2010
10/13/2010
10/13/2010
Reteint #
374580
374580
374580
374580
Springfield Building Permit
10/141201 9:39:51AM
Page 2 of 3
..J>... - -
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00499
IVR Number: 811142935300
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SP~~~~~L~
~\~
~OREGON
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/13/2010
ISSUED:
APPLIED: 10/13/10
EXPIRES: 4/11/2011
VALUE: $0.00
SITE ADDRESS: 945 28TH ST, Springfield, OR 97477-4316
ASSES OR'S PARCEL NO: 1702310001101
SCOPE: Heating System
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
t ~-
Finalize installation of gas furnace
._~-----_._...~.~"'~.--_. -..--.'\C'..--: ...-....."_..__.~ - c
'. e!~n Review
--- ~_.. -..
. -
--.-.....-.,.-
~_._~-- ... -j
DeDartment
Application Acceptance
Comments: .
Initial Review
Received
10/13/2010
Due Date ComDleted
10/13/2010 10/13/2010
Result
Over the Counter
Reviewer
Lisa Hopper
10/13/2010
10/13/2010 10/13/2010
Over the Counter
Lisa Hopper
Comments: Over the counter permit
Application Acceptance 10/13/2010 10/13/2010 10/13/2010
Comments: Updated by ACA Script
Permit Issuance 10/13/2010 10/13/2010 10/13/2010
Comments:
Mechanical Review 10/13/2010 10/13/2010 10/13/2010
Comments: Over the counter permit
App Submitted Work Authori:admin admin
Issued
Lisa Hopper
Not Required
Usa Hopper
INSPECTIONS REQUIRED ~
Inspections
2310 Rough Gas
Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
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.
Final Gas: When all gas work is complete.
2260 Gas Service
2995 Final Gas
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 or 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 Contractor Signature
Date
Springfield Building Permit
10/14/201 9:39:51AM
Page 3 of 3