HomeMy WebLinkAboutPermit Mechanical 2007-7-23
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01041
ISSUED: 07/23/2007
APPLIED: 07/13/2007
EXPIRES: 01123/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4076 S E ST
ASSESSOR'S PARCEL NO.: 1702314409400
Springfield
TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install furnace, gas line and AC unit
TYPE OF USE: New
Residential
Sidewalk Type:
Downspouts/Drains:
NotiCE: EXP1RE \flHEWOR\(
1H\S PERM\T SH~i~ 1H\S PERM\'T \S NOT
AU1HOR\ZED U~l \S ~i~~OONEl) FOR
- MMENlIl:tJ un ,. .
I Valuation DescriJ>tion~lY180 DAY PER\OD. ..
. --
Owner: CURTIS EDWIN P & STEPHANIE L
Address: 4076 S E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON I
Contractor Type
Contractor
License
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VA Water Type:
Secondary Construction 1.:~pe: I Ires Y!JfJW Type:
# of Bedrooms'u I clmON: Oregon a~hr'~e onlb-cttr~y_ Path:
fonow rulee adopted bye, 9 s~nbtw.ed Building: n/a
t.J1'dif1catinfl Center. Those ru es a~e, _
In OAR 952-001-0010 tnroug~~3......~~,. NT INFORMA nON I
0090 You may obtain caple -
calilng the center. (Note:. the telep one
Frontyard Set~ber for the Oregon Utility N~A9y Dist:
Side 1 Setback: Center i8 1-800-332-2344). # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pal!e 1 of 2
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
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~
'f- 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: COM2007-01041
ISSUED: 07/23/2007
APPLIED: 07/13/2007
EXPIRES: 01/23/2008
VALUE:
Total Value of Project
Fees Paid'
Amount Paid
Date Paid
Receipt Number
$20.00
$4.60
$2.30
$3.68
$14.00
$14.00
$5.00
$13.00
1200700000000000951
1200700000000000951
1200700000000000951
1200700000000000951
1200700000000000951
1200700000000000951
1200700000000000951
1200700000000000951
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
7/23/07
$76.58
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reouired Insoections ,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
~ '
~/'7~ - ~ .'
Owner or Contractors Signature
""^-
)'-':2 3-0 ~
Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0J041
COM2007-01041
COM2007-01041
CO M2007 -01041
COM2007-01041
COM2007-01041
COM2007-01041
COM2007-01041
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
1200700000000000951
Date: 07/23/2007
Description
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARSHALLS INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
199906
In Person
Payment Total:
Page 1 of I
I :33:30PM
Amount Due
14.00
14.00
5.00
13.00
20.00
2.30
3,68
4.60
$76.58
Amount Paid
$76.58
$76.58
7/23/2007