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Home My WebLink AboutPermit Mechanical 2002-12-11 -('0 . -- ,....... '''' ,. _ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01365 ISSUED: 12/11/2002 APPLIED: 12/11/2002 . EXPIRES: 06/11/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 972 FILBERT LN ASSESSOR'S PARCEL NO.: 1802061407500 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Gas furnace and dncts with new gas service Owner: ACOSTA FEDERICO R & JENNIFER Address: 972 FILBERT LN SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor CHITTIM ENTERPRISES I INC ACOSTA FEDERICO R & JENNIFER BUILDING INFORMATION ," n', 1\ ,..'? ,'r-:l~n \O{\\'.r)r'~0')T '-c..., ' ....,:. ".'. IV. lIofStor,es: c~ c-';-""f~ . Lot SIZe: H~ig' ht,ofu1es a;I,:, " '''~',ci~ '. ";:,c; '.' r'Sq-F1'ht'Floor: ,.. - \.Je~("~'" .' ,'""'-\ '. '. TYp~iofille~.' 1-aC'i l t,,' :' (,r, ~'; Sq);'t:7n'd;Floor: Water,Type:.-OO, h'~:" C0\JI':;' '. .Sq,F:t.Basement: 1'.-' \TOu'~I' -,'... ,- Rang,ejTY'pe: rna,' '~r" - ,C. ",' , Sq F) <?~r.age/Carport E~~rgy'Patb:\iE car.... . \ n~.i"" , Sq WOther: - :.1..1.. t' cr)"'=l.f'l- f' number~~~,;: \r ;,:f.:t,-~ j~-t:>"Impervious Surface Area: License 47396 Expiration Date Phone 03/08/2005 II of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Constrnction II of Bedrooms: SETBACKS I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: II Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: IPUBLIC IMPRO\l'fJM.FlNTSI WORK ,'"", \IT SHALL EXPIRE IF THE THI::i t'trtW $idewalkillvlle:RMIT IS NOT AUTHORIZED UI~Ul:rt TlIT<l ~ COMMENCED @,q>f~i>guW~A\fiD FOR ANY 180 DAY PERIOD. Notes: I Valr,Jlltion Descriotion I " Description Type of Construction $ Per Sq Ft Square Footal1.e Value Date Calculated I of 2 ~-'=""--"~3L" 1ItIr' " . =t:"' . ,.. .., .. _ CITY OF SPllll'll-....J!,LU ' Building/Combination Permit PERMIT NO: COM2002-01365 ISSUED: 12/1112002 APPLIED: 12/11/2002 EXPIRES: 06/11/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~~ Paid I Fee Description -Mechanical Issuance Fee- + 7% State Surcharge + 8% Administrative Fee Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid $10.00 $3.15 $3.60 $12.00 $4.00 $29.00 Date 12111/02 12111102 12111/02 12111102 12111102 12111/02 Receipt Nnmber 1200200000000000382 1200200000000000382 1200200000000000382 1200200000000000382 1200200000000000382 1200200000000000382 Received By djb djb djb djb djb djb Total Amount $61.75 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. l.,.Reouired Insnect.ilw.LJ I Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certilY that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wiD be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. , ,~\ ~~ 17..-II-o'L Owner or Contractors Signature Date 2 of 2 ,." .<"~'225 FIFrH.STREET;' .< ~q;i"'",;' ;!!" .:.':".:.!,:f.):~~,.~~. f~spfuNGFiELD, OREGON 97.47;7 \;t~;~i:~ ~~ >'.~ 'f"~ ...1,' ~"., ~", _".' ',h, ",_, .:>..,. ','''',: .1,-.-....~'_.~ ';:~~,..,..,.:...:.,..,'.. t'*JN~PE.c:rt()J;I,REqy$~T.j 726";n~~.;'i; I;:; ';'.""", iji"OFFICE'''726C3759'C,:~, ",,;: 'c:", i""i~ ~ ~'Li,,(Jt .f:' ]?'~-~! ~~. ~[t' ~~i~ ~~,'~,.,-:.~~ ~f~~' ii '1;:-;f~- &;., L LOCATlQ,N .QFV!!:J.. TAJ,~'I'ION ~ '......... ...., 9' 7'Z' . '-,' "1= '1' ';r.:' - ..,.' =', ." .. .'4-. . _. " '. ....' ~.... ...." . , .. ;;.,'.".-.. I ':'i.,~~,.t:;,' ).~:~::.. ~r{:~::,,;:.. r~;t~~~ -' ~~~d I .",.'@, ~.'-:{;-'.~'. W-~:~1,'. -o~.;,;~,'.',','.;.,': lr,,:;:>. E\".,-Q?W:I!E~.~~!t191TIQl'!i!,';c<,.:.: ,. . };,:.':;:~~:;;;'~: ~~'<#i:':'f~:5r~j1~t~',;~;t~~ - ;:r;:ii:)'".....J.t;~&~X.'::.7i;::~~:;::;,ir ..;'r"'Lti,];l'ct' ""',:.r,-,.'fIJ..(I^,;;,.~I...?:o........";t'- -;"r''H;;wJ~~:6~'O::~!.~~.' ;,. .~i:~.};I11 .~'l, Multi-Family per dwelling unit. ,~itft~ ~o"" 0 Service Included: ;;;-;'11$1" 07<10 c) 0,0 ~ ~o; Items Cost stirit~: t>0<~'~~ $106.00 ';f{;1:'i Cl~~'f '"Z1;1 ~-.# A~ ~;';"::i;;": ~ 'l;r:, eO: ~- /'I':<""':-!'" Permits are n~on-transferable and expireoo('~o" ~ ,f;) $ 19.00 .";';!';;::i jfwork is nofstarted within 180 day'f!;,,<I'i" V. N ~"," Ofoissduance ~~if work is suspen~~~ ~ Y',iff:, 18 ays. '.',C' 0 ~..... 0 $ 50.00 f.:, I~V , ~'<:' ~~ o~ 11 2. CO~&OR WSTALL~~~N 0 0,,<$ t..;;:;;,:;.;. ;;,:~_ 0 e~ . C';i;?!+, DIXON ELECTRI~'lNg.<'" Electncar:,~~f~rt.cto,f,,~~~.3716 \A' MARTI#f IX-' !)F';:;~l.1 ~SWELL. OR 97428~:Pi!i Address f,,:;.'${:::..:)f,:?;' . \"'i1'1:'(541) A95-',"^ _1'f'~r. C,'ty it~~ ~~~lhone _.~ffj~ . .......;.;c.~"..,,'_ ", '0'''<'-_, . ,,-c.',~,U~"""''''';'U' supervis~1&~tk~f~~r ;<:~I' . . MJ}~fil~j~\~fl~~~:i~4~'~, EXP!rl!1101,l,D,l1tec:...;",.1;0.~t;;,\jj"", ~l5..~~j'rt~~~1~~~;~.ti(3f~-?~:qf~ Ji""<1;;;;Y',.">,o.;,CO" f-/'W:{~l:";__'i:.irfi'~Jj-~~i,r;fld.:~/..~', 'Constr. ,.1,l!!:0!"~lJm epN&'\)~ ~'~~;~V~~:t~i~i~~~:~:'~~Jf~~; ,,;Expiration Date i -::"1 ',~t~@'i~. ~~~~;;, ''-"'~.$;S'~ . j'gn,C're,of Supervising Electrician ~~~ 1 ~>;~'iwt,,~, . '~"-,t_::!"~~ ,~~ - ,//t ,~~:- ~'7~i~~,' :._,. .Jl.'-~';'-~''''''''''I''r~ ,_n.;r:~~."~.\."..,.,,:.;\,...,..',.,,..~..,..~_.... . . .~~Y:;i!\?!2fr;.,~ ?f:J '?i~~~:,~~;~ l\ ~ /1 _ A Owners:- .... e.~' ~ ,".' d:~~J'1:'f:::'JUCilLICJV"" ;f.~..~'t.~..tk.'~.';.(~.'~.:'..~f.~"'T.~~;iC~~.',Mi@;.7j..l'l'.".\i\' '~j(.(~.."t~f'.\i:;;1 i , >d(Ir~s~~.::;ttlfrf~~:~::6:'I,J!;Vg~~r LN LEGAL DESCRI)'TION I <D02. 0 &:. fI.( JOB DESCRIPTIpi'i ~ h-\'t1.ku: ..<- J~;[;, D. ''-.r TOTAL ~9 I..' ".. " . ...... . "", ., Iik,. . '\.~ . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01365 ISSUED: 01/13/2003 APPLIED: 12/11/2002 EXPIRES: 07/1312003 VALUE: Status: 'Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 972 FILBERT LN ASSESSOR'S PARCEL NO.: 1802061407500 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Gas furnace and ducts with new gas service Owner: ACOSTA FEDERICO R & JENNIFER Address: 972 FILBERT LN SPRINGFIELD OR 97478 Contractor Type Mechanical Owner ICONTRACTORINFORMATlON'1 110N:uregon Iii"" ''''1" - '0 Utility Contractor AnE.~tl~doPtedbYtheOretq.'~~Mfortl Expiration Date CHlTTlM EN:I\.~I,U tJrW~ThOse rules !4R~2-001' 03/0812005 ACOSTA F~~~~ ;W~~~r~~~~~~\,: ,,,,..,, h" 0090 ,f,,,Blnoo""".".'r.ORMA:rJON,Wnone . , , l "Alt,' I ",iI" , calling the cell I. \ -- 'U. tility NotificatIon fdtQ.li~GffiSon numberCd;l.~lit;df800-332-2344). Type of Heat: Water Type: Range Type: Energy Path: Phone II of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction II of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMA nON, REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: II Street lrs:.es Paved DfiJlfi,o... 7:'#f}; '<>\:. % of LoA friil:1/T SHAL HORIZEO L EXPIRE ~nAA'~::~: ~. t UNnr:o :~;, IF T/..Ir; !\t, IPUBLIC IMPR(i)V~l't1t~,t~ IS ABANd'otRMIT IS NOf RJOlSidewalk ~~efOR Total: Handicapped: Compact: Stree t Storm Sewer Available: Special Instruction: DownspoutslDrains Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft Square Footaee Valne Date Calculated I of 3 . . CITYOFSPRINGFu,Lu Building/Combination Permit PERMIT NO: COM2002-01365 ISSUED: 01/13/2003 APPLIED: 12/11/2002 EXPIRES: 07/13/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description Amount Paid Date Receipt Number -Mechanical Issuance Fee-- $10.00 12/11102 1200200000000000382 + 7% State Surcharge $3.15 12/11102 1200200000000000382 + 8% Administrative Fee $3.60 12/11102 1200200000000000382 Furnace - up to 100,000 btu $12.00 12111/02 1200200000000000382 Gas Outlets 1-4 $4.00 12111/02 1200200000000000382 Minimum/Adjustment Mechanical $29.00 12/11102 1200200000000000382 + 10% Administrative Fee $4.50 1113/03 1200200000000000540 + 7% State Surcharge $3.15 1113/03 1200200000000000540 Add, Alter, Extend Circ $43.00 1113/03 1200200000000000540 Minimum/Adjustment Electrical $2.00 1113/03 1200200000000000540 Total Amount $114.40 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. ~red Insnedio'UJ 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. 2 Rough Mechanical: Prior to Cover 3 Final Mecbanical: When all mechanical work is complete. 4 Rough Electric: Prior to Cover 5 Final Electric: When aU electrical work is complete. 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01365 ISSUED: 01113/2003 APPLIED: 12/1112002 EXPIRES: 07/13/2003 VALUE: Status: Issued 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 carefuDy examined the completed application and do hereby certity 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 ofthe 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 strnctore 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 wiD 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 Contractors Signature Date 3 of 3 __....1P---ftol 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-0 1365 COM2002-01365 COM2002-01365 COM2002-0 1365 Payments: Type of Payment Check Paid By Descriotion Add, Alter, Extend Circ Receipt #: 1200200000000000540 Date: 01/13/2003 Minimum/Adjustment Electrical + 7% State Surcharge + 10% Administrative Fee DIXON ELECTRIC Received By Check Number Conlino No DJB Page I of I , 1113/2003 3:39:49P~ City of Springfield Development Services Department Public Works Department Official Receipt .' Amount Paid 43.00 2.00 3.15 4.50 Line Item Total: $52.65 How Received Amount Paid In Person 52.65 $52.65 . Payment Total: cReceipt.rpt