HomeMy WebLinkAboutPermit Mechanical 2005-9-12
';"',*G~AJ;':P.1~. ,
,
>
-- ~,
.
. CITY OF ~rK11'\jljt<l~LJJ
Building/Combination Permit
PERMIT NO: COM2005-01224
ISSUED: 09/12/2005
APPLIED: 09/0812005
EXPIRES: 04/07/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1595 RAMBLING DR
ASSESSOR'S PARCEL NO,: 1703252209400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install gas furnace, heat pump, gas water heater, ducts and piping
Residential
Owner: JANICE VAN ETTEN
Address: 1595 RAMBLING DR
SPRINGFIELD OR 97477
Phone Number: 541-747-5257
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Plumbing
Contractor
OREGON ELECTRIC SERVICE
HOME COMFORT HEATING & AIR
HOME COMFORT HEATING & AIR INC
License
161518
84164
84164
Expiration Date
09/28n006
06n5/2007
06n5n007
Phone
541-343-1681
541-345-2838
541-345-2838
VN
I BUILDING INFORMATION I
5 ,/BIl 18
# of Stories: \ V1100,u110 . ll{ ,,~ Lot Size:
I:!~~\ ~~t!jiiftJiene 0la900 0\ 10(',Sq Ft 1st Floor:
1'-i1~~e''iifJ!l\B~:d '0'1 \ lU1as ala ;; ~('c.\Sq Ft 2nd Floor:
'\O~Wll'i'&?f>:AA: ,nose"gn Op.,\\"J '" Sq Ft Basement:
\01 ~,\.~,. nlOv "''' (\', '
\\I\C~arig'{\[;~1!5\)~O \ ieS 01 \",- ,.\" Sq Ft Garage/Carport
~o Op.,~!lef\& PBt~6\a\(\ coil . \ne \3'<' , Sq Ft Other:
1(\ 90~~I1Ie"d'B~l!!n'g:\0\~:\\\i\'i lliIa' Occupant Load:
n() _""no ~e _.....n U ,.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
- ,.~. "J .
I DEVELOBMENT'INFORM'NfION I
\"-' Ge\\~""
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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
~~~I;~~MIT SHALL ~PIRE ~ 'i'~ WQM
AUTHORIZED UNDER THIS PERMIT 1$ NOY
COMMENCED OR IS ABANDDNED ~Of\
ANV 180 gAY PERIOD,
Notes:
.
.
Pal!e 1 00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Hcat Pump
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
_ + 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
.
. \...11 t U.l' ~rKll'lld'l1!,LD
Building/Combination Permi~
PERMIT NO: COM2005-01224
ISSUED: 09112/2005
APPLIED: 09/0812005
EXPIRES: 04/07/2006
VALUE:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F pp~ tIiIiLI
Amount Paid
Date Paid
Receipt Number
$10,00
$9,00
$6.30
$12.00
$14.00
$12.00
$4,00
$12,00
$5,00
$31.00
$5.20
$3,64
$43,00
$9,00
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12/05
9/12105
10/7/05
10/7/05
10/7/05
10/7/05
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
2200500000000001392
2200500000000001392
2200500000000001392
2200500000000001392
$176,14
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.
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work Is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 2 00
.
. Lll f OF ~rKlI'lul'lJ<.,LD
Building/Combination Permit
PERMIT NO: COM2005-01224
ISSUED: 09/12/2005
APPLIED: 09/08/2005
EXPIRES: 04/07/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectlon Line
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 Safcty,
I further certify that only contractors and employees who are In compliance with ORS 701.005 will be used on this projcct.
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
Paee 3 00
225 Fifth Street
Springfield, Oregon 97477
541,,726-3759 Phone
.
aP~
lIic ..;
JoblJournal Number
COM2005-0 1224
COM2005-01224
COM2005-01224
COM2005-01224
Payments:
Type of Payment
Check
"
"
-'
"
1On/2005
RECEIPT #:
2200500000000001392
Descrlpllon
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By ReceIved By
OREGON ELECTRIC SERVICE djb
LLP
Cbeck Number
Batcb Number
Page I of I
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 10/07/2005
10:4S:23AM
Item Total:
Autborlzallon
Number
Amount Due
43.00
9.00
3.64
5.20
$60.84
How Received
Amount Paid
19005
In Person
$60.84
Payment Total:
$60,84