HomeMy WebLinkAboutPermit Mechanical 2007-8-30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1945 H ST
ASSESSOR'S PARCEL NO.: 1703361204400
CITY OF S'pJ{ll~lJ~lELD
Building/Combination Permit
PERMIT NO: COM2006-01591
ISSUED: 08/30/2007
APPLIED: 12/12/2006
EXPIRES: 02/29/2008
VALUE:
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install hvac system
Owner: TREVOR ROLLMAN
Address: 1945 H ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
# of Units:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-746-5168
I CONTRACTOR INFORMATION _
License
Expiration Date Phone
',...
I BUILDING INFOR~A._'tes ''0\\\\\'1
~1\Ot-t VI'" ted '0,/ t te~~nse\tOt\"
A.i~ ~e6I!8dOP 1nOse tu\es A.R 9SZ~'"'size:
iOrlMOOttdtfSftQ.1f6=\ntou~n ~t\ne tU\ef(\#t 1st Floor:
~I gf)tI~1- 'e\a\n cOP'~~e \e\e{lh~ 1Ft 2nd Floor:
,n dt~~~'/ 0 ~et tNO\e. . . No\\\\~t Basement:
o ~t!~P~~ o~egon U\~~44). Sq Ft Garage/Carport
~~PiRI1~ \s '\.800-33 Sq Ft Other:
prinkle6tiA'Rding: n/a Occupant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type: Rc \r ,\\C \NO~~
l\01\Cf:. ~~~~\rtAAt~f\ltRlJ\\\ \'2> ~
,\\\'2> POc~lcO \j~OcR f\B~~OO~cO fOR
~\j,\\ cO OR \'2> I"
COW\W\c~C ~'{ ?t.R\OO.
l\~'{ '\ 80 \)
Pa2e 1 of3
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
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Appliance Vent
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 5% Technology Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Renew Electrical Permit
Renew Mechanical Permit
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01591
ISSUED: 08/30/2007
APPLIED: 12/12/2006
EXPIRES: 02/29/2008
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
$10.00
$9.40
. $4.70
$7.52
$43.00
$6.00
$6.00
$12.00
$12.00
$4.00
$11.00
$5.00
$10.00
$2.50
$5.00
$4.00
$14.00
$36.00
$50.00
$50.00
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
12/12/06
8/30/07
8/30/07
8/30/07
8/30/07
8/30/07
8/30/07
8/30/07
8/30/07
8/30/07
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
2200600000000001687
1200700000000001132
1200700000000001132
1200700000000001132
1200700000000001132
1200700000000001132
1200700000000001132
1200700000000001132
1200700000000001132
1200700000000001132
$302.12
I Plan Reviews I
To Request an inspection call the 24 h9ur 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.
lJeouirerU"nsnections.
Pa2e 2 of 3
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2006-01591
ISSUED: 08/30/2007
APPLIED: 12/12/2006
EXPIRES: 02/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing 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.
- ~r~~ry- f'h~/(j7
. ,
Owner or Contractors Signature
Date
Pa2e 3 of 3
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-01591
CO M2006-0 1591
CO M2006-0 1591
COM2006-01591
COM2006-0 1591
COM2006-0 1591
COM2006-01591
COM2006-01591
CO M2006-0 15 91
Payments:
Type of Payment
Cred itCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000001132
Date: 08/30/2007
1 :33:32PM
Description
Renew Mechanical Permit
Renew Electrical Permit
+ 5% Technology Fee
+ 10% Administrative Fee
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 10% Administrative Fee
+ 8% State Surcharge
Amount Due
50.00
50.00
5,00
10,00
14.00
36.00
2.50
5.00
4.00
$176.50
Paid By
TREVOR ROLLMAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 086544 In Person
Payment Total:
$176,50
$176.50
Amount Paid
Page I of 1
8/30/2007