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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