HomeMy WebLinkAboutPermit Mechanical 2007-9-28
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: C0M2007-01480
ISSUED: 09/28/2007
APPLIED: 09/28/2007
EXPIRES: 03/28/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 756 MCKENZIE CREST DR
ASSESSOR'S PARCEL NO.: 1703234200500
Springfield
TYPE OF WORK:
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace Natural Gas Fireplace
Owner: KAROTKO GEORGE S & H YVONNE
Address: 756 MCKENZIE CREST DR
SPRINGFIELD OR 97477
Phone Number: 541-736-1613
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION I
Expiration Date
06/27/2009
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nJa
I DEVELOPMENT INFORMATION I
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 IMPROVEMEN1=S\IIVN: Oregon law requires you to
r~II.,":~"~J1es ~9P.t~~tbirJ~Q Oregon Utility
!'Jotlfloatlon CeMm'r.'Yt\ds"lrules are set forth
In OAR 952-0~lPthffS~IilAR 952-001-
0090., You may obtain copies of the rules by
calling the center. (Note: the telephone
Notes: number for the Oregon Utility Notification
NOnc.f: Center is 1-800-332-2344). .
I Hip F'tRIVIIT SHAll EXPIRE IF I HJ:; WUIiK I
t\~THOFlIZED UNDER THIS PERrvR"~'R\;on Description
~~MMENCED OR IS ABANDONED me
D . t'ri.l.\b ~ @ft ThM... ~d f $1 ~ Sq Ft Square Footage
escnp lllwf I gy UV\T n;;:nTol1~uc Ion or multiplier or Bid Amount
Street Improvements:
Storm Sewer Available:
Special Instruction:
Value
Date Calculated
Pal!e 1 of 2
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: C0M2007-01480
ISSUED: 09/2812007
APPLIED: 09/28/2007
EXPIRES: 03/28/2008
VALUE:
225 Fifth Street, Sprin~field, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fireplace (Listed)
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 9/28/07 3200700000000000655
$5.00 9/28/07 3200700000000000655
$2.50 9/28/07 3200700000000000655
$4.00 9/28/07 3200700000000000655
$17.00 9/28/07 3200700000000000655
$33.00 9/28/07 3200700000000000655
Total Amount Paid
$81.50
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.
~eouiredJ nsnections I
Rou~h Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
By signature, I state and a~ree, 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, Buildin~ 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.
Owner or Contractors Signature
Date
Pal!e 2 of 2
. City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:melany@comfortflow.com
Receipt # EC517781
9/28/20071:02:30 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I CCB lie. no.: 460
I Business Name: COMFORT FLOW HEATING CO
I Contact: MELANY
I Address: 1951 DON ST
I City/State/ZIP: SPRINGFIELD, OR 974771993
I Phone: (541)7260100 IFax: (541)7477274
I Email: melany@comfortflow.com
I Metro lie. no.: I City lie. no.:
~<;;y' 'u
"("<(,<:'~X,*,;R'>>".""
I Subdivision:
Tax map/parcel no.:
I Lot no.:
$15.00
$1500 I
I
I
I
I
Name: GEORGE & YVONNE KAROTKO
Phone: (541) 736-1613
Email:
I Fax:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I
I
I
I
* City Of Springfield
$10 Issuance Fee
$15.00 I
$50.00 I
$4.00 I
$27.50 I
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
COM' c7 (j()-7 - 0 I '+Ol)
RCPT#:-:;::2n07 - (05S
DATE PROCESSED: q -- d~ ./ 6 (
PROCESSED BY ~ VV"'
This Authorization To Begin Work must be posted at th~si~r. r\:...".",;t
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0l480
COM2007-0l480
COM2007-0l480
COM2007 -01480
COM2007-0] 480
COM2007-0 1480
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000655
Date: 09/28/2007
Description
Fireplace (Listed)
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE comfort flow Online
Payment Total:
Page I of I
2:14:13PM
Amount Due
]7.00
33.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
9/28/2007