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Permit Mechanical 2014-4-22
SPRINGFIELD - 225 Fifth St ` CITY OF SPRINGFIELD Springfield,OR 97477 • to“ Phone: 541-726-3753 • OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00665 wwW.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/22/2014 EXPIRES: • 10/19/2014 STATUS DATE: 04/22/2014 . APPLIED: -03/28/2014 SITE ADDRESS: 5717 Peridot WAY,Springfield,OR 97477 SCOPE: Mechanical Only _ ASSESOR'S PARCEL NO: 1802041401206 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: M-New single family residence Morning View Subd Lot 6 • OWNER: HAGEMAN GORDON R&COURTNEY LYNNE Phone Number ADDRESS: 6019 GRAYSTONE LOOP SPRINGFIELD OR 97478 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor TONM&COUNTRY HOMES LLC CCB 171258 07/21/2014 541-521-8412 COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 INSPECTIONS REQUIRED Inspections , 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 2210 Underfloor Gas Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 2255 Gas Pressure Test • 2300 Rough Mechanical • Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. , 2995 Final Gas Final Gas: When all gas work is complete. • 2999 Final Mechanical Final Mechanical: Wien all mechanical work is complete. • f T By signaturf5 a L11Adlabra fthtttlll Have carefullyexatriq the completed application ana do hereby certify that all - information ilgi @ on isltrule eh$.Yoraect;'larttill#t(rtller certieyf�h any and all work perform,'e8'shaly-be.done in accordance with the' J I Jvi 1 es2f1 1 1 LYDI r Ordinancesl�l'tlie�lt�2lf�prlhgfie2rardtFlej};ay✓�iQf�S or Oregon pertainingito the wort5descn�ed herem�an�hh'af-NO�jI/ORK l� i✓Jell!. I. 11 ulldin OCCUPA14CSa�'�(B 6e�ma"ileloCany3tiuotureiw'�t�oy1i p��i8�gn of the Community.Service^i DrvrsionNBulldmgl$afetyLlffu�herlS NOT certify tha{ ')coISfradars)apd.7employees:why1aleer}UCp pg�nce with ORS 701 005 will be,£ dCon this pi2jne1 ifulrlther.agree to ensure thaL'Hllregchireddnspectio p.jate re8u��cc 1tftle pr per time, that each address iJreadablefiom the street,that tiie)R permit cardtlsllodatedfetthejfro stehtthe�opelty,jeftituRtre8roved set of plans will remain on the site at all times during • 'construction. Center is 1-800-339-2344). n i 1 0.0y •wner or Contractor Signature Date • • Springfield Building Permit 4/22/2014 8:26:50AM • Page 1 of 1 • • SPRINGFIELD- - CITY OF SPRINGFIELD r IA ..Aa„- ° 4 225 Fifth St ~� TRANSACTION RECEIPT Springfield,OR97977 OREGON 541-726-3753 811-S P R2014-00665 www.springfield-or.gov 5717 Peridot WAY permitcenter©springfield-ar.gov RECEIPT NO: 2014000879 RECORD NO: 811-SPR2014-00665 DATE:04/22/2014 ;DESCRIPTION___,___ -__� _ _ .. _ •-:A000UNT.CODEITRANSCODE., , _: : . .. AMOUNT:DUE Air conditioner 224-00000-425604 1006 18.50 First Appliance Fee 224-00000-425604 1006 80.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 10.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 Gas Piping-each additional above 4 224-00000-425604 1006 9.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.50 Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 30.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 22.56 Technology fee(5%of permit total) 100-00000-425605 2099 9.40 TOTAL DUE: 219.96 PAYMENT TYPE - PAYOR' CASHIER:JLARSON ` COMMENTS, _ r - ' AMOUNT PAID . , Check HAGEMAN GORDON R&COURTNE 219.96 2062 LYNNE TOTAL PAID: 219.96 •