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HomeMy WebLinkAboutPermit Mechanical 2007-10-10 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2007-01537 ISSUED: 10/10/2007 APPLIED: 10/10/2007 EXPIRES: 04/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5423 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802044200800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace Gas Furnace Owner: ARNOLD JEANETTE R Address: 38845 UPPER CAMP CREEK RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMA nON I Contractor Type Mechanical Contractor COMFORT FLOW License 460 BUILDING INFORMA nON. 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: nla I DEVELOPMENT INFORMATION I REQUIRED P ARKlNG Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: ATTENiJQMs6'm~W; Special Instruction: fol/ow ru'es adopt d b equlres you to NOnC!~ IMItRE , THE UIA. 1\" Notification Center. eTh y the Oregon Utility Notes: MlT SMAll ~ ~\I In OAR 952-00 1-00'10 t~se rules are set forth TH, 'SU~Ql"- UNDER THlS. PE. R._M_,IT. IS N.Ql 0090. You ma . ro~gh OAR 952..001. t IT '\. , IOU . ~ftft ...~, ''oiA- II Y obtain Coo/es of thA rill"" ~. /.,. . MENCEO of us ABANU"'t .~ UKa. .. "-" '..n.C'lnl;:r. (",ote: the te'e h CA?~180 DAY PERIOD. Valuation Descri tio: mbe~~rtth~ Oregon Utility Not;fca~:n rn n er s 1-800-332-2344). Descrl'ptl'on T f C t t' $ Per Sq Ft Square Footage V I D C I vpe 0 ons ruc Ion I' I' B'd A t a ue ate a culated or mu tip ler or I moun Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2007-01537 ISSUED: 10/10/2007 APPLIED: 10/10/2007 EXPIRES: 04/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees PaidJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Furnace - up to 100,000 btu Gas Outlets 1-4 Minimuml Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4.00 $14.00 $5.00 $31.00 10/10/07 10/10/07 1 011 0/07 1011 0/07 10/10/07 10/10/07 10/10/07 3200700000000000677 3200700000000000677 3200700000000000677 3200700000000000677 3200700000000000677 3200700000000000677 3200700000000000677 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Gas: When all gas 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany 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 ofthe 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 of2 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:KELLY@comforttlow.com Receipt # }:C51 R416 10/10/20072:19:39 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I N~~~:LmnA JONES I Phone: (541) 988-0490 I EmaiJ: Total $14.00 $14.00 Air Conditioner Cross street/directions to job site: I Subdivision: Tax map/parcel no.: I Lot no.: REPLACE GAS FURNACE I Fax: 988-0490 I Range hood I Clothes dryer exhaust Single-duct exhaust (bathrooms, toilet compartments, utility rooms) I Attic/crawlspace fans CCB lie. no.: 460 Business Name: COMFORT FLOW HEATING CO IContact: KELLY I Address: 1951 DON ST ICity/StateIZIP: SPRINGFIELD, OR 974771993 I Phone: (541)7260100 I Fax: (541)7264799 I EmaiJ: KELLY@comfortflow.com I Metro lie. no.: I City lie. no.: 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 upto first 4 outlets( enter Qty= 1) I .1 each additional outlet II 1.....~,,~i~&~~fa~.!ii~PER~!i'~ii.mji}t} I Subtotal $14.00 I I I Minimum fee used instead of Subtotal $50.00 I State Surcharge (8% of penn it fee) $4.00 I City Of Springfield fees * $27.50 I TOTAL PERMIT FEE $81.50 * City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee; $10 I .C!..H'::lnL:>A~ _ .. . . . ~ COM:;J, (IT\!'- O\S~'7 ' RCPTN'~ 2.CTD7 -0/7 DATE PROCESSED: \,0 - D - Of PROCESSED By:r (/'.J . NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. 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. This Authorization To Begin Work must be posted at the job site until replaced by 22S Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01537 COM2007-0l537 COM2007-0l537 COM2007-0l537 COM2007-0l537 COM2007-0l537 COM2007-01537 Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: Date: 10/10/2007 3200700000000000677 Description Furnace - up to 100,000 btu Gas Outlets 1-4 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 1 of 1 3:08:36PM Amount Due 14.00 5.00 31.00 20.00 2.50 4.00 5.00 $81.50 Amount Paid $81.50 $81.50 10/1 0/2007