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