HomeMy WebLinkAboutPermit Mechanical 2007-10-23
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01587
ISSUED: 10/23/2007
APPLIED: 10/23/2007
EXPIRES: 04/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1345 RAINBOW DR
ASSESSOR'S PARCEL NO.: 1703274303400
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: DA VIS FRED S & KAY B
Address: 1345 RAINBOW DR
SPRINGFIELD OR 97477
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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
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 IMPROVEMENTS I
Street Improvements:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sidewalk Type:
'bc;w8sp~~t~rains:
~~~e~g~l~N AUi~n '~oOle;J S~Ja1Ueo
Aq ssmJ s I, 1 84J :S10N) 'J~us41 JOJ JeqWnu
-too-ZS6 t1~JO se!doo u!elqO A 0 9416u!1/eo
~"'" _ , , 0 46noJIJI-Q.: A. ew no~
. '{~!I! u;i3;Ji;>i:J/nJ sS04.L 'J"a~;eUU'G96 kI\tO uJ
tI A saJIng 841 Aq PSldope 0 uoUeO!J!lON
SJ Mel u06sJ . samJ MOllO
Square Footage V I 0 'NOIJ.N:t1 I~C~ I
B"d A t a ue 1'Jtt.U"1 alcu ated
or I moun
Storm Sewer Available:
Special Instruction:
NOTICE:
NoteTHIS PERMIT SH '
AI 'T~QgIZ[9 UN:~~ ~P/RE ,~ THE W08,1<
COMMENC I",~ PtHMIT ,- ;"U I
ANY 180 ED OR IS ABANDONED FO Valuation Descri
DAY PERIOD.
. ~. .... .
Pa!!:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01587
ISSUED: 10/23/2007
APPLIED: 10/23/2007
EXPIRES: 04/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$14.00
$5.00
$31.00
10/23/07
10/23/07
10/23/07
10/23/07
10/23/07
10/23/07
10/23/07
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
3200700000000000703
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.
LReQuired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough 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 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.
Owner or Contractors Signature
Date
Pa!!:e 2 of 2
City of Springfield
.
Mechanical Authorization To Begin Work
E-mailedTo:KELLY@comforttlow.com
Receipt # EC519188
10/23/200712:36:27 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
IX] I or 2 family dwelling
D Multi-family
D Accessory Building
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
Electric Furnace
Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, susoended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I Job no.: 830458 I Job address: 1345 RAINBOW DR
I City/State/ZIP: SPRINGFIELD, OR 97477-2881
I Suite/bldg./apt.no.:
I Project name: DAVIS
Cross street/directions to job site:
I Subdivision:
I Tax map/parcel no.: 1703274303400
I Lot no.:
Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
REPLACE GAS FURNACE
Name: KAY DAVIS
I Phone: (541) 746-0794
I Email:
IFax:
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I CCB lie. no.: 460
I Business Name: COMFORT FLOW HEATING CO
I Contact: KELLY
IAddress: 195\ DON ST
ICity/State/ZIP: SPRINGFIELD, OR 974771993
I Phone: (54\)7260100 I Fax: (54\)7477274
I Email: KELLY@comfortflow.com
! Metro lie. no.: I City lie. no.:
upto first 4 outlets(enter Qty=\)
I each additional outlet
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.
Subtotal $\4,00
Minimum fee used instead of Subtotal $50,00
State Surcharge (8% of permit fee) I $4,00
City Of Springfield fees * I $27,50
TOTAL PERMIT FEE I $81.50
10% Local Admin Fee; 5% Local Technology Fee;
I
* City Of Springfield
$\ 0 Issuance Fee
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
COM: ~ ern'7 - 0 I SOl
--".
RCPT#' :J26V7 76 ~
DATE PROcESSED~T 8 ,'- 1'"2> -0-'
PROCESSEDBY~ \ ~
This Authorization To Begin Work must be posted at the j )6 ~it" ."til replo<jc6 ~~e"'.';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
COM2007-01587
COM2007-0 1587
COM2007-0 1587
COM2007-01587
COM2007-01587
COM2007-01587
COM2007-01587
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000703
Date: 10/23/2007
Description
~Mechanical Issuance Fee~
Gas Outlets 1-4
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
+ 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 1
1:50:39PM
Amount Due
20.00
5.00
14.00
31.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
10/23/2007