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Home My WebLink AboutPermit Mechanical 2004-11-19 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01428 ISSUED: 11/19/2004 APPLIED: 11/19/2004 EXPIRES: 05/19/2005 VALUE: SITE ADDRESS: 966 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264302401 PROJECT DESCRIPTION: Gas furnace Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential Owner: DEBRA BASILE Address: 966 CENTENNIAL BLVD SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor COMFORT FLOW # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone Number: 541-747-2715 I CONTRACTOR INFORMATION I License Expiration Date Phone 460 06/27/2005 541-726-0100 I BUILDINGI~~~~~!HALL EXPIRE IF THE WORK # of Stories,~UTHORIZED UNDER THI$-cft~~\fFIT IS NOT Height ofStr8fS~JittNCED OR IS ABA~91~Nt~IfIOO: Type of HelJ-,tNy 180 DAY PERIOD. Sq Ft 2nd Floor: Water Type Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: SprinkJed Building: n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverl!ge: . ATTENTION: Oregon law requIres you to f,,,II,,,., .."Il'>c.- ~rlnrtArl h" the Oreaon Utility I PUBLICRMJmQ~JJIl~' I hose rules are set forth an UAIi ~o~-uu I-UU 0 thrgp..9h OAR 952-001- 0090. You may obtain cdfj\tf~8'~tM'Mfes by calling the center. (N~~tal~~Hls: number for the Oregon Utility Notification Center is 1-800-332-2344). I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01428 ISSUED: 11/19/2004 APPLIED: 11/19/2004 EXPIRES: 05/19/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $6.00 $12.00 $27.00 11/19/04 11/19/04 11/19/04 11/19/04 11/19/04 11/19/04 1200400000000001636 1200400000000001636 1200400000000001636 1200400000000001636 1200400000000001636 1200400000000001636 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Reauired Insoections , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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. /~- ~ ~~/~~/2:-L - -.." - - Owner or Contractors Signature //:-/9-o'~ Date Pal!e 2 of 2 225 Fifth Street Sprihgfield, Oregon 97477 541-726-3759 Phone 'ty of Springfield Official Receipt .Jevelopment Services Department Public Works Department RECEIPT #: ' 1200400000000001636 Date: 11/19/2004 lO:41:04AM Job/Journal Number COM2004-01428 COM2004-01428 COM2004-01428 COM2004-01428 COM2004-01428 COM2004-01428 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum! Adjustment Mechanical ~Mechanical Issuance Fee'- Payments: . Type of Payment Check Paid By COMFORT FLOW Item Total: ' Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 12.00 6.00, 27.00 10.00 ,,$62.65 Amount Paid djb 27870 In Person Payment Total: $62.65 $62.65 " ..: o. ~. 11/19/2004 Page 1 of 1