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Home My WebLink AboutPermit Mechanical 2004-3-19 .' . CITY 01' /)rKll~uNELD Building/Combination Permit PERMIT NO: COM2004-00307 ISSUED: 03/19/2004 APPLIED: 03/19/2004 EXPIRES: 09/19/2004 VALUE: Status Issued '; 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726-3769 Inspection Line SITE ADDRESS: 920 DARLENE AVE ASSESSOR'S PARCEL NO,: 1703272100500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Gas piping, furnace and air handler Owner: RUBY PARMENTER Address: 920 DARLENE AVE SPRINGFIELD OR 97477 Phone Number: 541-895-2723 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW License 460 Expiration Date 06/2712005 Phone 541-726-0100 '" , BUILDING INFORMATION I #. of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ftlloor: Type of Heat: ~\'IttJ2 oor: Water Type: ?\\\'t. W SU' t,~! ent: Rang~ J:rfe~', S\\~\.\. 't.~\\\S ?'t.?S ~ellrage/Carport EneigpP,h'tl:,\\w-\'\ O't.\\ '\ ~O\J'S t Other: '\\\~~~~\\\l't.? U~\\ \S ~'O~ Impervious Surface Area: I DEVELOPMENT~N:FO'~A. TJON 1 ~~'i ,J! Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: REQUIRED PARKING R.3 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: % of Lot Coverage: '..,: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I UIleS '1ou,t~ On \",,' q -:'\ IJIIIIW "'IO~'.Oleg l\1e OleSldewal~(fype: ,,"E~ 1 nled b'1 I s <\le se\ ^" " luleS ado.. .,.....ose lU eoDQ.wnspoutslDrains: ,ollow tel. '" \1~' , ~- I -lotilicati05~~~~ .oot? t\1l~~i~S 01 t\1e l~~e:e Op.f\ 9 <- blaIn C.. \1e te\e? . n090. ,<ou {l'\a'1 onW' ~~ote', II.t" ~oli\icatlon [) .....0 ce __ I 1\1 \ , , .:.:........... \ f ~"...... .~..~u-r 'l'1,?~.l.....'"I'-+...,I. I V;alulitl({nDescrio'tiori , ' Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated " Total Value of Project Paeelof2 . . \...11 l' OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2004-00307 ISSUED: 03/19/2004 APPLIED: 03/19/2004 EXPIRES: 09/19/2004 VALUE: 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'rrf Paid J Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8,00 $12,00 $4.00 $21.00 3/19/04 3/19/04 3/19/04 3/19/04 3/19/04 3/19/04 3/19/04 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 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 Reouired Tnsoections I I Gas Service: After line is installcd and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mcchanical 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 Safcty. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projcct. 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 thc sitc at all timl'Aes during co:trifon. - /1---- O\}J'I)tJl-j Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Number COM2004-00307 COM2004-00307 COM2004.00307 COM2004.00307 COM2004-00307 COM2004-00307 COM2004-00307 Payments: Type of Payment Check ,. ~i ~,-"~ .. ,. City of Springfield Official Receipt Development Services Department ,~I Public Works Department- Date: 03/19/2004 2:24:54PM Amount Paid 3.15 4.50 12,00 8.00 4.00 10,00 21.00 $62.65 Receipt #: 1200400000000000350 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Gas Outlets 1-4 -Mechamcal Issuance Fee- Minimum/Adjustment Mechanical Received By djb l.:heck Number Batch Number Paid By COMFORT FLOW 25213 Item Total: Authorization Number How Received In Person Payment Total: . Amount Paid $62.65 $62.65 .