HomeMy WebLinkAboutPermit Mechanical 2006-6-29
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726.3769 Inspection Line
-
-.
. CITY OF SPRml>t<lELD
, ,
Building/Combination Permit
PERMIT NO: COM2006-00798
ISSUED: 06/29/2006
APPLIED: 06/27/2006
EXPIRES: 12/29/2006
VALVE:
SITE ADDRESS: 547 Etban Ct
ASSESSOR'S PARCEL NO.: 1703221206400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
~esidentiai
.:
PROJECT DESCRIPTION: Install air conditioner',
Owner:
Address:
NU 11l;t:: Pbone.Nnmbec:
THIS PERMIT SHALL EXPIRE I~ I Ht VVUHI\
AUTHORIZED UNDER THIS PERMIT IS NOT
541-968-520 I
f
DON LEWELLEN
42037 HOLDEN CREEK RD
SPRINGFIELD OR 97478
Contractor Type
Mechanical
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VUIVIl...~11VL....... ""'.. ,.... , ..... ".- -. .-- . -.
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I CONTRACTOR INFORMATl0N'.
License
460
BUILDING INFORMATION I
Phone
541-726-0 I 00
Contractor
COMFORT FLOW
Expiration Date
06/27/2007
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
# of Stories: Lot Size:
R-3 Height or Structure Sq Ft 1st Floor:
Type or Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
SprinkledA~~i/::~tn.~ON: OregB-l' law re~.cimpaP,b,~,~d:
. -, ._...__~n'''''~''UYLI''''''''''''''~-''-'. J
I DEVELOPM..." 'mFORMATlON~I,ose rules are set forth
: '-O'AR 952-001-0010 through OAR 9~QWRED PARKING
In , f th ,~O by
OverlaY&J~U. You may obtain ooples 0 e rTotal:
# Street Tr~~s,~9,d'=,iO center. (Note: the telCPH~iiijicapped:
Paved Drive Rqd:.lo' ',h" Orecon Utility Not!f'Compact:
"Ulll04..... ,I.. ~
% orLot Coverag~en::;r is 1-800-332-234..).
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$'Per Sq Ft .
or multiplier
Square Footage
or Bid Amount
Tvpe or Construction
Value
Date Calcuiated
Paee 1 or2
-
.
. LIlY OF ~rtuNGFlELD .
Building/Combination Permit
PERMIT NO: COM2006-00798
ISSUED: 06/29/2006
APPLIED: 06/27/2006
EXPIRES: 12/29/2006
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P,'lV!J
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 8% State Surcharge
BoilerlComp Up To 100,000 btu
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.60
$12.00
$33,00
6/29/06
6/29/06
6/29/06
6/29/06
6/29/06
Receipt Number
2200600000000000904
2200600000000000904
2200600000000000904
2200600000000000904
2200600000000000904
Total Amount Paid
$63,10
I Plan Reviews I
To Requesl 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.
L.Renui~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carerully examined the completed application and do hereby certiry that all
information hereon is true and correct, and I further certify that any and all work perrormed shall be done in accordance with
the Ordinances of the City or Springfield and the Laws of the State or 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 Sarety.
I rurther certiry that only contractors and employees who are in compliance with ORS 701.005 will be used on Ihis project.
I rurther agree to ensure that all required inspections are requested at the proper time, that each address is readable rrom the
street, that the permit card is located at the front or the property, and the approved set or plans will remain on the site at all
times during construction~~ "'"--'
Owner o(Contr.ictors Signature ~
Date
Paee 2 of2
225 Fifth Street
Sliii-ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00798
COM2006-00798
COM2006-00798
COM2006-00798
COM2006-00798
Payments:
Type of Payment
Check
cReceintl
.
RECEIPT #:
"'~'!I!!O_I!I.'."'" '_... _. ......
WiL'
,".'.. r
..," , .. ." -....) _:
~ of Springfield Official Receipt
_elopment Services Department
Public Works Department
2200600000000000904
Date: 06/29/2006
Description
+ 8% State Surcharge
+ 10% Administrative Fee
Boiler/Comp Up To 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEATING,
CO.
Item Tolai:
l.:heck Number Authorization
Received By Batch Number Number How Received
DDK 34683 In Person
Payment Total:
Page I or I
1:16:08PM
Amount Due
3.60
4,50
12.00
33,00
10,00
$63,10
Amount Paid
$63,10
$63,10
6/29/2006