HomeMy WebLinkAboutPermit Mechanical 2005-4-1
-.
Status
Issued
.i CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00344
ISSUED: 04/01/2005
APPLIED: 03/28/2005
EXPIRES: 10/01/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1245 KENRA Y LP
ASSESSOR'S PARCEL NO.: 1703281103100
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Install gas furnace, ac and water heater
Owner: TINA ROSS
Address: 1245 KENRA Y LP
SPRINGFIELD OR 97477
Phone Number: 541-741-0240
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Plumbing
Contractor
HOME COMFORT HEATING & AIR
HOME COMFORT HEATING & AIR INC
License
84164
84164
Expiration Date
06/25/2007
06/25/2007
Phone
541-345-2838
541-345-2838
1 BUILDING INFORMATION I
VN
# of Stories: Lot Size: ' I
AifergOT~~'eftur8 Sq Ft 1st Floor:
ro'IJlyp~~itr "!,II n law requires youItD Ft 2nd Floor:
NotiiW!l.t!lSrrV?Jiiftled by the Oregon Uti~Ft Basement:
in O~:,;_ lJ~:O[;l Those rules are set ~lIlNt GaragelCarport
009~'WS 21th: ~ thro~gh OAR 952-GUtlft Other:
ca~ . eit~glr~;Cop,es ofttll\3 ru'es<6~~upant Load:
e centpr"'r~l",....... "'L. . . '1
"""'~'Vmrh9. ~ . ",- "-'~lmU"e
I DEVEL .\'1 !,:ir''trt~I~Jtification
., ., -OUV-i.:l;j~-2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3 '
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
NOTICE: ."l\EW~~~
THIS PERMIT SHALL E~r\~f\:~~M\t \8 N~t
AUTHORIZED UNDER 1 n " ~j:'j~
COMMENCED OR IS AMN~~NE~ rtJ
ANY 1BO DAY PERI\'l!'.L .
Pa~el of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescriDtion
TVDe of Construction
I'
I:
,
Fee DescriDtion
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Boiler/Comp 3-15 UP
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Plumbing
Total Amount Paid
e.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amouut
. LIl}' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00344
ISSUED: 04/0112005
APPLIED: 03/28/2005
EXPIRES: 10/0112005
VALUE:
Value
Date Calculated
Total Value of Project
)fpp< PlIiIiIJ
Amount Paid
Date Paid
Receipt Number '
1200500000000000413
1200500000000000413
1200500000000000413
1200500000000000413
IZ00500000000000413
1200500000000000413
1200500000000000413
1200500000000000413
1200500000000000413
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 3.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
$10.00
$9.50
$6.65
$12.00
$22.00
$14.00
$12.00
$4.00
$31.00
4/1/05
4/1105
4/1105
4/1105
4/1105
411105
411105
4/1105
4/1/05
$121.15
I Plan Reviews I
IUp~
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
I
I
I
I
Paee 2 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00344
ISSUED: 04/01/2005
APPLIED: 03/28/2005
EXPIRES: 10/01/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
.;#:: c...^~s. ~7,,,,A-' <;'If,,,..J...?~n:
f-/t:Jy! f~ (ArtAait'lJJ.
~a
I.
, .
\.
Pa~e3 of3
03/;9/05 TUE 11:18 FAX 541~689
--...~jll_~II!!~'l'!_"~!'
, ~;
CITY OF SPRINGFIELD ~
1i!J002
Building/Co
005-00344
,
F 1)r.lO.J.~ 6FlELD
II
,
,
I
I
Status Pending
225 Fifth Street, SpringfioId, OR
541-726-3753 Phone
541-726-3676 Fu
541-726-3769 Inspection Line
PERMIT NO: C
ISSUED:
APPLIED:
EXPIRES:
VALUE:
031.812005
091. :912005
Description
TYlle of Construction
I Valuation Descriotion l
S Per Sq Ft Square Footage
or multiplier or Bid Amnunt
Value
Date Calculated
TotaJ Valne of Project
Fe.... P,.,ld I
Fee Description
Amonnt Paid
Date Paid
Receipt I fumber
TotaJ Amonnt Paid
.$0.00
I Plan Reviews I
I
I
,
I
I
I
To Request an inspection call the 24 hour recording at 726-3769. AUinspection requ. ~ted before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be mad ~ the f!lIIowing work
day_
L Reoulred In,oeetions .
Rough Plumbing: Prior to cover and Inelnding requlred testfag.
FmaI Plumhing: When all plumbing work is complete.
Rough Mechnulc:al: Prior to Cover
FiDal Meehanlcal: When aU mechaniOlll work Is complete.
By signature, J state and agree, that I bave earclully ""amiDed the eompJeted appllcntlon and do beret certify tbat all
Inlormatlon bereon Is true lIDd correct, and J furlber certify that any and all work performed shall be one iD aecordanee with
the Ordinances of the City of Springfield and the Laws of the State of Oregon perta1nlng to thc work eocrlbed herein, and
that NO OCCUPANCY will be made ofany structure without permission oflbe Commnnity Services lvislon, BuildiDg Safety.
I further certify tbat ouly contrActors and employees lObo are in compliance with ORS 701.005 will be !Sed on tbIa project.
J further agree to eosure tbat aU required inspections are requested at Ib,; proper time, that each addr "" is readable !'rom the
street, that enoit card is located at the front olthe property, and the approved set of plan. wiI1 re IiDiu on tbe site at all
times duri co tru~ )
,--.
3!J..'i!05
Own
.~~
Date
--
Paae Z of2
275 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
"P~'A1NQF.lRLD: ,
ii./""':".-.'.C=' ~""'" :.
t" \" ~
__ '...c...".:::.' "''v'
~ty of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2005-00344
COM2005-00344
COM2005-00344
COM2005-00344
COM2005-00344
COM2005-00344
. COM2005-00344
COM2005-00344
COM2005-00344
Payments:
Type of Payment
Check
j
4/1/2005
RECEIPT #:
1200500000000000413
Date: 04/01/2005
Description
Fixture
Minimum/Adjustment Plumbing
Furnace - up to 100,000 bIu
Boi1er/Comp 3-15 HP
Appliance Vent
Gas Outlets 1-4
-Mechanical Issuance Fee--
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HOME COMFORT
Item Total:
(,;heck Number Authorization
Received By Batch Number Number How Received
djb
13245
In Person
Payment Total:
Page I of 1
3:06:53PM
Amount Due
14.00
31.00
12.00
22.00
12.00
4.00
10.00
6.65
9.50
$121.15
Amount Paid
$121.15
$121.15