HomeMy WebLinkAboutPermit Mechanical 2004-1-30
.
Status
Issued
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1595 KELLOGG RD
ASSESSOR'S PARCEL NO.: 1703342200905
Springfield
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00I07
ISSUED: 0113012004
APPLIED: 0112712004
EXPIRES: 07/30/2004
VALUE:
TYPE OF WORK: Heating System
. TYPE OF USE:
PROJECT DESCRIPTION: 2 Circuits for Gas Furnace and Air Conditioner
Owner: FLEMING ROBIN E
Address: 1595 KELLOGG RD SPRINGFIELD OR 97477
New
Residential
Phone Numher: 541-726-1595
~
I. Cv" 1 ""CTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
COMFORT FLOW
License
156678
460
Expiration Date
08/14/2005
06/27/2005
Phone
541-686-5444
541-726-0100
BUILDING INFORMATION I
# 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:
R-3
VN
Lot Size:
Sq Ft ht Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
'.
Frontyard Sethack:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
~I~~"'l:.
Storm Sewer A1villab\el..
Speciallnstrucl\ti16 PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNOER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
'l.
Pa2e 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
ATTENTION:Oregon law reqUIres you. t.o
follow rules adopted by the Oregon Utility
~otification Center. Those rules are set fQ~'
I OAR 952-001-0010 through OAR 952-00
0090. You mBY obtain copies of the rules l
calling the center. (Note: the tele.pho~e
number for the Oregon Utility NotIficatIOn
,...~~t",.;., 1_Rnn-~~2-2344).
.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.,-
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
FpP~, P':Iiry
"\,.
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$4.60
$3.22
$43.00
$3.00
$10.00
$4.50
$3.15
$8.00
$12.00
$25.00
1/27/04
1/27/04
1/27/04
1/27/04
1/30/04
1/30/04
1/30/04
1/30/04
1/30/04
1/30/04
Total Amount Paid
$116.47
I Plan Reviews I
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00107
ISSUED: 01/30/2004
APPLIED: 01/2712004
EXPIRES: 07/3012004
VALUE:
Value
Date Calculated
Receipt Number
2200400000000000063
2200400000000000063
2200400000000000063
2200400000000000063
2200400000000000081
2200400000000000081
2200400000000000081
2200400000000000081
2200400000000000081
2200400000000000081
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.
, Rpnllir~ln~,npl"~
.
2 Rough Electric: Prior to Cover
I Final Electric: When all electrical work is complete.
3 Rough Mechanical: Prior to Cover
4 Final Mechanical: When all mechanical work is complete.
Pa2e 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00107
ISSUED: 01/30/2004
APPLIED: 01/27/2004
EXPIRES: 07/30/2004
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 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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. .
~^'I^ ^ 1 ~~ lv)
OwneJ or Cttractors Signature
1/3o/DQ
Date
.,
Paee 3 00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00107
COM2004-00 1 07
COM2004-00 107
COM2004-00107
COM2004-00 1 07
COM2004-00107
Payments:
Type of Payment
Check
-,.
~i
~''''",",7'"
Receipt #: 2200400000000000081
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Received By
djb
l.:heck Number
Batch Number Authorization Number
Paid By
COMFORT FLOW
24581
City of-Springfield Official Receipt
Development Services Department.
Public Works Department:
Date: 0113012004
2:10:30PM ",'
Amount Paid
Item Total:
3.15
4.50
12.00
8.00
25.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
.
$62.65
$62.65
.