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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 .