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HomeMy WebLinkAboutPermit Mechanical 2003-8-22 . Status Issued * . CITY OF ~rKlNGFIELD Building/Combination Permit PERMIT NO: COM2003-00755 ISSUED: 08/22/2003 APPLIED: 08/14/2003 EXPIRES: 02/22/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1451 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703252207400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Gas furnace changeout Owner: WOOD LAURENCE P & CAROL J Address: 1451 LA WNRIDGE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR License 84164 Expiration Date 06/25/2007 Phone 541-345-2838 BUILDING INFORMATION I VN # of Stories: Lot Size: Height of Structure ~~W/t Floor: Type of Heat: ~t. \r i~'s ~~ Floor: Water: l\. t.'I-!(~ t.~~\S asement: I\~fi)i\'=~\i ~~~ t.~ i~\~ I( ()~t.~/j arage/Carport E~.!~Lt.() \l~() r>:o~~() Sq Ft Other: ~\li~~~lolC.t.() ()~~~(\(). Impervious Surface Area: I DEVELO~1iJj\mii6~TION I REQUIRED PARKING # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rcaryard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Total: Handicapped: Compact: Description Type of Construction ~\o ",0'" '\~ 0\~~;'~ I PUBLIC IMPROVEMENTS I ~ ~00~0~~:0 '!>~7?O ~ ~~":. .'C\0 '" ~ <IP e'" ~0~0 ~~wa~<fye~:~ 0 ~I,)" ~0 _yO ~00 "",0 ,,'(\ . ,'(' ~o, 0<:- ~,O\~' oo~ D.own~p"6'!tsq>rai~~:I\l, v1>~ ~~ ~0"'~ 0<:-\0~~...O"S' vO~\0.;s.0~~0~\~ ~ o-tl ~~ 0<:- G ~....fJ ~~<:- ~0\0' ~\'\ ~b.b.,. '0'" ~~ n.fJ ,,0'0 ~,\':! ~\5 n.'I- \ '1\\V t\~" 0'1 ~0 ,,0 n.~" . ....\."\ a. ":J . ((\' _(A~ _.,~~ _rv~ .- ~-, ...~ 1C:i- - ';Ov I ,{\" r\ 't "S' ;s.0 .... Valuation Deser.io'tlo'n;, ~ ~'o~ ~0~\'" V' 'S)0 v0~ $ Per Sq Ft Squa~footage or multiplier or Bid Amount Value Date Calculated % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Total Value of Project Paee I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid . . CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2003-00755 ISSUED: 08/22/2003 APPLIED: 08/14/2003 EXPIRES: 02/22/2004 VALUE: I Fees Paid I Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $6.00 $12.00 $4.00 $23.00 1200200000000001998 1200200000000001998 1200200000000001998 1200200000000001998 1200200000000001998 1200200000000001998 1200200000000001998 8/22103 8/22103 8/22103 8/22/03 8/22/03 8/22/03 8/22/03 $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 JnsnedionsJ I Rough Mechanical: Prior to Cover 2 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 3 Final Gas: When all gas work is complete. 4 Final Mechanical: When all mechanical 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 ofany 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. / ~/ aL/t ~._~~/- Owner or Contractors Sig[71 () 8' - ,;). ~.3 Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JobfJournal Number COM2003-00755 COM2003-00755 ' COM2003-00755 COM2003-00755 COM2003-00755 COM2003-00755 COM2003-00755 Payments: Type of Payment Check ,,,,~,,",~F,I.!!'-D.,_ Mi......,.....'.'...,..,....';..... ."",~ ~ .-' ,""'.,~,-'-'- .' .:.".- -. Receipt #: 1200200000000001998 Description Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- +7% State Surcharge + 10% Administrative Fee Paid By HOME COMFORT Received By djb l.:heck Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department " Date: 08/22/2003 9:39:52AM ' Amount Paid Item Total: 12,00 6,00 4,00 23,00 10,00 3,15 4.50 $62.65 How Received In Person Payment Total: Amount Paid $62,65 $62.65 f . .