HomeMy WebLinkAboutPermit Mechanical 2004-11-3
.0 CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01355
ISSUED: 11/03/2004
APPLIED: 11/02/2004
EXPIRES: OS/23/2005
VALUE:
.
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1109 LINDA LN
ASSESSOR'S PARCEL NO.: 1802040001502
Springfield TYPE OF
Single Family Residence
PROJECT DESCRIPTION: Install h20 heater
TYPE OF USE: Alteration
Residential
Owner: TRIPP GARY WILBUR TE
Address: 5729 MAIN ST PMB 178
SPRINGFIELD OR 97478
'CONTRACTOR INFORMATION'
Contractor Type
, ,Mechanical
Plumbing
Contractor License
COMFORT FLOW \0 460
COMFORT FLOW . MeS ,!O~"'\"W 460
, BWlli'f.i'iNfitoo10~~fiON"
, O..e- "'" ... 11" 'I
~. ,. 0 'O'l .' ~es 0>' . '6?'v~
, # of Units: ~~~~\O ~oo~\e ~'<<tOI'S~eiil-\'\ <'\u\es '0'1
Primary Occupancy Group:P' ~\0'fl11~!':f c,e(\WI. ,\oijeig'HrfLo\ \ne ~no(\e
: Secondary Occupancy \0 \~\c?J.'iJ,O;- ~O,\~o '~?,-\\~l.e\e,~\~'iJ,O\\
P'rimary Construction Type~O~p..\'\ Wi2' ~?J.'! O'O\~teI'llf~~'l'~O\\
Secondary Construction \(\ 90,'10U e ce(\te~ !'l.~il,).
# of Bedrooms: 00 a.\X\(\Q, tn I \ne ~~IJ!)' :
C <<\'Oe\ \0 ....a\ \$');nnkled
nUl" r,e,"
'DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLIC IMPROVEMENTS'
; Street
. Storm Sewer Available:
, Special Instruction:
Notes:
Expiration Date
06/2712007
06/27/2005
Phone
541-726-0100
541-726-0100
nla
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains
If l\1e 'NORK
"OI\Ct:. ~11 S\1I\\..\.. e'l-?IR~eR~ll IS NOl
1\1IS ?e~IeD UNDeR 1\1\~DONeD rOR
I\Ul\10 CeO OR IS 1\'i3f>>
CO~~eN 01\'1 ?eRIOD,
p..N'I '\80
I of 3
.
Status: Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descriotion I
Description
$PerSqFt
or multiplier
Square Footage
or Bid Amount
Type of Construction
Total Value of Project
Fp.p.s Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Fixture
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
+ 10% Administrative Fee
Renew Mechanical Permit
Renew Plumbing Permit
Amount Paid
Date Paid
$10.00
$9.00
$6.30
$6,00
$14.00
$4.00
$35.00
$31.00
$9.00
$45.00
$45.00
11/3/04
11/3/04
11/3/04
11/3/04
11/3/04
11/3/04
11/3/04
11/3/04
7/29/05
7/29/05
7/29/05
Total Amount
$214.30
I Plan Reviews I
. CITY OF SPRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2004-01355
ISSUED: 11/03/2004
APPLIED: 11/02/2004
EXPIRES: OS/23/2005
VALUE:
Value
Date Calculated
Receipt Number
1200400000000001554
1200400000000001554
1200400000000001554
1200400000000001554
1200400000000001554
1200400000000001554
1200400000000001554
1200400000000001554
1200500000000001115
1200500000000001115
1200500000000001115
;
To Request an inspection caD 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. wiD be made the following
work day.
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.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01355
ISSUED: 11103/2004
APPLIED: 11/02/2004
EXPIRES: OS/23/2005
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection 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 shalrbe 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 wID 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 ail required inspections are requested at the proper time, that each address is readable from
the street, that the permit card is ted at the front ofthe property, and the approved set of plans wiD remain on the site
~mes during s ctl
/" ~"""' Av>-'F:; )/aq!t~
'---'" . ( i
Owner or Contractors Signature Date
3 of 3
225 Fifth Street
~' Springfield, Oregon 97477
'541-726-3759 Phone
.
.
i.'
Job/Journal Number
COM2004-0 1355
COM2004-0 1355
COM2004-0 1355
, Payments:
, TWe of PB)1Ilent
Check
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7/29/2005
.
RECEIPT #:
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City of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001115
Date: 07/29/2005
Description
Renew Plumbing Permit
Renew Mechanical Permit
+ 10% Administrative Fee
PBld By
COMFORT FLOW
Recel ved By
djb
I of I
Item Total:
Lbeck. Number Authorization
Batcb Number Number How Received
30777 [n Person
Payment Total:
2:27:14PM
Am...nt Due
45,00
45,00
9,00
$99,00
Amount Paid
$99,00
$99.00