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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 .'. I ~:~. , , ,; ',:' "., , , , ' ,:" ~. , . , ," 'I' ,\ , I' ~ 7/29/2005 . RECEIPT #: .J:~. =~..~-,.. WiE:' ',.. . , , .... ~. :" .. ' 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