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Home My WebLink AboutPermit Mechanical 2004-11-3 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01355 ISSUED: 11/03/2004 * APPLIED: 11/02/2004 -. EXPIRES: 05/03/2005 . VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line PROJECT DESCRIPTION: Install h20 heater Springfield TYPE OF WORK: Single Family Residence ires yoUto :rn;.NTION: Or~~~~~~got1~lteration " las adopted by \es are set l<Jf tollOW ~~ r..,n\Br. ThOse ru, r\^i=1 <15'2.0\. " ,"ouu"",,"\'.- -OO'u \(tlu....~' - \ \f~' r TRIPP GARY WILBUR TE Q~f\ 952-001 '0 ies 0\ the r.l 5729 MAIN ST PMB 178 SPRINGFIELD <\\~,~.~a~..~~~~~nl~o~e:,:n.e ;~~~;~~~,~,_,' ","""01 - QregO\1 V~''''J I CONTRAC'Jl(lD\llNFffftMAfJ;IONJI.33Z.Z344). ~. Residential SITE ADDRESS: 1109 LINDA LN ASSESSOR'S PARCEL NO.: 1802040001502 Owner: Address: Contractor Type Mechanical Plumbing Contractor COMFORT FLOW COMFORT FLOW License 460 460, Expiration Date 06/27/2005 06/27/2005 Phone 541.726.0100 541-726-0100 I BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPRQ.\,EMENTS I Y,IJIRE If i\'lE WU\\01 1'tV ..- Ii ~'i1t\L~ E 'i:Q1~1i IS ~ 1\'11S PEWJ\ UNDE~~W;@l1\' U'I'O fOR t\\l\\'IORI2t~D OR l'YI$Wn"s~slOrains: ' CO\'.J\N\E~~t\'{ PERIOD. t\~'{ '\BO " Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!elof2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspedion Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Fixture Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Total Amount Paid . . CITY OF SPRtI~l..N~L1J Building/Combination Permit PERMIT NO: COM2004-01355 ISSUED: 11/03/2004 APPLIED: 11/0212004 EXPIRES: 05/0312005 VALUE: Total Value of Project Fees tlWU Amount Paid Date Paid Receipt Number 1200400000000001554 1200400000000001554 1200400000000001554 1200400000000001554 12004000000000~1554 1200400000000001554 1200400000000001554 1200400000000001554 $10.00 $9.00 $6.30 $6.00 $14.00 $4.00 $35.00 $31.00 1lI3/04 1lI3/04 1lI3/04 1lI3/04 1lI3/04 1lI3/04 1lI3/04 1lI3/04 $115.30 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 Re/luired Insnection\.l 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. 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 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 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 ~~~i;;:..ruru D"~) / V 0 'I Page 2 of2 . .r~'A1N~I!If!!,<!_ ._ . 1tIc-- ..... i . ',," I , . - , ".+~,,~- - - 2'25 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone II , Job/Journal Number COM2004-0 1355 COM2004-0 1355 COM2004-0 1355 COM2004-0 1355 COM2004-0 1355 COM2004-01355 JCOM2004-01355 COM2004-01355 Payments: Type of Payment Check .r 11/312004 RECEIPT #: Jiiily of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000001554 Date: 11/03/2004 Description Fixture Minimum!Adjustment Plumbing Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By COMFORT FLOW Received By djb Page I of I Item Total: Check Number Authorization Batch Number Number How Received 27669 In Person Payment Total: 9:00:59AM Amount Due 14.00 31.00 6.00 4.00 35.00 10.00 6.30 9.00 $115.30 Amount Paid $115.30 $115.30