HomeMy WebLinkAboutPermit Mechanical 2005-06-17-.---
F PRIN
Buildin g/Co mbination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
PERMIT NO: COM2005-00719ISSUED: 061171200sAPPLBDz 0611312005E)GIRESz 1211712005
VALUE:
SITE ADDRESS: 1930 MOHAWKBLVD
ASSESSOR'S PARCEL NO.: 1703252405500
PROJECT DESCRIPTION: Changing out 3 HVAC units.
Springfield TYPE OF
TYPEOF USE:
Heating System
Repair
Owner:
Address:
Contractor Tvpe
Mechanical
Contractor
COMF'ORT FLOW
Expiration Date
0612712007
Commercial
Phone
s4t-726-0100
lzx,y.sPl7,zA
1727 RTVER PIOINTE LOOP
EUGEITE OR 97401
License
460
CONTRACTOR INFORMATI ON
# of Unib:
Primary Occupancy Group:
Secondary Occupancy
Prim ary Construction Type
Secondary Construction
# of Bedrooms:
Frontlard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Steet
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Sidewalk Type:
DownspoutVDrains
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multip[er
Square Footage
or Bftl Amount
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
lof2
Value Date Calculated
-
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Valuation Descrintion I
-
CITY OF'SPRIN
Buildin g/Co mbin atio n Permit
Status: Issued
225 Fifth Street, Springfietd, OR
541:126-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
PERMIT NO: COM2005-00719ISSUED: 0611712005
APPLIEDT 0611312005E)PIRESz 1211712005
VALUE:
' Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 77o State Surcharge
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
$10.00
$4.50
$3.rs
$36.00
$9.00
$62.65
Total Value of Project
Date Paid
6n7t05
6n7tils
6tr7tos
6fi7105
6lt7tos
Receipt Number
r2005000000000008s9
12005000000000008s9
1200500000000000859
12005000000000008s9
1200s00000000000859
To Request an inspection call the24 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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reouired fnsnections
By signaturer l 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 certiff 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 OCCUPAllCYwill be made of any stucture without permission of the Community ServicesDivision,
Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used
on this projmt.
I further to ensure that all required inspections are requested at the proper time, that each address is readable from
the permit card is located at the front of the property, and the approved set of plans will remain on the sitethe street,
Signature
2of2
Date
b-/
r( ees ralo I
225 Fifth Street
Springfield, Oregon 97 477
541-72G3759 Phone
City of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT#: 1200500000000000859 Date: 0611712005 l:31:42PM
Jrb/Journal Number
coM2005-00719
coM2005-00719
coM2005-00719
coM2005-00719
coM2005-00719
Description
+ 7Yo State Surcharge
+ lOoh Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
36.00
9.00
10.00
Item Total:$62.65
Payments:
Tlpe of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check coMFoRT FLOW HEATING djb 302s2 In Person
Payment Total:
$62.6s
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6/1712005 lofl
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