HomeMy WebLinkAboutPermit Mechanical 2003-09-08Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00835ISSUED: 09/08/2003APPLIEDz 0812712003EXPIRES: 03/0812004
VALUE:pA\
SITE ADDRESS: 1854 YENTA A\rE
ASSESSOR'S PARCEL NO.: 1703243400358
PROJECT DESCRIPTION: Install furnace and air conditioner
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Owner:
Address:
PAUL CANNOLE
1854 YENTA AVE SPRINGFIELD OR 97477
PhoneNumber: 541-736-5255
Contractor Type
Mechanical
Contractor
HOME COMFORT HEATING & AIR
License
84164
Expiration Date
06t25t2007
Phone
s41-34s-2838
CONTRACTOR INFORMATION
)RMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
VN
Street
Storm r.Those
10 throrte
-00 1-00
tr l6Vtl {(jql-Il{
urego oregby the set lor
ru\es are
Sidewalk Type:
Downspouts/Drains:
UNDER THIS
REQUIRED PARKING
Total:
Handicapped:
Compact:
IF THE WORK
ugh OAR 952-00
ot the ru\es
AR952 ain copl
the t'e\ePhol e
Notes:inO You
the
rn ay obt
cente (No'te
t'ility N otiticatt NOTICE:
On
0090 U
number
or .ltsl -800'
Center OR IS ABAN DONED FOR
TgO{irAY
Amount
RIZED
ENCED
$ Per Sq Ft
or multiplier
sqA$*
or Bid
Total Value of Project
Pase I of2
DEVELOPMENT INFORMATION
Description Type of Construction PERIOD Value Date Calculated
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00835ISSUED: 09/08/2003APPLIEDz 0812712003EXPIRES: 03/0812004
VALUE:
Fees Paid
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7%o State Surcharge
Air Handling Unit Up to 10,000
Appliance Vent
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$r0.00
$4.s0
$3.1s
$8.00
$6.00
$12.00
$4.00
$15.00
$62.65
Date Paid
9t8t03
9tBt03
918103
9t8t03
9t8t03
9/8/03
9/8/03
9t8t03
Receipt Number
1200200000000002076
r200200000000002076
1200200000000002076
1200200000000002076
1200200000000002076
1200200000000002076
1200200000000002076
1200200000000002076
Plan Reviews
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.
1 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
2 Rough Mechanical: Prior to Cover
3 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
times during construction.
Owner or
Pase 2 of 2
Date
7-,?e-z
-rf rL1
Kequlreo lnspecuons I
97477 City of Springfietd Official Receipt
Development Services Department
Public Works Department
#:
f
5
5
835
-oo835
5
5
-00835
83s
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Appliance Vent
Gas Outlets l-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7Yo State Surcharge
+ l0%o Administrative Fee
I
t2.00
8.00
6.00
4.00
15.00
10.00
3.15
4.50
Paid By
HOME COMFORT
Item Total:
Received By Batch Number Authorization Number Ifow Received
dlm 10098 In Person
Payment Total:
$62.6s
Amount Paid
$62.6s
$62.65
Fifttr Stteet
2,75
SP5^
Oregon
Phone