HomeMy WebLinkAboutPermit Mechanical 2005-05-31Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00647ISSUED: 05/31/2005APPLIED: 05/3112005EXPIRES: 11/3012005
VALUE:
SITE ADDRESS: 2797 3RD ST
ASSESSOR'SPARCELNO.: 1703233405000
PROJECT DESCRIPTION: Change out gas furnace.
Springfield TYPE OF WORI(: Mechanical Only
TYPE OF USE: Repair Residential
Owner:
Address:
DONALD JOHNSON
2797 3RD ST
SPRINGFIELD OR 97477
PhoneNumber: 541-746-8605
to
Contractor Type
Mechanical
Contractor
COMFORT obtain copies 06t27t2005
Phone
541-726-0100
1{010 through bBxpiration Date
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improyements:
Storm Sewer Available:
Special Instruction:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase I of2
Value Date Calculated
L:L-
Valuation Description I
U-T:, VE.LL TIYII,I\ I l.NI(,,I(]YIATIL'N I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00647ISSUED: 05/31/2005APPLIED: 05/3112005EXPIRES: 11/3012005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+7o St^teSurcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
s/31/05
s/31/05
s/31/0s
s/31/0s
s/3u05
s/31/05
Receipt Number
2200s00000000000697
2200s00000000000697
2200s00000000000697
2200s00000000000697
2200s00000000000697
2200500000000000697
$10.00
$4.50
$3.15
$6.00
$12.00
$27.00
$62.6s
Fees Paid
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reouired fnsnections
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.
on€ontractors Signature
Paee2 of2
Date
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Crty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #: 2200500000000000697 Date:05/31/2005 2:26:55PM
Description
Appliance Vent
Furnace - up to 100,000 btu
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 7oA State Surcharge
+ l0% Administrative Fee
Amount Due
6.00
12.00
10.00
27.00
3. l5
4.50
Item Total:$62.65
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check COMFORT FLOW HEATING
CO
djb 29919 In Person
Payment Total:
$62.65
$62.6s
5/31/2005 Page I of I
lml
Job/Journal Number
coM2005-00647
coM2005-00647
coM2005-00647
coM200s-00647
coM2005-00647
coM2005-00647
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