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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 t