HomeMy WebLinkAboutPermit Mechanical 2003-12-08OFS
Buildin g/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-01223ISSUED: 1210812003APPLIED: 1210812003EXPIRES: 06/0812004
VALUE:
7
a
Owner:
Address:
SITE ADDRESS: 1393 8TH ST
ASSESSOR'SPARCELNO.: 1703264304000
PROJECT DESCRIPTION: Replace gas furnace
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Repair Residential
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License Expiration Date
0612712005
RIEL ALISA R
1393 8TH ST SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
COMFORT FLOW 460
Phone
541-726-0100
CONTRACTOR INFORMATION
BUILDING INFO]
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# 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
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Square fttd&d0nt
or Bid A€re[ffi1EN
ANY 180
Total Value of Project
Page I of 2
DER MIT IS NOT
+UAts
OTICE:
HIS PER ALL EXPIRE IF
THIS PER
THE WOBK
MIT SH
$ Per Sq Ft
or multiplier
ZED UN
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DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
DAY PERIO D.
AND0lsil)e ,ffiuhted
num
lon law requlres you ro
EO rry the Oregon Utititl--ir,o." rules are set fol
1;throuoh OAR 952-0C
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Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01223ISSUED: 1210812003APPLIEDz 1210812003EXPIRES: 06/0812004
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7%o State Surcharge
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid Date Paid
t2t&t03
t2tgt03
t2t8t03
t2t8,t03
t2t8t03
$10.00
$4.s0
$3.1s
$12.00
$33.00
Receipt Number
1200200000000002s66
1200200000000002s66
1200200000000002566
1200200000000002s66
1200200000000002566
$62.6s
Plan Reviews
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.
1 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.irCrlM
Owner or
,
Contractors Signature Date
Pase2 of2
rees rard I
Keourreo lnsDecuons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department I
Receipt I Date: 1
coM2003-01223
coM2003-0t223
coM2003-01223
coM2003-01223
coM2003-01223
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
+ 1oh State Surcharge
+ l0Yo Administrative Fee
12.00
33.00
10.00
3.15
4.50
Item Total:$62.65
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check COMFORT FLOW dlm 24r40 In Person
Payment Total:
$62.6s
$62.6s
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