Loading...
HomeMy WebLinkAboutPermit Mechanical 2004-12-15BPRU{CFISI.D Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3616 Fax 541 -7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01522ISSUED: 1211512004APPLIEDz 1211412004EXPIRES: 06/1512005 VALUE: SITE ADDRESS: 449 9TH ST ASSESSOR'S PARCEL NO.: 1703351308000 PROJECT DESCRIPTION: Gas furnace Springlield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PhoneNumber: 541-746-0463 License Owner: Address: KENNETH EILERS 449 N 9TH SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t27t200s . Phone 541-726-0100 # 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 Improvements: Storm Sewer Available: Special Instruction: Notes: Structure r Type: Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla $ Per Sq Ft or multiplier 1$ Square Footage or Bid Amount PARKING DEVELOPMENT INFORMATION Description Type of Construction Total Value of Project Value Date Calculated ! Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01522ISSUED: 1211512004APPLIED: 1211412004 EXPIRES: 06/1512005 VALUE: Fee Description -Mechanical Issuance Fee- + llYo Administrative Fee + 77o State Surcharge Appliance Vent Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Total Amount Paid $10.00 $4.50 $3.15 $6.00 $12.00 $27.00 t2n5t04 r2lt5l04 t2n5t04 tzlt5l04 t2lt5l04 12n5t04 Receipt Number 1200400000000001748 120040000000000r748 1200400000000001748 1200400000000001748 1200400000000001748 1200400000000001748 Amount Paid $62.6s Date Paid 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reou 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 Contractors Signature Paee 2 of 2 Date _r ees raro SPnrilGrtaro trity of Springfield Official Receipt jvelopment Services DePartment Public Works Department 225 Fifth Street Springfietd, Oregon 97 477 541-726-3759 Phone RECEIPT#: 1200400000000001748 Date: 1211512004 1:24:l5PM Job/Journal Number coM2004-0 r s22 coM2004-01522 coM2004-01522 coM2004-0t522 coM2004-0t522 coM2004-0t522 Description + 70% State Surcharge + l0%o Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.s0 12.00 6.00 27.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOW djb 28065 In Person Payment Total: $62.65 -56r-6-T t2/t5t2004 Page I of I