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Home My WebLink AboutPermit Mechanical 2004-01-14\ t Status 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: COM2004-00047ISSUED: 0111412004APPLIEDz 0111412004EXPIRES: 0711412004 VALUE: SITE ADDRESS: 2573 17TH ST Springfield TYPE OF WORK: Heating System ASSESSOR'SPARCELNO.: 1703243400128 TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas piping, heat pump and gas furnace Owner: EDWARD HEBERT Address: 2573 17TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-746-2367 Contractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t27t2005 Phone 541-726-0100 License 460 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: ^,t Sq Ft 2nd Floor: $l0Hl Sq Ft Basement: \S NU\ Sq Ft Garage/Carport sOR Sq Ft Other: Impervious Surface Area: R-3 VN \r t\E N' SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 10 REQUIRED PARKING Total: ot the Iic' $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pase I of2 Description Type of Construction Value Date Calculated T |t U l|-I-,ll\ tr rN I Uf{]YlA I lul\ 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: COM2004-00047ISSUED: 0111412004 APPLIEDz 0111412004 EXPIRESz 0711412004 VALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $r0.00 $4.s0 $3.15 $6.00 $12.00 $4.00 $r2.00 $11.00 $62.65 Date Paid ut4t04 Ut4t04 ut4t04 Ut4t04 ut4t04 Ut4t04 ut4t04 t/14104 Receipt Number 1200400000000000048 1200400000000000048 1200400000000000048 1200400000000000048 1200400000000000048 1200400000000000048 1200400000000000048 1200400000000000048 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. I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2 Rough Mechanical: Prior to Cover 3 Final Gas: When all gas work is complete. 4 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 70f .005 wiII 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. [,1 C)wner or Paee2 of2 Date -\ r ees raro Keourreo lnsDecuons I 225 Fifth Street j, Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services I)epartment Public Works Departm'ent Recelpt #: 120U00000000000U8 D*et 0Ul4l20O4 l:10:0ePM Job/Journal Number Desaripaion Amount Paid coM2004-00047 coM2004-00047 coM2004-00047 coM2004-00047 coM2004-00047 coM2004-00047 coM2004-00047 coM2004-00047 + 1Yo State Surcharge + l0Yo Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets l-4 Heat Pump -Mechanical Issuance Fee- Minimum/Adj ustrnent Mechanical 3.15 4.50 12.00 6.00 4.00 12.00 10.00 I1.00 Item Total:$62.6s Payments: Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check coMFoRT FLOW HEATING djb In Person Payment Total: $62.6s $62.6s