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Home My WebLink AboutPermit Mechanical 2005-09-30FIELD 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: COM2005-01312 ISSUED: APPLIED: EXPIRES: VALUE: 09/30/200s 09t27t2005 03/30/2006 &&\ SITE ADDRESS: 1031WATER ST ASSESSORTSPARCELNO.: 1703352208300 Springfield TYPE OF WORK: Mechanical Only ir0il CE;TYPE OF USE: Repair PROJECT DESCRIPTION: Replace Gas Furnace.ffJlg PERMII SHALL 0ptr,lfrl At{v DAY PEB IS AEAN DONED ENC ED OR PEBfu,If Residential 541-726-5567 Phone 541-726-0100 Owner: Address: Contractor Type Mechanical FISHER ROYCE E & FRANCES D l03l WATERST SPRINGFIELD OR 97477 1,80 i00 FOR Contractor COMFORT FLOW License Expiration Date 06t27t2007460 CONTRACTOR INFORMATION 'ION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla 0 catrbn Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: Handicapped: Compact: n $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Page I of2 Value Date Calculated Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01312ISSUED: 0913012005 APPLIEDz 09127/2005EXPIRES: 03/3012006 VALUE: Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o State Surcharge Air Handling Unit Up to 10,000 Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.s0 $3.15 $8.00 $12.00 $25.00 $62.6s Receipt Number 2200s0000000000136r 2200s00000000001361 2200500000000001361 220050000000000136r 2200500000000001361 2200500000000001361 9/30/0s 9t30t05 9/30/05 9t30t05 9t30t05 9/30/0s Fees Paid 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. Reouired fnsnect 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 shalt be done in accordance with the Ordinances of the City of Springlield 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 wilt 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 Ptse2 of? Date ?<a o5I 225 Fifth Street Springfeld, Oregon 97 477 541-126-3159 Phone city of Springfield Official Receipt lvelopment Services DePartment Public Works DePartment RECEIPT #: 2200500000000001361 Date: 09/30/2005 2:52:45PM Job/Journal Number coM2005_01312 coM200s-01312 coM200s-01312 coM200s-01312 coM2005-01312 coM2005-0t3t2 Description Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 1yo State Surcharge + llYo Administrative Fee Amount Due 12.00 8.00 2s.00 10.00 3.l s 4.50 Fayments:$62.65 Type of Payment Check NumberPaid By Check COMFORT co. HEATING How Received In Person Payment Total: Amount Paid $62.6s Received By Batch Number Number ddk 313s9FLOW $62.65 9/30/200s Page I ofl r$naffin Item Total: