HomeMy WebLinkAboutPermit Mechanical 2006-02-02Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00120ISSUED: 0210212006APPLIEDz 0210112006EXPIRES: 08/0212006
VALUE:
SITE ADDRESS: 2571 15TH ST
ASSESSOR'S PARCELNO.: 1703243200318
PROJECT DESCRIPTION: Gas Piping & Water Heater
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: Addition
",.,ir..1"d1df8fi"1adopted by the Oregon Utitity
n OAII 952-001 -001 0 throu gh OAR 952-001-
0090. You may obtain copi es of the rules bycalling the center. (Note the telephone
n
enter is 1 -800-A32-2944)
License
,84164
Owner:
Address
Contractor Type
Mechanical
MEYER FAMILY SURVIVORS TRUST
2583 15TH ST
SPRJNGFIELD OR 97477
Contractor
HOME COMFORT HEATING &
HOME COMFORT HEATING &CE
Expiration Date
06t25t2007
06t25t2007
Phone
541-34s-2838
541-345-2838
# of Units:
Primary Occupancy Group:
, Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
-# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
. COMMENCED
t[i',TiesilNuu1{o DAY
I
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
nla
REQUIRED PARJflNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
. Notes:
Pase 1 of3
T
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Llne
PERMIT NO: COM2006-00120ISSUED: 0210212006APPLIEDz 0210112006
EXPIRES: 08/0212006
VALUE:
Valuation Descrintion
Description Tvpe of Construction
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ l0%o Administrative Fee
+ 87o State Surcharge
+ 87o State Surcharge
Fixture
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Minimum/Adjustment Plumbing
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
2200600000000000160
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$10.00
$4.s0
$4.50
$3.60
$3.60
$14.00
$4.00
$41.00
$31.00
$116.20
2t2t06
2tzt06
2t2t06
2t2t06
2t2t06
2t2t06
2tzt06
2tzt06
2tzt06
tr'pps Peid
Plan
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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Final Plumbing: When all plumbing work is complete.
Rough Plumbing: Prior to cover and including required testing.
Reorrired fnsnections
Paee 2 of3
Building/C ombination Permit
Status Issued
225Rilth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
S4l-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00120ISSUED: 0210212006APPLIEDz 0210112006EXPIRES: 08/0212006
VALUE:
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.
/-z-DL
Owner or Contractors Signature Date
Paee 3 of3
RECEIPI 2200600000000000160 Date: 02t0212006 8:35:07AM
Job/Journal Number
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00090
coM2006-00120
coM2006-00120
coM2006-00120
coM2006-00120
coM2006-00120
coM2006-00120
coM2006-00120
coM2006-00120
cbM2oo6-ool20
coM2006-00106
coM2006-00106
coM2006-00106
ibuzooo-ootoo
Description
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Gas Outlets 1-4
+ 8% State Surcharge
+ l0o/o Adminishative Fee
Fixture
Minimum/Adjustment Plumbing
+ 8% State Surcharge
+ l0o/o Adminishative Fee
Gas Outlets l-4
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ l0o/o Administrative Fee
Fixture
Minimum/Adjustment Plumbing
+ 8% State Surcharge
+ l0%o Administrative Fee
+ 8% State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
41.00
10.00
4.00
3.60
4.50
14.00
31.00
3.60
4.50
4.00
41.00
10.00
3.60
4.50
14.00
31.00
3.60
4.50
3.60
4.s0
8.00
12.00
2s.00
10.00
106
106
Type of Payment Paid By
Item Total:
Received By Batch Number Number How Received
$29s.50
Amount Paid
CreditCard
CreditCard
CreditCard
HOME COMFORT/JEFF
ELLING
HOME COMFORT/JEFF
ELLING
HOME COMFORT/JEFF
ELLING
njm
njm
njm
063 136
063 l 36
063 I 36
Fax
Fax
Fax
Payment Total:
$l16.20
$l16.20
$63. l0
:{
'l
$295.s0
't
2/2/2006
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