HomeMy WebLinkAboutPermit Mechanical 2005-01-21F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Buildin g/Combination Permit
PERMIT NO: COM2005-00055ISSUED: 0112112005APPLIED: 01/1812005EXPIRES: 0712112005
VALUE:
SITEADDRESS: 70526THPL
ASSESSOR'S PARCEL NO.: 1703361111801
PROJECT DESCRIPTION: Heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Owner:
Address:
Contractor Tvpe
Mechanical
Contractor
COMFORT FLOW
Expiration Date
0612712005
Residential
Phone
s4t-726-0100
CLAYTON RALSTON
705 26TH PL
SPRINGFIELD OR 97477
PhoneNumber: 541-746-1253
License
460
CONTRACTOR INFORMATION
# 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:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
n
R-3
vN
Floor:
Floor:
Load:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
ED UND
OMMENCED OCI
NY 180 DAY PERI
H
C
A
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
)RMATION
PUBLIC
Description Type of Construction
Pase I of2
Value Date Calculated
Valuation Descrintion I
Building/Combination Permit
Status Issued
225 Fifth Street, Spring{ield, OR
S4l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7Vo State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.15
$8.00
$12.00
$2s.00
$62.6s
Total Value of Project
Date Paid
u2u05
u2u05
u2u05
u2u0s
u2u0s
y2u05
Receipt Number
1200500000000000092
1200s00000000000092
1200s00000000000092
1200s00000000000092
1200s00000000000092
r200s00000000000092
Plan Reviews
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 Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reouired Insnections
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.
ltlor
Owner or
Pzse2 of2
Date
PERMIT NO: COM2005-00055ISSUED: 0112112005APPLIED: 01/1812005
EXPIRESz 0712112005
VALUE:
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
r:ty of Springfield Official Receipt
- ,velopment Services Department
Public Works Department
RECEIPT #: 1200500000000000092 Date: 0112112005 9:1e:54AM
Job/Journal Number
coM2005-0005s
coM2005-00055
coM200s-000ss
coM200s-000s5
coM2005-000ss
coM200s-000s5
Description
+ 7Yo State Surcharge
+ l0% Administrative Fee
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
Minimum/Adj ustment Mechanical
Amount Due
3.15
4.50
8.00
t2.00
10.00
25.00
Item Total:$62.6s
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check COMFORT FLOW djb 28456 In Person $62.65
Payment total:
-568
vzt/2005 Page I of I
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