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Home My WebLink AboutPermit Mechanical 2003-09-08Building/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: COM2003-00866ISSUED: 09/08/2003APPLIED: 09/0812003EXPIRES: 03/0812004 VALUE: SITEADDRESS: 254931STST ASSESSOR'SPARCELNO.: 1702193100801 PROJECT DESCRIPTION: Gas furnace changeout Owner: WILKINS RUBy F TE Address: 2549 31ST ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential LicenseContractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t27t2005 Phone s4t-726-0100460 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Street Storm Sewer Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Paved o/" of Lot Size: Sq Ft lst Floor: \o Ft 2nd Floor: Basement: $ Sidewalk Type: Downspouts/Drains: Area: PARI(ING s Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pase I of2 Description Type of Construction Value LlJr\ l r(AL l uI( rN r u_5ly!Ll\llf_.] l, U r Lr-rli\ u 11\ r t,r(1Yr,\!!1211_l Valuation Description I Date Calculated SPRIN 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: COM2003-00866ISSUED: 09/08/2003APPLIED: 09/0812003 EXPIRES: 03/0812004 VALUE: E ees Pa Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7Yo State Surcharge Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $12.00 $33.00 $62.65 Date Paid 9t8t03 918103 9t8t03 9/8/03 9t8t03 Receipt Number 1200200000000002081 1200200000000002081 1200200000000002081 1200200000000002081 1200200000000002081 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. 1 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2 Final Gas: When all gas work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Reouired Insoections By signaturer l 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAIICY 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. ()rl I t^a Owner or Signature Paee2 of2 Date rl.i CITY OF S GFIELD, OREGON 225IIITH a 477 c 726-3753 o FA)C l)726->--9 PERMIT WORKSHEET City JobNumbcr CO tt ?Do 9- Co 8bQ2 LOCATION oFPRoPosED woRlc J95 N 3 /s! ASSESSORS MAP: TA)( LOT:(1 oz (9 3\ oogo I ovxcp. +1t-y 4., tJz-LL-r^:-PHONE:12lz- ADDRESS: CITY:STATE: ZTP: NEW: - REMODEL:- ADDIIOI\L- DEMOLISH: OTHER: VALUE: NAME ADDRESS ARCHITECT: CONTRASTOR'S NAME ADDRESS CONST. CONTRACTOR#EXPIRXS PHONE GENEBAL: ELECTRICAL: SQ.IT X$/SQ.IT.= VA-LWfiEM Ivlain Garage Carport Total Valge Buitdiry PermitFee Administrative Fee State Sucharge Total Fee Furnace Exhaust Hood Vent Fan No. Wood Store/Insert/tireplace Unit Mechanical Permit State Issuance Aftninistrative tee State Surcharge TotrI Mechanical Permit Eees NEM fixtures Residential Bath(s) No. Sanitary Sewer .8. = Water IT. Storm Sewer FT. Plumbing Permit Administrative Fee State Surcharge Total Plumbing tees Demolition State Issuance Adminishative Fee State Surcharge Total Miscellaneous Permits EE Powr t2l01 PHONE * 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt Development Services Department Public Works Department I 2z23z17Pls4 coM2003-00866 coM2003-00866 coM2003-00866 coM2003-00866 coM2003-00866 -Mechanical Issuance Fee- Furnace - up to 100,000 btu Minimum/Adjustment Mechanical + 7oh State Surcharge + llYo Administrative Fee Item Total:$62.6s 10.00 12.00 33.00 3. l5 4.50 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOW HEATING CO. j-p 23244 In Person Payment Total: $62.65 $62.6s