HomeMy WebLinkAboutPermit Mechanical 2005-04-20ITY OF F'tELD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Frx
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2005-00448ISSUED: 0412012005APPLIEDz 0412012005
EXPIREST 1012012005
VALUE:
SITE ADDRESS: 2478 37TH ST
ASSESSOR'S PARCEL NO.: 1702194206400
PROJECT DESCRIPTION: Heat pump, gas furnace and eac
Spring{ield TYPE OF WORK: Heating System
TYPE OF USE: New
PhoneNumber: 541-726-5956
License
Owner:
Address:
Contractor Type
Mechanical
Contractor
COMFORT FLOW
Expiration Date
06t27t2005
Residential
Phone
541-726-0100
WILLIAM ALLEN
2478 37TH ST
SPRINGF'IELD OR 97477
460
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#of Lot Size:
law
adopted by the
Center.Those rutes a
-0010 through
may obtain copies of
Sp rinBllid gflHiry1i 1st'.lttotuatne
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
Floor:
REQUIRED PARJilNG
Total:
Handicapped:
Compact:
R-3
VN
-2344)
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improyements:
Storm Sewer Available:
Special Instruction:
Notes:
$ Per Sq Fr
or multiplier
Square Footage
orBid Amount
Description Type of Construction
Page 7 of 2
Value Date Calculated
UUN II(AU
I' UILUII\ G TI\ I UKlTAISJ
Building/Combination permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Bax
541-7 26-37 69 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
Appliance Not Listed
Appliance Vent
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adj ustment Mechanical
Total Amount Paid
To Request an inspection call the 24
will be made the same working day,
day.
PERMIT NO: COM2005-00448ISSUED: 04t20t2005APPLIEDz 04t20t2005EXPIRES: 10t20t2005
VALUE:
Amount Paid
Total Value of Project
Date Paid
4t20t05
4/20t05
4/20tos
4t20/05
4t20tos
4t20t05
4t20t0s
4l20t0s
Receipt Number
1200500000000000476
1200500000000000476
r200500000000000476
1200500000000000476
1200500000000000476
r200500000000000476
1200500000000000476
1200500000000000476
$10.00
$4.50
$3.1s
$9.00
$6.00
$12.00
$12.00
$6.00
$62.6s
hour recording at 726-3769. AII inspection requested before 7:00 a.m.
inspections requested after 7:00 a.m. will be made the following work
Rough Mechanical: Prior to Cover
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 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.
Reviews
Owner or Contractors Signature
Pase 2 of 2
Date
Zct
E
,
I
_Ices rato I
225 Fifth Street
Springfir l, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
--- .velopment Services Department
Public Works Department
RECEIPT #: 1200500000000000476 Date: 0412012005 8:50:39AM
Job/Journal Number
coM2005-00448
coM2005-00448
coM2005-00448
coM200s-00448
coM2005-00448
coM2005-00448
coM2005-00448
coM2005-00448
Description
Furnace - up to 100,000 btu
Appliance Vent
Heat Pump
Appliance Not Listed
+ 7%o State Surcharge
+ l0%o Administrative Fee
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
12.00
6.00
12.00
9.00
3.t5
4.50
6.00
10.00
Item Total:$62.65
Payments:
Type of Payment Received By Batch Number
Authorization
Number tlow Received
Check
Paid By Amount Paid
Check coMFoRT FLOW HEATTNG djb 29383 In Person
Payment Total:
$62.6s
-$6-t^6-T
t,
(
il
r nnl?005
Page 1 of t