HomeMy WebLinkAboutPermit Mechanical 2005-03-22ETNCF{r,D
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
SITE ADDRESS: 2526 34TH ST
ASSESSOR'S PARCEL NO.: 1702193100207
PRoJECT DESCRIPTION: Install gas furnace and air conditioner
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Building/Combination Permit
PERMIT NO: COM2005-00326
ISSUED: 0312212005
APPLIED| 0312212005
EXPIRESz 0912212005
VALUE:
Residential
4
Expiration Date
06127n005
t.14b.1t thlOwner:
Address:
Contractor TYPe
Mechanical
DAUGHERTY RICHARD D
2526 N 34TH ST
SPRINGFIELD OR 97478
T
Contractor
COMFORT FLOW
License
Square Footage
or Bid Amount
460
Phone
541-726-0100
# 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:
REQUIRED PARIilNG
overlav Dist: ATTENTION: Oregon lawTetrhres vtt r 1o
# Streei Trees Rqd:lollow rules adopted by t$fifiqppt3.: i','
paved Drive Rqd:Notification Center. Those OOSpAP$s:, ' :
o/o o|Lot Coveragh OAB 952-001-0010 throuch OAI:] ll',
0090. You may obtain copies of ti:i: ' -r -
lor the Oregon Utility Noti{rcatioil
Car.lariud qqeee 2 -2 3 ;l 4)
Downspouts/Drains:
# 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
$ Per Sq Ft
or multiplierDescription Type of Construction
Page I of2
Value Date Calculated
lq
THiS PEi
AUIHOR ED UNDTR THIS PERMIT IS NO
o/-\t U NL
ERIOD.
Valuation Description I
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: COM2005-00326ISSUED: 0312212005APPLIED: 0312212005
EXPIRESz 0912212005
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
Air Handling Unit Up to 10,000
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
3t22t0s
3t22t0s
3t22t05
3t22105
3t22t05
3t22t05
3122t05
Receipt Number
2200500000000000324
2200500000000000324
2200500000000000324
2200500000000000324
2200s00000000000324
2200500000000000324
2200500000000000324
$10.00
$4.s0
$3.15
$8.00
$12.00
$4.00
$21.00
$62.6s
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.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
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 70f .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.
\o,il.rd)-u /tbJ---),3-22-os
ililZ"".,r,. Signature
Pase2 oI2
Date
t(ees raro I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
eity of Springfield Official Receipt
levelopment Services Department
Public Works Department
RECEIPT #: 2200s00000000000324 Date: 0312212005 3:25:30PM
Job/Journal Number
coM2005-00326
coM200s-00326
coM200s-00326
coM200s-00326
coM2005-00326
coM2005-00326
coM2005-00326
Description
Fumace - up to 100,000 btu
Air Handling Unit Up to 10,000
Gas Outlets l-4
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 7Yo State Surcharge
+ llYo Administrative Fee
Amount Due
12.00
8.00
4.00
10.00
21.00
3.15
4.50
Item Total:$62.6s
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check COMFORTFLOW HEATING
co.
ddk 29189 In Person
Payment Total:
$62.65
$62.65
3/2212005 Page I of I
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