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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 tFrrxnl.lo