HomeMy WebLinkAboutPermit Mechanical 2004-9-10
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Status
Issued
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01125
ISSUED: 09/10/2004
APPLIED: 09/10/2004
EXPIRES: 03/10/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1354 OKSANNA ST
ASSESSOR'S PARCEL NO.: 1703342204500
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: CHange out gas furnace
Owner: WALTER CORVINGTON
Address: 1354 OKSANNA ST SPRINGFIELD OR 97477
Phone Number: 541-988-2015
I CONTRACTOR INFORMATION I
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Contractor __@.~.p\~\>,,,,,<?,f) ~~ License
COMFORT F~\Y":' e~ "oS/. '0 _\. .~l(J^ \>\ 460
~~~r~r~\lr4mRiiATION I
411!: ~~_o~ ';'~L \~'J \)ol.( tt'o\\-
# of Units: ~~'lD~cP ~\~~~l.Wf a').~ Lot Size:
Primary Occupancy Grou~~~~~'!~~ ~ 1>ili~6f~ture Sq Ft 1st Floor:
Secondary Occupancy ~~ ~ ~.o ~ ~at: Sq Ft 2nd Floor:
Primary Construction Tylfe~~1I> ~~ ISJ. ~o.. ~Wi er Type: Sq Ft Basement:
Secondary Construction m~'(,?.,R, ~~O 0 ~<$\ Range Type: Sq Ft Garage/Carport
# of Bedrooms: o~.o\'Il'- "'~ Energy Path: Sq Ft Other:
~~~ ,;;.&r Sprinkled Building: n/a Occupant Load:
~ ~~t<<
I DEVELOPMENT INFORMATION I &-~ ~'V'
,,'fI.<< ~ 'REQUIRED PARKING
~ ~~, ~
Overlay Dist: ~~ ~,,- ~ ~'-Total:
# Street Trees Rqd: $-~ S ~~'V~~ Handicapped:
Paved Drive Rqd: ~ ,,~~<;j Compact:
% of Lot Coverage: SV:-~~~~ ~~
"~"~ ~~ '" ~ ,,<;).
1'v o.~",("\ ""C:"" \,..
I PUBLIC IMPI<<;iH;y.if~i.}.'-'\ ~ ~'(;'
\ \ I ",. <;)~
, ~~~~~~~ Sidewalk Type:
" # DownspoutsIDrains:
Contractor Type
Mechanical
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Expiration Date
06/27/2005
Phone
541-726-0100
I Valuation Descriotion I
Type of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
Total Value of Project
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount Paid
.
I Fp-p-s Pfclid I
Amount Paid
$10.00
$4.50
$3.15
$6.00
$12.00
$27.00
$62.65
I Plan Reviews I
Date Paid
9/10/04
9/10/04
9/10/04
9/10/04
9/10/04
9/10/04
. CITY OF OSrKll'lul'lJ!,LU
Building/Combination Permit
PERMIT NO: COM2004-01125
ISSUED: 09/10/2004
APPLIED: 09/1012004
EXPIRES: 03/1012005
VALUE:
Receipt Number
1200400000000001332
1200400000000001332
1200400000000001332
1200400000000001332
1200400000000001332
1200400000000001332
To Request an inspection call the 24 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.
I Rp-onirp-d IDSDP-diDDS I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that 1 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
timO d^u;ng c:nstruction. 9/1 0/ 0 q
ow~ or Date
Paee 2 of2
225 Fifth Street
Springtield, Oregon 97477
541-726-3759 Phone
.
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1IilY of Springfield Official Receipt
"elopment Services Department
Public Works Department
RECEIPT #:
1200400000000001332
Date: 09/10/2004
9:26:15AM
Job/Journal Number
COM2004-01125
COM2004-0 1125
COM2004-01125
COM2004-01125
COM2004-01125
COM2004-01125
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
3.15
4.50
12.00
6.00
27.00
10.00
$62.65
Amount Paid
Check
COMFORT FLOW
djb
27123
In Person
Payment Total:
$62.65
$62.65
9/10/2004
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