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Home My WebLink AboutPermit Mechanical 2005-9-30 i . . CITY OF ~rKll~uJ:'l~L1J Building/Combination Permit PERMIT NO: COM2005-01313 ISSUED: 09/3012005 APPLIED: 09/2712005 EXPIRES: 03/30/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1411 OKSANNA ST ASSESSOR'S PARCEL NO.: 1703342202000 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace Gas Furnace. Contractor Type Mechanical Contractor COMFORT FLOW NOTICE: Phone Number: THIS PERMIT SHA AUTHOR/7m 11"C'~~ ~XPIRE IF THF Wnov GUMMr:~If'P'" r.;"--: ' . Ill,) /"tHMIT IS N . I CONTRAClItORJNFORMAlllOl'll'IONED FOR OT -. V, tHrULl. License Expiration Date: 460 06/27/2007 541.747-9440 Owner: Address: GAULT DAVID S & PATRICIA 1411 OKSANNA ST SPRINGFIELD OR 97477 Phone 541-726-0100 BUILDING INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport A ~}!er~ Path: Sq Ft Other: T Sp:i'nkleil':B1likIin2; n/a Occupant Load: fof/ow ,..,~_ _ .-' ~8l.1n law '''n..:.. . ".-.... ~........"....,....:;. - -... luu lOt I DEVEIc.@RMElS't,INFORMATIONulln Uti/it 0090' .., ""c-U01-00l0 th-- 'U'C'S are set fO~h . You:no .'.. rOUgh OAR 95 caf/HJ~~'~>:D1st:am Copies of 2-00~_ num6l,;~t;;,eet~Trees:R,q(l.;te: th the rules by Paved Drlvell!qd:n Ur. e telephone %GiN!ot <;:ove(age: Iflty Notification . vuv-332-2344). REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of2 . . CITY OF ~rKll~uJ:'1~L1J . Status Issued Building/Combination Permit PERMIT NO: COM2005-01313 ISSUED: 09/30/2005 APPLIED: 09/27/2005 EXPIRES: 03/30/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Ff'f'S P.llid , Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid $10.00 $4,50 $3,15 $8.00 $12.00 $25.00 Date Paid 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 Receipt Number 2200500000000001362 2200500000000001362 2200500000000001362 2200500000000001362 2200500000000001362 2200500000000001362 Total Amount Paid $62.65 I Plan Reviews I 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. IRf'~ Rough Mechanical: Prior to Cover Final Mechanical: When aU 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 con.strudion. 1./ 77. '.~____~' - q-3o-o~ Ow~er or C;;;;tractors Sign';rt.;re Date Pa2e 2 of2 SLO>"'I!M<t!l!),fil?:!..!!:ll ~; '; ......l! Furnace n, 't.-J a) C) ~' rJJ! .. ~' ~, ~~ .. Ql .~ (; Ji ~; ~! ~I ~2Jy City Job Number ~ ~-og-- LOCATION OF PROPOSED WORK: 1411 N3/:, ()1<.':J.~l"\f\~ $- ASSESORS MAP: TAX LOT: \ ~WNER: ~-t ADDRESS: 11.\ \ \ 14'1- q44D CITY: ~ tlavP- Gau~+ aL~J\.l\G sr. ~~ri ZIP: 314TI PHONE: STATE: -D'R. DESCRlrTlON OF WORK: ~P. (3 a<;, ~V"\l'o.O D NEW: REMODEL: ADDITON: DEMOLISH: OTHER: t..-- VALUE: ~ CONTRACfOR'S NAME CONST. CONTRACFOR # EXPIRES PHONE ADDRESS GENt:RAL: PLUMBING: MECHANICAL: CON\-fh---\- r: \ r,v\ DOl '5:\ ~ i.\ loa '7~lo-()\C(') \(V51 ELECfR! CAL: MECHANICAL PERMIT PLUMBING PERMIT ITEM FEE ITEM FEE Exhaust Hood .. I Vent Fan No. Wood Stove/Insert/Fireplace Unit fixtures Residential Bath(s) No. Sanitary Sewer Water IT. IT. Storm Sewer IT. Mechanical Permit Subtotal "Minimum of $45.00 State Surcharge 7% Administrative Fee 10% Plumbing Permit Subtotal "Minimum of $45.00 State Surcharge 7% Issuance Fee Administrative Fee 10% TOTAL MECHANICAL . " 1,'5 (001. - TOTAL PLUMBING M' ,[Q@lJ:,.\i)1';\\l';i('i)111 · :.. / .:~.~~tl~:.lk .~~,t:t~~_ P:t:um11in~ · Mrs.ee~raneous _...~~:.__._..._.lj ..';.1 Shared Drive(T:)/Building Fonns/Pennit Worksheet3-04,doc 225 Fifth Street Sp~ringfield, Oregon 97477 541-726-3759 Phone . .~~.~~~~' ,"-~-~ ~...-. ~' - .. ..... , , ...,c __......__.... _. J Job/Journal Number COM2005-01313 COM2005.0 1313 COM2005-0 1313 COM2005-0 1313 COM2005-01313 C'OM2005-0 1313 Payments: T/pe of Payment Check :. , 'j ., , 9/30/2005 RECEIPT #: .ty of Springfield Official Receipt Wevelopment Services Department Public Works Department 2200500000000001362 Date: 09/30/2005 Description Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By COMFORT FLOW HEATING Received By ddk Page I of I Item Total: Check Number Authorization Batcb Number Number How Received 31359 In Person Payment Total: 2:55:07PM Amount Due 12.00 8.00 25.00 10.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65