HomeMy WebLinkAboutPermit Mechanical 2006-10-25
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I374
ISSUED: 10/25/2006
APPLIED: 10/25/2006
EXPIRES: 04/25/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3322 PHEASANT BLVD
ASSESSOR'S PARCEL NO.: 1703221202600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: WESLEY WAY
Address: 3322 PHEASANT BLVD
SPRINGFIELD OR 97477
Phone Number:, 541-741-7593
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
Expiration Date
06/27/2007
Phone
541-726-0100
VB
BUlLDlNl. mruK1VlATlONI
. 'd ''in O~L AN'i
# of Stories: GOI'tb 1\ 'Lot . :
HeightofStr'tj~~mGNIJ91J 51 HO 03~~\F~ClRoor:
Type ofil!;k\: 51H1 H3GNO G3iij\rt)2I1J1Floor:
WateOWYil~:1IWH3d l\~~~\!\Dent:
Ra~~T~RejHl :1\ 3HldX3 llIJH5 ~q..fh~mlll'/Carport
Energ)l'P'ath: sq ttl~r:
Sprinkled Building: nla Occupant Load:
# of Uuits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
, DEVELOPMENT INFORMATION I
REQUIRED PARKING
'rp.<;I/OUI0
Overlay Dist: 'O""'gon laW requI To.tal:t',lity
......'T\ON " Orean" I'
# Street TreeS;Rqd':. d' pted by the .Ha. ndicap'ped:
, ' I - a 0 ..I.:) St:H I~ "
Paved Drive.Rqd: ru e,; ....hos6 rules ?Compact:"
'V" . enter I "R S' ,,;-vv I
% of Lot Cov.e'lage:On e 0"0 through 0" "\ s b'
\,'V ..' 52-001-0 I '01 the ru e ,
in OAR 9 _"" nhtain COpies . ._I~nhOne
I PUBLIC IMPROVEME~is!le center. ~I'lUlUtii\ty Notilication
the oregon 44)
nurnberlor Sidewal19:ryp'e:23 .
centen" ,'V-
DownspoutslDrains:
Frontyard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I374
ISSUED: 10/25/2006
APPLIED: 10/25/2006
EXPIRES: 04/25/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee. P"i&J
Fee Description
....Mechanicallssuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$6.00
$12.00
$27.00
10/25/06
10/25/06
10/25/06
10/25/06
10/25/06
10/25/06
10/25/06
Receipt Number
1200600000000001565
1200600000000001565
1200600000000001565
1200600000000001565
1200600000000001565
1200600000000001565
1200600000000001565
Total Amount Paid
$65.35
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.
~ Reouired Tn.~
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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
[ 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.
~ .4//~--
r '14 //~~
Owner ofCont.<ctors Signature -
--
Date
Paee 2 of2
225 Fifth Street
., ~,
. .
Sprmgfield, Oregon 97477
541-726-3759 Phone
.
~i
Wit.
<a of Springfield Official Receipt
_elopment Services Department
Public Works Department
Job/Journal Number
COM2006-01374
COM2006-0 1374
COM2006-0 1374
COM2006-01374
COM2006-0 1374
COM2006-0 1374
COM2006-0 1374
Payments:
Type of Payment
Check
cRcccint 1
RECEIPT #:
120060000000000~565
Date: 10/25/2006
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
, Furnace - up to 100,000 btu
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
djb
36327
In Person
Payment Total:
Page 1 of 1
11:14:4IAM
Amount Due
2,25
3,60
4,50
12.00
6.00
27.00
10.00
$65.35
Amount Paid
$65,35
$65.35
10/25/2006