HomeMy WebLinkAboutPermit Mechanical 2003-9-22
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Status
Issued,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003'-00940
ISSUED: 09/22/2003
APPLIED: 09/22/2003
EXPIRES: 03/22/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 311 MILL ST
ASSESSOR'S PARCEL NO.: 1703352312900
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install AC, gas furnace and gas piping
Owner: MITTLEIDER L YNDEN
Address: 311 MILL ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION I
Expiration Date
06/27/2005
Phone
541-726-0100
VN
# of Stories: Lot Size:
Height of Structure Sq F~loor:
Type of Heat: i1 loor:
Water Type: ~ '" '\ ~ I\<b asement:
Range Type: ~~,~ ~~~ ~rage/Carport
Energy Path: ~\..\.. \'>(..f~ R:) t Other:
<\t~. ..\'\\ S~\\)~~ ~~~~ Impervious Surface Area:
~(), J.9-\~\ - '\\'lo 'r ~
IDEVELOP~~~~l~~'
~ \~~ \J~ '(
Overlay lli.~~ \ 'O~
# Street Tr'fel Rqd:
Paved Drive Rqd:
REQUIRED PARKING
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
SETBACKS
Street Improvements:
Storm Sewer Available:
Special Instruction:
Total:
Handicapped:
Compact:
% of Lot Coverage: 5 'loU \0
, \a~~eQu~eonU~~'l
,-.",,,,,QO(\ ,,_^ oreg _ ~t ion
I PUBLIC IMPI~.ci~V.EM~NJ~tO?\ed O~s'~' ru\eS ~; 95'2.~00'
~ \ ..."- tee1D . "n Or"' u\eS t
\0\\0 . n cen SideWaIk\Ty'~e: \De r
\\\\ca.\\O 00'\ ~OO \ ': . CO?\e6 Q' \e?Done
~o O~? 95'2.~ :'1 o'cDo~nsP.~g!stDrMhs:'\\ca.\\On
IU\ 0 ,,<ou f(\a. enter. \NO u\\\\w Not\
009 '\\\ng \De C oregon 3'2.~'2.3AA).
ca. f ,of \"e . _800~3
nu~be center \5 '\
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00940
ISSUED: 09/22/2003
APPLIED: 09/22/2003
EXPIRES: 03/22/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L Fees Paid'
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/ Adj ustment Mechanical
Amount Paid
Date Paid
$10.00,
$4.50
$3.15
$8.00
$12.00
$4.00
$21.00
9/22/03
9/22/03
9/22/03
9/22/03
9/22/03
9/22/03
9/22/03
Receipt Number
1200200000000002177
1200200000000002177
1200200000000002177
1200200000000002177
1200200000000002177
12002000Q0000002177
1200200000000002177
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.
I Reouired Insnections I
1 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
2 Rough Mechanical: Prior to Cover
3 Final Gas: When all gas work is complete.
4 Final Mechanical: When all 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
(W,,,-^ 1~^.^ Ii) q (1-2... { 63
Owm, r or cofractors Signature Date
Pal!e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00940
COM2003-00940
COM2003-00940
COM2003-00940
COM2003-00940
COM2003-00940
COM2003-00940
Payments:
Type of Payment
Check
Receipt #: 1200200000000002177
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEATING
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfi~ld Official Receipt
Development Services Department
Public Works Department
Date: 09/22/2003
11:41:42AM
Amount Paid
3.15
4.50
12.00
8.00
4.00
21.00
10.00
$62.65
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65