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Home My WebLink AboutPermit Building 2004-3-19 .' . CITY 01' /)rKll~uNELD Building/Combination Permit PERMIT NO: COM2004-00307 ISSUED: 03/19/2004 APPLIED: 03/19/2004 EXPIRES: 09/19/2004 VALUE: Status Issued '; 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SlTE ADDRESS: 920 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272100500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRlPTlON: Gas piping, furnace and air handler Owner: RUBY PARMENTER Address: 920 DARLENE AVE SPRINGFIELD OR 97477 Phone Number: 541-895-2723 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW License 460 Expiration Date 06/27/2005 Phone 541-726-0100 '" , BUILDING INFORMA TlON I #. of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft l!Oor: Type of Heat: ~\'IttJ2 oor: Water Type: ?\\\'t. W SU' t,~! ent: Rang~ J:rfe~'. S\\~\.\. 't.~\\\S ?'t.?S ~ellrage/Carport EneigpP,hil:,\\w-\'\ O't.\\ '\ ~O\J'S t Other: '\\\~~~~\\\l't.? U~\\ \S ~'O~ ImpervIous Surface Area: I DEVELOPMENT~N:FO'~A. TJON 1 ~~'i ,J! Overlay Disl: # Street Trees Rqd: Paved Drive Rqd: REQUIRED PARKING R-3 SETBACKS Frontyard Setback: Side 1 Selback: Side 2 Selback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: % of Lot Coverage: '..,: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I \l1!eS '10\l,\~ On \"". q -:'\ IJII\lW "'\O~..o!e9 \\'Ie O!eSldewal~(fype: ,,"E~ 1 n\ed b'1 \ S <\!e se\ ^" I'" !\I\eS adO.. .,.....ose!\I eoDQ.wnsJ'ioutslDrains: '01l01N tel. '" \'I~' . ~- \ -l0\ilica\i05~~~~ -OO'? \\'I!~~i~S 01 \\,\e !~~e:e Op.f\ 9 <. b\aln C.. \'Ie \e\e? . n090. '<0\1 ma'1 onte!. ~~o\e', \\'\" ~o\ilica\lon [) .....0 ce __ I 1\1 \ , , .:.:........... \ f ~"...... .~..~u-r 'l'1,?~.l.....'"I'-+...,I. I V;alulitl({nDescrio'tiori , . Notes: Description Type of Construction $ Per Sq FI or multiplier Square Footage or Bid Amount Value Date Calculalcd " Total Value of Project Paee10f2 . . U 1 l' OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2004-00307 ISSUED: 03/19/2004 APPLIED: 03/19/2004 EXPIRES: 09/19/2004 VALUE: 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Ff'rrf Paid J Fee Description -Mechanical1ssuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Furnace - up 10 100,000 blu Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $4.00 $21.00 3/19/04 3/19/04 3/19/04 3/19/04 3/19/04 3/19/04 3/19/04 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 1200400000000000350 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 Tnsoections I 1 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. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. By signalure, 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 perlaining to the work described herein, and that NO OCCUPANCY will be made ofany structure without permission oflhe 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 projecl. I furlher agree to ensure that all required inspections are requesled at the proper time, thaI each address is readable from the street, that the permit card is located at the front of the property, and Ihe approved set of plans will remain on Ihe site at all timl'Aes during co:trifon. - /1---- O\}J'I)tJl-j Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Number COM2004-00307 COM2004-00307 COM2004.00307 COM2004-00307 COM2004-00307 COM2004-00307 COM2004-00307 Paymenls: Type of Payment Check ,. ~i ~,-"~ .. ,. City of Springfield Official Receipt Development Services Department .~I Public Works Department- Date: 03/19/2004 2:24:54PM Amount Paid 3.15 4.50 12.00 8.00 4.00 10.00 21.00 $62.65 Receipt #: 1200400000000000350 Description + 7% Stale Surcharge + 10% Administralive Fee Furnace - up 10 100,000 btu Air Handling Unil Up to 10,000 Gas Outlets 1-4 -Mechanical Issuance Fee- Minimum/ Adjustmenl Mechanical Received By djb l.:heck Number Batch Number Paid By COMFORT FLOW 25213 Item Total: Authorization Number How Received In Person Payment Total: . Amount Paid $62.65 $62.65 .