HomeMy WebLinkAboutPermit Mechanical 2006-1-30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 502 WALNUT PL
ASSESSOR'S PARCEL NO.: 1703342303500
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00648
ISSUED: 01/30/2006
APPLIED: 05/31/2005
EXPIRES: 07/30/2006
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition'
r:;
Residential
PROJECT DESCRIPTION: Add air conditioner
Owner: SCOTT KNUTSON
Address: 502 WALNUT PL
SPRINGFIELD OR 97477
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Contractor Type
Mechanical
Contractor
COMFORT FLOW
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
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cc:..;~. '",I "'~:~i ut.;,,,,:r: .:;o,~~~nJ,~u~~~~s :.:,~03-539-8976
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nUnlU8i '10((:13 Oregon u~ilil\1 ,':oliiicu~;on
CSliLer IS "i-tlJO-332-23t:,L:).
I CONTRACTOR INFORMATION I
License
460
r BUIL~ING INFORMATION I
Expiration Date
06/27/2007
Phone
541-726-0100
# of Stories: Lot Size:
Height of Strb~~:ie ~i-' RK
Type of~~lJ.~ PERMIT SHALL EXPIRg 1Ft I/o' j
Water TYJl!'5:rHORIZED UNDER THIS g ~h .
Range TYi!P 'MMENCED OR IS ABAN~tiifa;i.Q.ie/Carport
Energy P t V J 80 DAY PERIOD, Sq Ft Other:
SprinkJe In ing: nla Occupant Load:
I DEVELOPMENT INFORMATION __
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00648
ISSUED: 01/30/2006
APPLIED: 05/31/2005
EXPIRES: 07/30/2006
VALUE:
~
~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
':'A 541-726-3769 Inspection Line
':;ot,i
Total Value of Project
LFees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% 'Administrative Fee
+ 7% State Surcharge
\ Boiler/Comp Up To 100,000 btu
,. Minimum/Adjustment Mechanical
+ 10% Administrative Fee
Renew Mechanical Permit
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
$4.50
$45.00
6/2/05
6/2/05 '
6/2/05
6/2/05
6/2/05
1/30/06
1/30/06
Receipt Number
1200500000000000751
1200500000000000751
1200500000000000751
1200500000000000751
1200500000000000751
3200600000000000042
3200600000000000042
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Total Amount Paid
$112.15
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I Plan Reviews I
'!O:.'
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.
LReouired Insoections I
"
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
,.,J:
., 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 :'
j 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.
~) 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 construc~n. , ./
~~~/ J /-~C\-C)h
Owner or Contractors Signature Date
Paee 2 of 2
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225 Fifth Street
, Springfield, Oregon 97477
541-726-3759 Phone
OLio-;- i'i
~~.J
~,~
f;ity of Springfield Official Receipt
""'Jevelopment Services Department
Public Works Department
RECEIPT #: ' 3200600000000000042
Date: 01130/2006
Job/Journal Number
CQM2005-00648
CbM2005-00648
Description
Renew Mechanical Permit
+ 10% Administrative Fee
Item Total:
l'1~yments: Check Number Authorization
~xpe of Payment Paid By Received By Batch Number Number How Received
C~eck COMFORT FLOW nJm 32703 In Person
Grange COMFORT FLOW nJm In Person
. t.~ Payment Total:
'''',:5'
"
d" Description
J0b/Journal Number
COM2005-00648 Renew Mechanical Permit
COM2005-00648 ,+ 10% Administrative Fee
Item Total:
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received
Check COMFORT FLOW njm 32703 In Person
((pange COMFORT FLOW nJm In Person
:1 Payment Total:
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1/30/2006
Page 1 of I
9:01:10AM
Amount Due
45.00
4.50
$49.50 .,
Amount Paid
$63.10
($13.60)
$49.50
Amount Due
45.00
4.50
$49.50
Amount Paid
$63.1 0
($13.60)
$49.50
225 FIFTH STREET . SPRINGFIELD, OR 97477 . FH:(54 1) 726.3753 · FAX: (541) 726-3689
~"L..) City Job Number [.()"YVl J- CU S - DO (0 L{ ~
LOCATION OF PROPOSED WORK: S oa LUdf\u..t <P\.
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ASSESORS MAP:
TAX LOT:
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OWNER: SC6++ 1<l'\LL+SeY"'\
ADDRESS: 5Da u ~'I t_ ___PJ._
CITY: 7j)~ I d. STATE:
,
PHONE: 50'3 - 534' - g-q-=t-Co
e")e.
DESCRIPTION OF WORK:
1l cld -
A le-
t
NEW:
REMODEL:
ADDITON:
DEMOLISH:
OTHER: t.--
4
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR #
EXPIRES
GENERAL:
PLUMBING:
MECHANICAL: COf''l-fh-+ \=' \ [)ll''I
-.\\:
DOl -:it. 1..\ loO
\q51
ELECTRI CAL:
ZIP: ql41i
VALUE:
PHONE
7 ~ lo - () t c{)
MECHANICAL PERMIT
PLUMBING PERMIT
ITEM
FEE
ITEM
~,
e ~ Furnace
Exhaust Hood
Vent Fan No.
Wood Stove/Insert/Fireplace Unit
Fixtures
Residential Bath(s) No.
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
~ 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
, 11 10
to~.
Plum--
.
~Vlisce}~al1eous
TOTAL PLUMBING
1/
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FEE
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Shared Drive{T:)/Building Fonlls/Penllit Worksheet 3-04,doc