HomeMy WebLinkAboutPermit Mechanical 2005-6-2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00648
ISSUED: 06/02/2005
APPLIED: 05/31/2005
EXPIRES: 12/02/2005
VALUE:
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
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Add air conditioner
, ~ 0 '
. wner:
Address:
SCOTT KNUTSON
502 WALNUT PL
SPRINGFIELD OR 97477
Phone Number: 503-539-8976
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
~---(-~~
Contractor .~- , 'License
COMFORT FLOW 460
I BUlLDINGINF~outo
ATTENt"ON: ureyu,'b the Oregon Utility .
, ~ ru,~6opt~ ~ 'es are set 10rth Lot Size:
R-3 fo'.~ tio~htarf Si~W h Ofo.R 952-001- Sq Ft 1st Floor:
Non ~~ 95 :omot)_t\hro~g 01 the rules by 'Sq Ft 2nd Floor:
VN\n 0 V~ capleS t lephone Sq Ft Basement:
0090.:0 1lreefftm~:(Note: .t~e ~otification Sq Ft Garage/Carport
ca\\lng ne~~tbgon Utility Sq Ft Other:
numberS ho~,g ~_riti32-2344). n/a Occupant Load:
,eme
I DEVELOPMENT INFORMATION I
Expiration Date
06/27/2005
Phone
541-726-0100
# of Units:
" Primary Occupancy Group:
Secondary Occupancy Group:
, Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
..."
.'
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Cover'age:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
PUB~--:.i€'f.M.pROrV ji:~~)IRE It- ~\tl{ ,~~6~
\ t1\u \.... .... ER t1IS PERi'll
P-.Ul\10RIIEO UNO P-.BP-.NO~'~E~a119\lype:
COMMENCEO OR I~OO Downspouts/Drains:
P-.N'{ I BO OP-.'{ PER.
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
-~:~~'J~!9~!~~,>",., ~.<,..
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.. t~
i,'
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00648
ISSUED: 06/02/2005
APPLIED:, 05/31/2005
EXPIRES: 12/02/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
:, 541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid'
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Boiler/Comp Up To 100,000 btiI
Minimum/Adjustment Mechanical
Amount Paid
: ;
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
6/2/05
6/2/05
6/2/05
6/2/05
6/2/05
Receipt Number
1200500000000000751
1200500000000000751
1200500000000000751
1200500000000000751
1200500000000000751
Total Amount Paid
$62.65
I Plan Reviews I
1
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 Insoections I
Rough Mechanical: Prior to Cover
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
~~~I~
t
Owner or Contractors Signature
(O/C)./~
. .
Date
Pae:e 2 of2
225 Fifth Street
SRringfitld, Oregon 97477
511-726-3759 Phone
~)ty of Springfield Official Receipt
l."'velopment Services Department
Public Works Department
,
l
Job/Journal Number
COM2005-00648
COM2005-00648
COM2005-00648
COM2005-00648
COM2005-00648
RECEIPT #:
1200500000000000751
Date: 06/02/2005
3:05:41PM
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Boiler/Comp Up To 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
Check
COMFORT FLOW HEATING
CO
DJB
30013
In Person
$62.65
Payment Total:
$62.65
I
i
6/2/2005
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