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Home My WebLink AboutPermit Mechanical 2006-6-6 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00669 ISSUED: 06/06/2006 APPLIED: 06/01/2006 EXPIRES: 12/06/2006 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 984 FILBERT LN ASSESSOR'S PARCEL NO.: 1802061407600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install gas pipe, gas furnace and heat pump Residential Owner: CHRIS CUMMINS Address: 984 FILBERT LN SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor,..... License 1"\. ,cNTION: Oregon law reauires YOI' flri COMF9R;J;','~'f.i9JY "'~,...",f~~l h" ""'~ ~,_ ~. . ,.4,~,u ~otification CI:JrBNILDIN@;i-NFi)RMATiONfl In OAR 952~001-001 0 through OAR 952~001- 0090. You may obt~i9f~..!;?Ji~~:of the rules by calR;~ the cente,l:le\i.g;ItJtg~ ~le~'Eti~~hone number for the Ortr;,PJcno()~fl~tNotification VN Center is 1~tts!3~~e2344), Range Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPME1~ 1 INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: Street Improvements: Storm Sewer Available: Special Instruction: ....11.(1 r'-~t 'I~ "1" ."j =\';;11;;;.",':' -.'" \';-1;'1' I I U L-111VII I ." I""".L 1 r Ar-Ir......- 'T I tl..w-:. an. "Hi;..ollttl AUTHORIZED ijj2bl~uMJH!i~~~l'\]~ll COMMENCED OR IS ABANDONEO FO" ANY 180 DAY PERIOD. Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa!!e 1 of 2 Phone Number: 541-746-3980 Expiration Date 06/27/2007 Phone 541-726-0100 n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00669 ISSUED: 06/06/2006 APPLIED: 06/01/2006 EXPIRES: 12/06/2006 VALUE: Total Value of Project Fees Paid I Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.60 $6.00 $12.00 $4,00 $12.00 $11.00 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 6/6/06 1200600000000000799 1200600000000000799 1200600000000000799 1200600000000000799 1200600000000000799 1200600000000000799 1200600000000000799 1200600000000000799 $63.10 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 Insoections I 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. 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 A~~~ ' ,(:/6 06 .-.- /_ /' F ~ ( ~, / Ow~r or Contractors Signature Date I C Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-~759 Phone c;~, of Springfield Official Receipt 1 Jopment Services Department Public Works Department Job/Journal Number CO M2006-00669 CO M2006-00669 COM2006-00669 COM2006-00669 COM2006-00669 COM2006-00669 COM2006-00669 COM2006-00669 Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000000799 Date: 06/06/2006 Description + 8% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW HEATING CO Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 34266 In Person Payment Total: Page 1 of 1 9:53:17AM Amount Due 3,60 4.50 12,00 6,00 4,00 12,00 11.00 10.00 $63. i 0 Amount Paid $63,10 $63.10 6/6/2006