HomeMy WebLinkAboutPermit Mechanical 2007-8-9
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00030
ISSUED: 08/09/2007
APPLIED: 01/05/2007
EXPIRES: 02/09/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1838 YENTA AVE
ASSESSOR'S PARCEL NO.: 1703243400356
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace gas furnace.
Owner: BENSON ROBIN R & MARK C
Address: 1838 YENTA AVE
SPRINGFIELD OR 97477
Phone Number: 541-543-9719
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION I
Expiration Date
06/2712009
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT 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:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Curbside 5'
Curb and Gutter
Fully Improved
Storm Sewer ~ Yes
Special Instrd8W'~;';;';~ Oregon faw requires yoU to
Notlfica: ea adopted bV the Oregon Utility
Notes: In OAR s: Center. Those rules are set forth
MQn You :!~10 through OAR 952-OQ1.
callln th ~ eh..J1I \N1J.es OJ Ute ;~Jgi:l L
...,mJ"oe ::~. (Note: the 'au hm1liio~ Descri NOTICE:
C~erels 1~=ity i Ion THIS PERMIT SHAll EXPIRE IF THE WORK
Description Type of Construction .2344)perlts.ql~t SquBa.rdeAFolJt~ORIZED Wi~ THIS Pi~g.I~hUU
or mu Ip ler or I me~MENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Downspouts/Drains:
Pal!e 1 of 2
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
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
Renew Mechanical Permit
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00030
ISSUED: 08/09/2007
APPLIED: 01/05/2007
EXPIRES: 02/09/2008
VALUE:
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
Receipt Number
2200700000000000023
2200700000000000023
2200700000000000023
2200700000000000023
2200700000000000023
2200700000000000023
2200700000000001271
2200700000000001271
2200700000000001271
2200700000000001271
$10.00
$4.50
$2.25
$3.60
$12.00
$33.00
$10.00
$2.25
$1.13
$22.50
1/5/07
1/5/07
1/5/07
1/5/07
1/5/07
1/5/07
8/9/07
8/9/07
8/9/07
8/9/07
$101.23
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 ,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas 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 ofthe 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.
\)~(l, ~JO\wA C'r;M ~/'1f( CR .C;o-
ow~r or Cootnlet." s~.atu.. ~\I '" . 6 \ V Oat,
Pal!e 2 of 2
225 Fifth, Street
Sprh1gfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00030
COM2007-00030
COM2007-00030
COM2007-00030
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
2200700000000001271
Date: 08/09/2007
Description
Renew Mechanical Permit
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ ] 0% Administrative Fee
Paid By
COMFORT FLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 04969D Phone
Payment Total:
Page ] of]
9:29:05AM
Amount Due
22.50
]0.00
I.] 3
2.25
$35.88
Amount Paid
$35.88
$35.88
8/9/2007