HomeMy WebLinkAboutPermit Mechanical 2005-9-12 (2)
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1595 RAMBLING DR
ASSESSOR'S PARCEL NO.: 1703252209400
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01224
ISSUED: 09/1212005
APPLIED: 09/0812005
EXPIRES: 03/1212006
VALUE: 10\\0",i09
sllle
.'~H'.d 'na. ._....r\ use
_.od a.S 'QV~;rO speG\"....
1'\Sp~Wigfi~IW~E.OF Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install gas furnace, heat pump, gas water heater, ducts and piping
Owner:
Address:
JANICE VAN ETIEN
1595 RAMBLING DR
SPRINGFIELD OR 97477
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Contractor Type
Mechanical
Plumbing
Residential
l"""?l~ .
. 'd 0.: t:: Phone Number: 541-747-5257
THIS PERim SHALL EXP/R
AUTHOR,ZCD lIi\llll'r> Tl.n ~.lFrHE WOHl(
uUI,,,',t,;n,"1I]I1/S ,,- , ~"""' 1<1 riUT
I CONTRACTOR INFORMATlON'I:RIO~fJ"NUOiVED FOR
License Expiration Date
84164 0612512007
84164 06/25/2007
Contractor
HOME COMFORT HEATING & AIR
HOME COMFORT HEATING & AIR INC
Phone
541-345-2838
541-345-2838
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
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I BUILDING INFORMATION.
R-3
# of Stories: Lot Size:
Height of Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: ATTENTION: Oregon I~q 1t!&.~~6dmort
Energy Path: follow rules adopted by&1ltfUNMf,:; , .
Sprinkled Notification CeniJ[.. ThosgffH-.P9~tibMll"ly
Inn^On~l"\n^1 __ :Sdreser,orth
I DEVELOPMENT INFORMA'f.jGN:I~~~ '~~;~:sno~~H 952-001-
c;clllmg me center (Note.th t M:l}00Um PARKING
numb f h' . e e/epnons
Overlay Dist: er or t e Oregon Utility NcJl!lf1!~lion
# Street Trees Center IS 1-800-332-234"l;Iandlcapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
VN
IPUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDralns
1 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Fixture
Furnace - up to 100,000 btu
Gas Outlets 1-4
"eat Pump
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Total Amount
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. Lll t'O.. ~rldNGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01224
ISSUED: 09/1212005
APPLIED: 09/08/2005
EXPIRES: 03/1212006
VALUE:
I Valuation DescriDtion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Value
Date Calculated
Total Value of Project
Fees P,aid I
Amount Paid
Date Paid
Receipt Number
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
1200500000000001339
$10,00
$9,00
$6,30
$12,00
$14,00
$12,00
$4,00
$12,00
$5.00
$31.00
9/12/05
9/12105
9/12105
9/12/05
9/12/05
9/12/05
9/12105
9/12/05
9/12105
9/12/05
$1l5.30
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.
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete,
Rough Gas: After line is installed and required testlng and capped if not attached to an appliance,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work Is complete,
2 of 3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01224
ISSUED: 09112/2005
APPLIED: 09/08/2005
EXPIRES: 03/12/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I slllte 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 wiD 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 wiD remain on the site
atal~~)"~~ 9//Z/05
~.
Owner or Contractors Signature Date
3 of 3
21.5 Fifth Street'
J
Springfield, Oregon 97477
541-726-3759 Phone
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aj:"'";. _~.
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.... It:
.JiJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
. COM2005-01224
COM2005-0 1224
. COM2005-01224
COM2005-0 1224
COM2005-0 1224
. j.~ COM2005-0 1224
, COM2005-01224
COM2005-0 1224
, COM2005-01224
CQM2005-01224
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Payments:
Type of I'ayment
Check
I;
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I-
t"
. ,
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9/1212005
RECEIPT #:
1200500000000001339
Date: 09/12/2005
Description
Fixture
Minimum/Adjustment Plumbing
Furnace - up to 100,000 btu
Appliance Vent
Gas Outlets 1-4
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HOME COMFORT
Received By
ddk
I of I
Item Total:
Lheck Number Authorization
Batch Number Number How Received
13981 In Person
Payment Total:
2:S8:25PM
Amount Due
14.00
31.00
12.00
12.00
4.00
12.00 '
5.00
10.00
6.30
9.00
$115,30
Amount Paid
$115.30
$115,30