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HomeMy WebLinkAboutPermit Mechanical 2005-9-12 (2) .'. . 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 . 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: . 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 . . 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 . . 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 . aj:"'";. _~. ~. .... 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 , Payments: Type of I'ayment Check I; ,. .' :~ I- t" . , \ 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