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HomeMy WebLinkAboutPermit Mechanical 2005-9-27 CITY OF SPRINGFIELD- . ) Status Issued Building/Combination Permit PERMIT NO: COM2005-01314 ISSUED: 09/27/2005 APPLIED: 09/27/2005' EXPIRES: 03/27/2006 VALUE: " 225 Fifth Street, Springfield; OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, SITE ADDRESS: 2092 BONNIE LN ASSESSOR'S PARCEL NO.: 1703251209000 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace Electric Furnace. Owner: Address: JONES NORMAN D& SHIRLEY M 2092 BONNIE LN SPRINGFIELD OR 97477 ~- Contractor Type Mechanical NOTICE: ";'h13 "CMIVIII ~NALl tXPIRE I~ aNt WORK CONTRACTORlJl'II'HO R THIS PERMIT is NOT , ED OR IS ABANDONED FjlA Contractor ANY 180 cMf~IOD "ExpIratIon Dkle, Phone~ AUTOMATIC HEAT 149452 . 10/22/2005 541-726-7654 I BUlLDIM:; INFORMATION' # 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 . Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMEN~'~NF.O~'~~ATION~'r law requires ,!"!!I to f~'~,"".:-a,'-1'" ".,,'~ by the OregonRE<2UIRED PARKING , Notification Center. Those rules are seHorth OverlayiiDiSli?\R 952-001-0010 through OAR 9!2tBl31- # Street ~~es.ltqd:may obtain copies of the rl1i~~d~~,.pped: ~aved DnoolJi~qhe center. (Note: the telepfT8weract: Yo of Lot ~Mfl!)@glfor the Oregon Utility Notification Center is 1-800-332-2344). I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description ' Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 :-:~G.~,.,:~,.. . ,I,: ~~..,: .,. ."., ' -, ..,~~._...-.,...,._-.".._., .-.-.,..... Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01314 ISSUED: 09/27/2005 APPLIED: 09/27/2005 EXPIRES: 03/27/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project l...Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 9/27/05 3200500000000000578 $4.50 9/27/05 3200500000000000578 $3.15 9/27/05 3200500000000000578 $8.00 9/27/05 3200500000000000578 $12.00 9/27/05 3200500000000000578 $25.00 9/27/05 3200500000000000578 Total Amount Paid $62.65 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. LReouired Insnections 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 ofany 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. ,r-) , \ fifj) f\ I ~ ! ' r 1 I I \ /\./0 J\I\^_L~ t C2 )/iJJJ,9' Owner or Contractors Signature 0 ~/J-,IO~ Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 ~41-726-3759 Phone Job/Journal Number CQM2005-01314 CbM2005-01314 COM2005-01314 COM2005-01314 COM2005-01314 COM2005-01314 Payments: T.rpe of Payment Cash o ;(, '. ';1 11 . , '(' n lz" ,.t,~ ., 'i " ~} o y(-': _'l <j <' 9/27/2005 RECEIPT #: 3200500000000000578 Description Furnace - up to 100,000 btu Air Handling UnitUp to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By AUTOMATIC HEAT CO. , Check Number Received By Batch Number- ddk Page 1 of 1 C'ity of Springfield Official Receipt ;velopment Services Department Public Works Department Date: 09/27/2005 9:21:16AM Item Total: Authorization ,Number How Received In Person J.>ayment Total:' Amount Due 12.00 8.00 25.00 10.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65 "