HomeMy WebLinkAboutPermit Mechanical 2004-6-7
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00663
ISSUED: 06/07/2004
APPLIED: 06/0712004
EXPIRES: 12/07/2004
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2746 CANTERBURY ST
ASSESSOR'S PARCEL NO.: 1703244103030
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install furnace, ac and h20 heater
Owner: MILES C JEAN
Address: 2746 CANTERBURY SPRINGFIELD OR 97477
Contractor Type
Mechanical
I
IVar/ra...
, ~ OONtitiU:TOR INFORMATION'
UrH t cliM/r
, Contractor Co OR/ZEn SHALL License Expiration Date Phone
ASSOCIATED HFJhOi~&="~rM~ .~tJ~~i/f~P1it5~ ' 08/31/2004 541-683-2590
I BilltMN04~(:)?~~~/;t: WORI(
u. 'f!'t!!/f;)' IS NOT,
# of Stories: FOR Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
R-3
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Vlhr
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard S~~back:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: :1lI'eSyou.to
"TTEN110ti'Ot~~~iegon UtiUty
1ft\ft\\N N\eS adOP~,! ? ",.\M are set forth
~=i~ifB~~~~~~:b~
\n O~ 'n cOp\e5
090 You may obtai . ""e telepnOti81ewalk Type:
O. enter: (Note. w .' tinn
ca\\\ng the c or~gon Utility NotlfIC8'1'Jtjwnspouts/Drains:
number for the. 1-800-332-2344).
Center 16
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
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
+ 7% State Surcharge
Air Handling Unit Up to 10,000
Appliance Not Listed
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00663
ISSUED: 06/07/2004
APPLIED: 06/0712004
EXPIRES: 12/07/2004
VALUE:
I Fees Paid I
Amount Paid
Date Paid
Receipt Number
1200400000000000862
1200400000000000862
1200400000000000862
1200400000000000862
1200400000000000862
1200400000000000862
1200400000000000862
1200400000000000862
$10.00
$4.50
$3.15
$8.00
$9.00
$12.00
$12.00
$4.00
6/7/04
6/7/04
6/7/04
6/7/04
6/7/04
6/7/04
6/7/04
6/7/04
$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.
I Reouired Insoections I
1 Rough Mechanical: Prior to Cover
2 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
times during construction.
'tS.(ll:(A &? ~
Owner or Contractors Signature
bh/7J l-j
Da{e { I
Pae:e 2 of2
225 FifU.. Street
Springfield, Oregon 97477
541-726-3759 Phone
"]~~~..,U.
u..., .
~
Job/Journal Number
COM2004-00663
COM2004-00663
COM2004-00663
COM2004-00663
COM2004-00663
COM2004-00663
COM2004-00663
COM2004-00663
Payments:
Type of Payment
Check
6/7/2004
RECEIPT #:
City of Springfield Official Receipt
velopment Services Department
Public Works Department
1200400000000000862
Date: 06/07/2004
Description
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Appliance Vent
Appliance Not Listed
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ASSOCIATED HEATING
Received By
djb
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
11619
In Person
Payment Total:
10:42:03AM
Amount Due
12.00
8.00
12.00
9.00
4.00
10.00
3.15
4.50
$62.65
Amount Paid
$62.65
$62.65