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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