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Home My WebLink AboutPermit Mechanical 2004-4-6 Building/Combination Permit PERMIT NO: COM2004-00383 ISSUED: 04/06/2004 APPLIED: 04/06/2004 EXPIRES: 10/06/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1135 CENTENNIAL BLVD ASSESSOR'S PARCEL NO,: 1703264412200 , CITY OF SPRINGFIELD .;' TYPE OF USE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Replace gas furnace Owner: SUSAN EDSON Address: 1135 CENTENNIAL BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor PRIORITY ONE HEATING & AC INC License 154686 BUILDING INFORMATION' # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type o~~ 'IOU ~o Primary Construction Type VN. regon \~fu~ (,8Aon UtillW \ Secondary Construction T~E.l'rnON.O tad b'!i\1!ti ~tp'te set 'oft. # of Bedrooms: \\ W fU\es adO? "n~tfgyEfl~~': 952.00' to 0 ceo.ter. Ugh O:l.r\ t ,\ntification. ~,,".001 0. \proll "_L' nt t\1~ ru\es \n O~l-\ ~:; rna'1 ~~OkMllM:?fl~~~A;rION I SETBACKS 0090. he c~\ H'U Ut\\\t'1 \~ ca\\inQ t the oregon ~.9344). nuff\ber tor ~,.~;,.. 1_s:0V'eAay-Dist: . r~- # Street Trees Rqd: Paved Drive Rqd: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: New Residential Phone Number: 541-747-7101 Expiration Date 03/11/2005 Phone 541-689-1004 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: . I PUBLIC IMPROVEMENTS' THIS PERMIT SHALL EXPIRE IF THE WORK Sidewalk Type: AUTHORIZED UNDER THIS PERMIT IS NOT Downspouts/Drains: COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. Notes: I Valuation Description ~ Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa2e 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00383 ISSUED: 04/06/2004 APPLIED: 04/06/2004 EXPIRES: 10/06/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12,00 $33.00 4/6/04 4/6/04 4/6/04 4/6/04 4/6/04 1200400000000000440 1200400000000000440 1200400000000000440 1200400000000000440 1200400000000000440 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. L 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, ,) ~(VA. j \'VIi PI, ~~ Ar-' Owner or Contractors Sign;aure Lf(~/ CU Date Page 2 of2 225 Fifth Street Sprihgfiel~ Oregon 97477 541-726-3759 Phone ii:~ City of Springfield Official Receipt relopment Services Department Public Works Department Job/Journal Number COM2004-00383 COM2004-00383 COM2004-00383 COM2004-00383 COM2004-00383 Payments: Type of Payment Check 4/6/2004 RECEIPT #: 1200400000000000440 Date: 04/06/2004 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ Paid By PRIORITY ONE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1350 In Person Payment Total: Page 1 of 1 1 :38:59PM Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid $62.65 $62.65