HomeMy WebLinkAboutPermit Mechanical 2005-12-1
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. CITY OF SrKll'1uN~LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01674
ISSUED: 12/01/2005
APPLIED: 12/01/2005
EXPIRES: 06/02/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
SITE ADDRESS: 1120 FAIRVIEW DR SPACE 75
ASSESSOR'S PARCEL NO.: 1703273100600
Springfield TYPE OF WORK: Healing System
TYPE OF USE: Repair
Residenlial
PROJECT DESCRIPTION: Replace eleclric furnace.
Owner: GANN NORMA M
Address: 1120 FAIRVIEW DR #75
SPRINGFIELD OR 97477
Phone Number: 541-744-7681
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION'
Expiration Date
08/31/2006
Phone
541-683-2590
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Conslruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heal: .
Waler Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Fl 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Selhack: Overlay Dist:
Side 1 Selback: # Street Trees Rqd:
Side 2 Selback: Paved Drive Rqd:
Rearyard Selback: % of Lol Coverage:
Solar Selba~ENTION:Oregon law reqUIres yuu. ~u
.. ".1- - ---r.............l.tu
tolloW rul.,.; dUVI',QU U 1 r.._ - ' - ~ -
Notification Center. Those r,ule$~Bl>lcrlIMP",uv "'J.lEN'WiITI CE:
Slreet I"Wfl!Y,eme9~-o01-0010through OAIi l:!::><.-uu I THIS PESlMwa~:EXPIRE IFTHE WORK
" obtain copies of the rules b.
Storm SeQQ9Nv~tla\lll!:lay (N t 'the telephone AUTHOI])6~Rs/M~~VD'r;riiU~ PERMIT IS NOT
Special InstrGaWnIg the center. 0 Uet'Tly Notification COMMENCED OR IS ABANDONED FOR
number for the Oregon II
Noles: Center is 1-800-332-2344). ANY 180 DAY PERIOD,
Total:
Handicapped:
Compacl:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or mulliplier
Square Foolage
or Bid Amounl
Value
Date Calculaled
PaeeIof2
Status
Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Descriolion
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% Stale Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amounl Paid
.
. CITY OF ~rK11~ut<1ELD
Building/Combination Permit
PERMIT NO: COM2005-01674
ISSUED: 12/01/2005
APPLIED: 12/01/2005
EXPIRES: 06/02/2006
VALUE:
Total Value of Project
F~~~ Pllid I
Amounl Paid
Date Paid
12/1105
121l/05
l2/I/05
121l/05
l2/I/05
Receipl Number
1200500000000001768
1200500000000001768
1200500000000001768
1200500000000001768
1200500000000001768
$10.00
$4.50
$3.15
$12.00
$33.00
$62.65
I Plan Reviews ,
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.R~oui~""n~cti?n., I
Rough Mechanical: Prior to Cover
Final Mecbanical: When all mechanical work is complete.
By signalure, I slate and agree, that I have carcfully examined ihe 'complc:ed application and do hcrehy ccrlify that all ,
information hereon is lrue and correcl, and I further certify lhat any and all work performed shall tie done in 'accordance with
the Ordinances of the City of Springfield and the Laws of the Slate of Oregon pertaining to lhe work described herein, and
that NO OCCUPANCY will be made of any slructure withoul permission of the Community Services Division, Building Safety.
I further certify lhat only conlractors and employees who are in compliance wilh ORS 701.005 will be used on tbis projecl.
I further agree to ensure that all required inspections are requested at the proper lime, that each address is readable from the
slreel, that lhe permil card is localed al tbe fronl of the property, and the approved sel of plans will remain on lhe site at all
times during construction.
L~"7)~~V!AA/---"
Owner or Conlractors Signature
/e9/'P/D~
Dale
Pa!!e 2 of2