HomeMy WebLinkAboutPermit Mechanical 2004-8-27
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01076
ISSUED: 08/27/2004
APPLIED: 08/27/2004
EXPIRES: 02/27/2005
VALUE:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1120 FAIRVlEW DR SPACE 40
ASSESSOR'S PARCEL NO.: 1703273100600
Springfield TYPE OF WORK: Heating System
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Paved ~~',fuId! \~ 0'('0' \J.0 0
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(;:)(;:)<?J .~\<0Q, \ '0\ ~e\ \~ Downspouts/Drains:
C 1"'013 CJ0<0
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TYPE OF USE:
PROJECT DESCRIPTION: Replace furnace and heat pump
Owner: MARTIN HUNT
Address: 1120 FAIRVlEW DR SP 40 SPRINGFIELD OR 97477
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor ~'t- License
ASSOCIATED HEATIN<;.~\~I~1;Q~DITIO 106275
\;.i-\,h\'BUIlJDING.INFORMATION'
~ ~\>o.\.\. \\\\";) , n\'\'t.\) , -
# of Units: ~\'V . ~\\ S 'l..\j't.~ \>o.~\j# of Stories: .
Primary Occupanc /;~~'\1't.\:J ~~ ,S \>o.'U Height of Structure
Secondary Occupan ~~'? ",c,\;.\:J _~~~\\)\:J' Type of Heat:
Primary Constructio~-!1-l',~\;.\~ 1'o,\VN- Water Type:
Secondary Constructioli,'<i'icflliol:! \:J Range Type:
# of Bedrooms: \>o.~ Energy Palh:
Sprinkled Building: nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Streel Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
Pal!e 1 of2
Repair
Residential
Expiration Date
08/31/2004
Phone
541-683-2590
Lol Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemenl:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
, Value
Date Calculaled
.
. CITY OF SPK11~hl'lELD
Building/Combination Permit
PERMIT NO: COM2004-01076
ISSUED: 08/27/2004
APPLIED: 08/27/2004
EXPIRES: 02/27/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Fee~ Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Adminislrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 blu
Heat Pump
MinimumJAdjustmenl Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
8/27/04
8127/04
8/27/04
8/27/04
8/27/04
8/27/04
1200400000000001274
1200400000000001274
1200400000000001274
1200400000000001274
1200400000000001274
1200400000000001274
Total Amount Paid
$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.
I Reouired In~ne~tionsJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complele.
By signa lure, 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 lhat 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 perlaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of lhe Community Services Division, Building Safety.
I further certify that only conlractors 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 lhe
street, thaI the permit card is localed at the front of the property, and the approved sel of plans will remain on the site at all
times during construction.
$~~-
-
f./z.7/O 'i
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springf!l!ld;~regon 97477
541-726-3759 Phone
.
~.I,lIUN~--q~~ "--- ;
r . I
.,=....:
Job/Journal Number
COM2004-01072
C0M2004-0 1072
COM2004-0 1072
COM2004-0 I 072
COM2004.0 I 072
COM2004-0 I 074
COM2004-0 1074
COM2004-0 I 074
COM2004-01074
COM2004-01074
COM2004.01074
COM2004-0 I 076
COM2004.0 I 076
COM2004-0 I 076
COM2004-0 I 076
COM2004-0 I 076
COM2004-01076
Payments:
Type of Paymenl
Check
8/27/2004
RECEIPT #:
1200400000000001274
Description
+ 7% Stale Surcharge
+ 10% Administrative Fee
Furnace. up 10 100,000 btu
Minimum! Adjustmenl Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Admiriistralive Fee
Furnace - up to 100,000 btu
Air Handling Unit Up 10 10,000
Minimum!Adjustmenl Mechanical
-Mechanical Issuance Fee-
+ 7% Stale Surcharge
+ 10% Administralive Fee
Furnace - up to 100,000 btu
Heal Pump
Minimum! Adjustmenl Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Check Number
Balcb Number
Received By
djb
Page I of I
lliiti.ty of Springfield Official Receipt
Whelopment Services Department
Public Works Department
Date: 08/27/2004
Item Tolal:
AulborIzalion
Number How Received
11945
In Person
Payment Total:
11:24:40AM
Amount Due
3,15
4,50
12,00
33,00
10,00
3,15
4.50
12,00
8.00
25,00
10,00
3,15
4,50
12,00
12,00
21.00
10,00
$187.95
Amount Paid
$187,95
$187.95