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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 , DEVELOPl\-,,,,,, mJ<uNvlATION ,.0 0S1'.\~~", ,$.\ r. v ....0\'" Overlay Disl: \00: \reP.>0 ~e\ f:)(;:)" # Street Tree~,,Ji'~,,e 0 e~ ~:~ ~?'2: s '0'\ Paved ~~',fuId! \~ 0'('0' \J.0 0 ., ..r ~ r, ~.....;;,,?e ",,-, . ~0 ~O~, ^ ,.\~""" ~ll'-,..~. \0->'" 0' ~0<:( ~O,. <i;,~'\ s ~ ~0\' (;:) >is' ~/0~ 0 \0 ~\\(j> ,...:'\ ,,~0 ,.,,<0 ~('.\ . "p _.>is' ~O I tivBd~-:ilMP;RovkM.EN1S'-'-\)\""'~~\' , I \ ~.. ~\O" ~ - \"- ~,. ~. '_ ",S \- O'r --{o-> 0 Ce 0\0 !Q(;:)\r" Sidewalk Type: \<0 ~, >is' ~e, \' (;:)(;:)<?J .~\<0Q, \ '0\ ~e\ \~ Downspouts/Drains: C 1"'013 CJ0<0 <0\): 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