HomeMy WebLinkAboutPermit Mechanical 2004-8-27
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-010n
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
541-726-3769 Inspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 48
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Heating System
Overlay Dist:
# Street Trees Rqd: \0
Paved Drive Rqd: _..."teS~\i\i\'f
% of Lot Coverage:\a'fl t6'-'O-' eQptl \J \01\\'
Ot~OfI ~e t ~e Se\ .fP\-
.....n"'.. on" ~~ ~,'eS ,.t;.,'! .
I PUBiIC)~ji'MENoJ1fi\)~" U';e t\)\~~'
V:~ Ce.~O" - Q\ll'u I" cOQie~~~~W"~...nJ\t\
~O\\' 9ro?$;) O~~tI 0\8'.'0:' ~~\Ii"""-
\tI OJ>.~\~O\) \1\e.'f fI\et. ~ fI ~ IlYptsffirains:
Q090. . ~ c;6 Ote~O:: ft...a.-Z
r:a\\itl~ I \01 \\\e \-&O~- .
tI\)l'I\~e CBtI\et \$
TYPE OF USE:
PROJECT DESCRIPTION: Replace electric furnace
Owner: SUSIE CABARISS
Address: 2150 LAURA ST SP 46 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
I BUILDING INFORMATION I
~\)". .
nocuous: ~rstr":\
Primary Occupancy Group: R-3 j..\l''''t. '\ ~!llh~ tructure
Secondary Occupancy Group: ~\. ~ ~S '? ~J1.~f eat:
Primary Construction.:r~ti::. .,,\\ S~'t." \~ \>.~I)Wlrer Type:
Secondary Constr~tl 'f.~'t>\~' I) \j~ ,S \>.'0 Range Type:
# of Bedrooms: \'0,S '(1),,\t~ S;.I) (J" ,,\1)1). Energy Path:
\>.\j\ . ,,'t.~C; ~ '?~ Sprinkled Building: o/a
,,.,,,,w _ \'\t"
";~'{ \'Ov I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value oC Project
PaeeloC2
Repair
Residential
Phone Number: 541-
Expiration Date
08/31/2004
Phone
541-683-2590
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-0IOn
ISSUED: 08/27/2004
APPLIED: 08/27/2004
EXPIRES: 02/27/2005
VALUE:
Stat!ls
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Ff'f'S P'WU
Fee Description
-Mechankal 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
8/27/04
8/27/04
8/27/04
8/27/04
8/27/04
1200400000000001274
1200400000000001274
1200400000000001274
1200400000000001274
1200400000000001274
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 dily, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired I nsnf'r.tinns .
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanicai 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.
~Mf/o ~
----
~7/t1Y
v
Owner or Contractors Signature
Date
Paee 2 of2
225 Fi!t~ St.(eet
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2004-0 I 072
COM2004-0 1072
COM2004-0 1 072
COM2004-0 1072
COM2004-0 1072
COM2004-01074
COM2004-0 1074
COM2004-0 1 074
COM2004-01074
COM2004-0 I 074
COM2004-01074
COM2004-0 1 076
COM2004-0 1 076
COM2004-0 1 076
COM2004-0 1 076
COM2004-0 1 076
COM2004-0 1 076
Payments:
Type of Payment
Check
8/27/2004
RECEIPT #:
1200400000000001274
DescrIption
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee--
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum!Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Received By
djb
Cheek Number
Batch Number
Page 1 of 1
MlY of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 08/27/2004
Item Total:
Authorization
Number How Received
11945
In Person
Payment Total:
1l: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