HomeMy WebLinkAboutPermit Mechanical 2004-1-16
Status
Issued
225 Fifth Street, Springfield, OR
541,726,3753 Phone
541-726-3676 Fax
541,726-3769 Inspection Line
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Building/Combination Permit
PERMIT NO: COM2004-00057
ISSUED: 01/16/2004
APPLIED: 01/16/2004
EXPIRES: 07/16/2004
VALUE:
SITE ADDRESS: 3751 GEM AVE
ASSESSOR'S PARCEL NO.: 1702314207500
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Replace gas furnace
TYPE OF USE:
Owner: THOMAS MCGINNIS
Address: 1840 5TH ST SPRINGFIELD OR 97477
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Contractor
HOME COMFORT HEATING & AIR
License
84164
BUILDING INFORMATION I
# of Stories:
R,3 Height of Structure
Type of Heat:
VN Water Type: yOU to
Ra8i\e.iI'l):Jle:QUlleS Utility
, A1IENiION:OI1ff&l'l!\tl10fe9o; set Qen'
tolloW TUle~~~~r.1'hOSe ~\~~~ Qsa..()O'
'lotit~c;;5~DJ!lVBoo~1ilT:'.miieRMAiIoN: I
,0 ayt,,~.!. het8\llt\lf.. '
;)O~~I~:t~e ce'1\~f~~~~~~ity Notification
nu~bel 101 the~l~l'fl'~.RQ~4).
r""'''''Pilved Drive Rqd:
% of Lot Coverage:
New
Residential
Expiration Date
06/25(2007
Phone
541-345-2838
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:
NU I ";t:.lPjJ>>UC,ll\li:RQ)IJ>~RK
THIS PERi'v'll'P'!'.
AUTHORIZED UNDER THIS PERMIT IS NOT Sidewalk Type:
COMMENCED OR IS ABANDONED FOR Downspoutsffirains:
ANY 180 DAY PERIOD.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Type of Construction
Total Value of Project
Page I of2
Value
Date Calculated
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
MinimumlAdjustment Mechanical
Amount Paid
$10.00
$4.50
$3.15
$12.00
$33.00
Total Amount Paid
$62.65
I F~~s Paid I
I Plan Reviews I
Date Paid
1/16/04
1/16/04'
1/16/04
1/16/04
1/16/04
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00057
ISSUED: 01116/2004
APPLIED: 0111612004
EXPIRES: 07/16/2004
VALUE:
Receipt Number
1200400000000000065
1200400000000000065
1200400000000000065
1200400000000000065
1200400000000000065
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 Insn~ction\l
I 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.
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Owner or Contr tors Sig~,~rure
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Paee 2 of2
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Date
"'225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004,00057
COM2004-00057
COM2004,00057
COM2004,00057
COM2004-00057
Payments:
Type of Payment
Check
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Receipt #: 1200400000000000065
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace, up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
HOME COMFORT
Received By
djb
(;heck Number
Batch Number Authorization Number
City of Springfielll Official Receipt
Development Services Department
Public Works Department
Date: 01/16/2004 9:31:0IAM
Amount Paid
Item Total:
3.15
4.50
12.00
33.00
10,00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62,65
$62.65
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