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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 '. . . \...11 i' OF ~r.Kll'llj1'lJ'.LD 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 " . 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. ~~ Owner or Contr tors Sig~,~rure / '~ ~- ~ -, Paee 2 of2 J-/b C::::5 V 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 '" ~,...., WirC"-~C""C'= ,__c" 'J,' "",~ '_ I , ',1 ,-' ., '... ,_,' ,,,""n',," '-.' '" 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 . .