HomeMy WebLinkAboutPermit Mechanical 2003-12-5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01216
ISSUED: 12/05/2003
APPLIED: 12/05/2003
EXPIRES: 06/05/2004
VALUE:
SITE ADDRESS: 1625 HENDERSON AVE SPACE I Eugene
ASSESSOR'S PARCEL NO.: 1703344313302
TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Replace electric furnace
Owner: BOBBYE DONATHAN
Address: 1625 HENDERSON EIO EUGENE OR 97403
I CONTRACTOR INFORMATION I
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
BUILDING INFORMATION I
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Expiration Date
08/3112004
Phone
541-683-2590
R-3
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
..(j-"OU LV
Water Type: n laW r,SqlFt Basement;,
Orego ,,, 1I11'''.
Range Typ.e:'EN110N: d by thE.Sij,Ft[GarageiCarport
E p~1 I dopte . ~~t tal'
nergy ath:w rules a h se r~!HFtiOther~ n'
fO\'\I~ ation center. 1 ~ ou,!mp.efVio;;~Sii~face Area:
\\nh ,C __... f'\n10tllf ~.. -~ ~,--,.. "1.lAS \
I DEVELOPMENT iNFORMAT:ION.<.'n cOPl~t:;'t~\ephOne
'Note. " .' -
UVV-'. the ceO'''''' \ Ut'\ity Nc.~QUIRED PARKING
calling oregon \ "
Overlay Dist:"'ber lor the BOO 332-234'Total:
(lU,,' i~ ~- - .
# Street Trees Rqd::, ",,,to, ., HandIcapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
VN
I PUBLIC IMPROVEMENTS I
NU I '''l.. """'I!<tf iIME WORK
THIS PERMIT SHAll ~rm y lS NOT
AUTHORIZED UNDERn1Ml~g.wMJ~tl",
COMMENCED OR IS ABAN!lONED
ANY 180 DAY PERIOD.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Paeelof2
.
. CITY (n ~ntll~u1<l~LD
Building/Combination Permit
PERMIT NO: COM2003-01216
ISSUED: 12/05/2003
APPLIED: 12/05/2003
EXPIRES: 06/05/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fees P~id I
Fee' Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimuml Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$33.00
12/5/03
12/5/03
12/5103
12/5/03
12/5/03
Receipt Number
1200200000000002556
1200200000000002556
1200200000000002556
1200200000000002556
1200200000000002556
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 day, inspections requested after 7:00 a.m. will be made the following work
day.
I RelJuired Insnectiom I
1 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..
y-~M-----fJ~j'--6 ~ ' -, ---
I,#SJoJ
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01216
COM2003-01216
COM2003-01216
COM2003-01216
COM2003-01216
Payments:
Type of Payment
Check
,
1Iii!.........;~.."~~ "..'.' .'...
- -<<..~, .
'.:
..,.,..~-,.._. .....-",..
..
Receipt #: 1200200000000002556
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
ASSOCIATED HEATING
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Recei~t
Development Services Department
Public Works Department
.
Date: 12/05/2003 10:54:0IAM .
Amount Paid
Item Total:
3.15
4.50
12.00
33.00
10.00
$62.65
How Received
Amount Paid
In Person
Payment Total:
$62.65
$62.65
.
.