HomeMy WebLinkAboutPermit Mechanical 2004-03-23t Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00323ISSUED: 0312312004APPLIED: 0312312004
EXPIRESz 0912312004
VALUE:
SITEADDRESS: 3l2OPHEASANTBLVD
ASSESSOR'S PARCEL NO.: 1703221303500
PROJECT DESCRIPTION: Replace gas furnace
Owner: JANICE HAMMOND
Address: 3120 PHEASANT BLYD SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PhoneNumber: 541-726-2962
Contractor Tvpe
Mechanical
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
Expiration Date
08t3u2004
Phone
s41-683-2s90
CONTRACTOR INFORMATION
BUILDING INFI
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
NOTICE:
THIS PER
AUTHOBI
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
VN
to
$ Per Sq Ft
or multiplier
Square tr'ootage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
MlI SHALL EXPIRE IT THE WORK
ZEO UNDER IHIS PERMII IS NOT
PERIOO.
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Total Value of Project
Pase I of2
Description Type of Construction Value
t0B
Date Calculated
_5
\he
PRIN
Building/C ombination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00323ISSUED: 0312312004APPLIED: 0312312004
EXPIRESz 0912312004
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 7%o State Surcharge
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount Paid
Amount Paid
$10.00
$4.50
$3.1s
$12.00
$33.00
$62.6s
Date Paid
3t23t04
3t23t04
3123104
3t23t04
3t23t04
Receipt Number
1200400000000000367
1200400000000000367
1200400000000000367
1200400000000000367
1200400000000000367
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 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
Reouired Insnections
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 Springlield 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 I)ivision, 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.
/k;
Owner or Contractors Signature Date
Pase2 of2
r ees raro I
d 225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springiield Official Receipt
Development Services Department
Public Works Department
11:01:07AM
coM2004-00323
coM2004-00323
coM2004-00323
coM2004-00323
coM2004-00323
+ 7Yo State Surcharge
+ l0o/o Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Item Total:
3. l5
4.50
12.00
33.00
10.00
$62.65
Type of Payment Paid By Received By Batch Number Authorization Number IIow Received Amount Paid
Check ASSOCIATED HEATING djb 11377 In Person
Payment Total:
$62.6s
$62.6s