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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