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Home My WebLink AboutPermit Mechanical 2004-06-24Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00771ISSUED: 0612412004 APPLIEDT 0612412004EXPIRES: 12124/2004 VALUE: SITE ADDRESS: 70610TH ST ASSESSOR'S PARCEL NO.: 1703351212500 PROJECT DESCRIPTION: Replace furnace Owner: HARRIS BLAKE Address: 33929 BOND RD LEBANON OR 97355 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential Contractor Type Mechanical Contractor License USA HEATING & AIR CONDITIONING INC 154663 Expiration Date 03/10/2005 Phone 541-942-1401 # of Units: Primary Occupancy Secondary Primary Secondary # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improyements: Storm Sewer Availabte: Special Instruction: Notes: Heat: Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: \f $ Per Sq Ft or multiplier Square Footage or Bid Amount nla Sdewalk Type: REQUIRED PARKING Total: Handicapped: Compact: Description Type of Construction Total Value of Project Value Date Calculated L Llrr\ t I(At- t Lrr( Il\rUI(rvrA L!(_,l\ r Ir FIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00771ISSUED: 0612412004APPLIEDz 0612412004EXPIRES: 1212412004 VALUE: Amount Paid Date Paid Receipt Number 1200400000000000970 1200400000000000970 r200400000000000970 1200400000000000970 1200400000000000970 1200400000000000970 1200400000000000970 1200400000000000970 Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid $r0.00 $4.50 $3.1s $8.00 $6.00 $r2.00 $4.00 $r5.00 6t24t04 6124tO4 6t24t04 6t24t04 6t24t04 6124t04 6t24t04 6124t04 $62.6s Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature,I state and agree, that I have carefully examined the completed application and do hereby certi$ that allinformationhereon is true and correct, and I further certify that any and all work performed shall be done in accordance withthe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, andthat 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 wil 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 thestreet, that the is located at the front of the property, and the approved set of plans will remain on the site at alltimes during Owner Signature Pase2 of2 Date mr L rr ees rato I l(e(Iutreo InsDecuons I 225 Fift-h Street Springfield, Oregon 97 477 , 541-726-3759 Phone e'ty of Springlield Official Receipt relopment Services Department Public Works Department RECEIPT #: 1200400000000000970 Date: 0612412004 10:13:40AM Job/Journal Number coM2004-00771 coM2004-00771 coM2004-00771 coM2004-00771 coM2004-00771 coM2004-00771 coM2004-00771 coM2004-00771 Description Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets 1-4 -Mechanical Issuance Fee- + lYo State Surcharge + l0% Administrative Fee Minimum/Adj ustment Mechanical Amount Due 12.00 8.00 6.00 4.00 10.00 3.15 4.50 15.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check USA HEATING AND AC djb 1686 In Person $62.65 Payment Total: -56ffi ,r 612412004 Page I of I mlfa