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Home My WebLink AboutPermit Mechanical 2002-12-12Status: Issued 225 Fifth Street, SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2002-01371ISSUED: 1211212002 APPLIEDz 1211212002 E)GIRESz 0611612003 VALT]E: SITE ADDRESS: 2563 20TH ST ASSESSOR'S PARCEL NO. : 1703244202733 PROJECT DESCRIPTION: Gas furnace/Ifeat Pump Owner: BRO\ryNING RICHARD H& E A Address: 2563 N 20TH ST SPRINGFIELD OR 97477 Springfield TYPE OF TYPE OF USE: License 70889 460 Heating System New Residential Contractor Type Electrical Mechanical Owner Contractor KS ELECTRIC COMFORT FLOW BROWNINGRJCHARDH&EA Expiration Date 1213012004 06t27t2003 Phone 541-686-6236 541-726-0100 TION DEVELOPMENT BUILDING INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Seconda ry Construction # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Other: \t'ervious Surface Area: to$REQUIRED PARKING Total: Ilandicapped: Compact: to Sidewalk Type: Downspouts/Drainsr tr PUBLIC IMPROVEMENTS Notes: l of 3 I # \, U Ofl V\ c nl Status: Issued 225 Fifth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line CITY OF SPRINGFIE Building/C ombination Permit PERMIT NO: COM2002-01371ISSUED: 1211212002APPLIED: 1211212002E)GIRES: 0611612003 VALI]E: Description Type of Construction $ Per Sq Ft Square Footage Total Value of Project Amount Paid Date Fee Description + 7Yo State Surcharge + 87o Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee- + 7%o State Surcharge + 8%o Administrative Fee Furnace - up to 100,000 btu Heat Pump Minimum/Adj ustment Mechanical Total Amount $114.65 Value Date Calculated $3.22 $3.68 $43.00 $3.00 $10.00 $3.15 $3.60 $12.00 $12.00 $21.00 12fizt02 t2n2t02 t2n2l02 t2n2t02 t2n8t02 t2t18t02 t2n8t02 t2n8t02 t2n8t02 t2ngt02 Receipt Number 2200200000000000293 2200200000000000293 2200200000000000293 2200200000000000293 1200200000000000431 r200200000000000431 1200200000000000431 1200200000000000431 1200200000000000431 1200200000000000431 tr'ees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Reouired Insnections 2of3 Valuation DesprtB[qa ] FIELD Building/C ombination Permit PERMIT NO: COM2002-01371ISSUED: 1211212002 APPLIEDz 1211212002E)PIRES: 0611612003 YALT]E: TY Status: Issued 225 Fifth Street Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line /'i , / /l 'Y?\,\^--l ttl Owner or Coritractors Signature By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 certif 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. \'Ll tiio'r Date 3 of 3 E 12/t8t2oo2 2:23:27PM City of Springfietd Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 120020000000000043 1 Date: 1211812002 Line ltems: Job/Journal Number Description Amount Paid Furnace - up to 100,000 btu -Mechanical Issuance Fee- Heat Pump Minimum/Adj ustment Mechanical + 7Yo State Surcharge + 8% Administrative Fee Payments: 12.00 10.00 12.00 21.00 3. l5 3.60 Line ltem Total:$6r.75 Type ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid Check COMFORT FLOW djb In Person 61.75 Total:$61.75 Page I of I cReceipt.rpt Frl coM2002-01371 coM2002-01371 coM2002-01371 coM2002-01371 coM2002-01371 coM2002-01371 Mutti-Family per drvelling unit. Service Included: Items Cost $ 106.001000 sq.ft. or less Each additional 500 Relocation: 200 amps or I amps to Over "8" above $ r 9.00 50.00 Electrical' Address Date Supervising Electrician E Branch j\Iinimum 7Y, S or with not inclu ion Fee is 545.00 + TOTAL b2-go ONLY B. Manufd Home or Drvelling Permits are if work is within of issuance is suspended 180 days. Jtatus: Issued 225 Fifth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line CITY Buildin g/C ombin atio n Permit PERMIT NO: COMil002-01371ISSUED: 1211212002 APPLIEDI 1211212002 E)PIRESz 0611212003 VALTJE: TotalValue of Project Fee Description + 77o State Surcharge + 87o Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Amount Paid Date $3.22 $3.68 $43.00 $3.00 Receipt Number 2200200000000000293 2200200000000000293 2200200000000000293 2200200000000000293 Received By ddk ddk ddk ddk tzlt2l02 t2n2t02 t2n2t02 t2n2t02 $s2.90 Plan Reviews To Request an inspection call the24 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 Electric: Prior to Cover 2 Final Electric: When all electrical 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 hereino and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certis 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 hcated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature 2of2 Date ilflmrn* I ees rato I Keourred lnsDecttons I