HomeMy WebLinkAboutPermit Mechanical 2004-12-15,;I
I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 lnspection Line
Building/C ombination Permit
PERMIT NO: COM2004-01486ISSUED: 1211512004
APPLIEDz 1210612004
EXPIRES: 06/1512005
VALUE:
SITE ADDRESS: 444 33RD ST
ASSESSOR'S PARCELNO.: 1702312404400
PROJECT DESCRIPTION: Install gas furnace
Owner: WyATT CASTANEDA
Address: 444 33RD ST SPRINGFIELD OR 97478
Contractor \t
Springfield TYPE OF WORK:5t
TYPE OF USE: New
ttn
Residential
PhoneNumber: 541-726-9877
LicenseContractor Type
Mechanical
# of Units:
Primary
Secondary
Primary VN
Secondary
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
460
Expiration Date
061271200s
Phone
541-726-0100
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive
%o of Lot
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
tO REQUIRED PARICNG
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
Description Type of Construction
Total Value of Project
Value Date Calculated
xctr3,&
r$\\o
Type:
\(\
Valuation Description
il
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: COM2004-01486ISSUED: 1211512004
APPLIEDz 1210612004
EXPIRBS: 06/1512005
VALUE:
F ees
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 77o State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Total Amount Paid
Amount Paid Date Paid
t2ltsl04
12fi5t04
t2n5t04
t2n5t04
t2n5l04
t2n5t04
$10.00
$4.50
$3.15
s6.00
$12.00
$27.00
Receipt Number
1200400000000001746
1200400000000001746
120040000000000u46
1200400000000001746
1200400000000001746
1200400000000001746
$62.65
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.
Rough Mechanical: Prior to Cover
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 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.
,l
Owner or Contractors Signature Date
(
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
.ity of Springfield Oflicial Receipt
Jvelopment Services Department
Public Works Department
RECEIPT #: 1200400000000001746 Date: 1211512004 1:20:18PM
Job/Journal Number
coM2004-01486
coM2004-01486
coM2004-01486
coM2004-01486
coM2004-0 r486
. coM2004-01486
Description
+ 7o/o State Surcharge
+ ljYo Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.15
4.50
12.00
6.00
27.00
10.00
Item Total:$62.65
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check COMFORT FLOW djb In Person
Payment Total:
$62.6s
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28025
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