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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 -S6r-6-t 28025 t2il512004 Page I of I SFRI}IGFITLO