HomeMy WebLinkAboutPermit Mechanical 2002-12-19Status: Issued
225 Fifth Street, SpringfieH, OR
541-726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
TY SPRING
Buildin g/C ombination Permit
PERMIT NO: COM2002-01390ISSUED: 1211912002
APPLIEDz 1211912002E)PIRESz 0611912003
VALUE:
SITE ADDRESS: 231 44TH ST
ASSESSOR'S PARCEL NO.: 1702323101600
PROJECT DESCRIPTION: Replace gas furnace
Owner: MILLER LOUIS E & PEARL A
Address: 231 N 44TH ST SPRINGFIELD OR 97478
Springfield TYPE OF
TYPE OF USE:
Heating System
Repair Residential
Contractor Type
Mechanical
Owner
Contractor License
ASSOCIATED HEATING & AIR CONDITION1O6275
MILLER LOUIS E & PEARL A
Expiration Date
08t3U2004
G INF'ORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
# of Stories:
Height of
Type of Heat
Water
Dist:
# Street Trees
Paved Drive Rqd:
Yo ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Im pervious Surface Area:
Rearyard Setback:
Sohr Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Description TyDe of Construction $ Per Sq Ft Square Footage
REQUIRED PARKING
Total:
Handicapped:
Compact:
lof2
Value Date Calculated
Phone
541-683-2590
LtJl\ I t(AL I tJt( l1\ t' ryJ
:v
Sidewalk Type:
Downspouts/Drainsti-"Y^ii
..rli
Valuation Descrintion I
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-'3676 Fax
541:726-37 69 Inspection Line
CITY OF SPRINGFIE
Buildin g/C ombination Permit
PERMIT NO: COM2002-01390ISSUED: 1211912002APPLIED: 1211912002E)CIRESz 0611912003
VALI]E:
Total Value of Project
Date
Fee Description
-Mechanical Issuance Fee-
+ 77o State Surcharge
+ 87o Administrative Fee
Furnace - up to 100,000 btu
Minimum/Adj ustment Mechanical
Total Amount
Amount Paid
$10.00
$3.15
$3.60
$12.00
$33.00
$61.7s
t2lt9t02
t2n9t02
t2lt9t02
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12fi9t02
Receipt Number
1200200000000000433
r200200000000000433
1200200000000000433
1200200000000000433
1200200000000000433
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ that 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 certi$ 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 times during construction.
Owner or Contractors Signature
2of2
Date
r ees raro I
Kequrreo lnsDectrons I
p//l/az
t2/19/2002
l1:45:37AM
City of Springfield
Development Services Departm ent
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000433
Date: 1211912002
Line ltems:
Job/Journal Number Description Amount Paid
coM2002-01390
coM2002-01390
coM2002-01390
coM2002-01390
coM2002-01390
Fumace - up to 100,000 btu
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ 8% Administrative Fee
Payments:
12.00
33.00
10.00
3.15
3.60
Line Item Total:$61.75
Type ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid
Check ASSOCIATED HEATING djb In Person 61.75
TotaI:$6r.7s
Page 1 of I cReceipt.rpt
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