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HomeMy WebLinkAboutPermit Mechanical 2004-01-26Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00105ISSUED: 0112612004 APPLIEDz 0112612004 EXPIRESz 0712612004 VALUE: SITE ADDRESS: 157 lzTIJ ST SPACE 73 ASSESSOR'S PARCEL NO.: 1703354100201 PROJECT DESCRIPTION: Replace electric furnace Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential Owner: Address: BLACKMORE BONNE J & LESTER W 157 N I2TH ST #73 SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 Expiration Date 08t3u2004 Phone 541-683-2590 )NTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: NTION:Oregon lavv requlres you rG r*neadmficd&toltp Oregon Util ity rtifi Ce les are set for OAR oAB 952-OO r90 ies of the rules ! cal # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ol ffiugenter. (Note: the telephone for the Oregon Utility Notification Sidewalk Type: NOTICE:Downspouts/Drains THIS PERMIT S HALL EXPIRE IF TH E WORKAUTHORIZED U NDER THIS PEBM IT IS NOICOMMENCEDOB IS ABANOON ED FOR REQUIRED PARJ(NG Total: Handicapped: Compact: L $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pase I of2 DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS rutn g Description Type of Construction Value Date Calculated t ullJt-rll\(, rN11uKlvr,q Ilglu Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00105ISSUED: 0112612004APPLIEDz 0112612004EXPIRES: 0712612004 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7%o State Surcharge Furnace - up to 100,000 btu Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.1s $12.00 $33.00 $62.6s Date Paid u26t04 u26t04 u26t04 u26t04 u26t04 Receipt Number r200400000000000108 1200400000000000108 1200400000000000108 1200400000000000108 1200400000000000108 To Request an inspection call the 24 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. Reou \ 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. c/-{A [//t-4.'^-a4r\/07 Owner or Contractors tifonature ,l )C Paze2 of2 rees raro d^*ltt,.---' olt" 225 Fifth Street 4! Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department 08 Date: coM2004-00105 coM2004-00105 coM2004-0010s coM2004-00105 coM2004-00105 Furnace - up to 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + lU%o Administrative Fee 12.00 33.00 10.00 3.15 4.s0 Item Total:$62.65 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check ASSOCIATED HEATING llh lllSl In Person Payment Total: s62.6s $62.6s )