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Home My WebLink AboutPermit Mechanical 2004-01-08Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00024ISSUED: 0110812004APPLIED: 01/0812004EXPIRES: 0710812004 VALUE: SITE ADDRESS: l57lzTIJ ST SPACE 28 ASSESSOR'S PARCEL NO.: 1703354100201 PROJECT DESCRIPTION: Replace gas furnace. Owner: DAWES KENNA y Address: 157 N 12TH ST #28 SPRINGFIELD OR 97477 Springlield TYPE OF WORI(: Manufactured Home in Park TYPE OF USE: Alteration Residential Contractor Tvpe Mechanical Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 Expiration Date 08t3u2004 Phone 541-683-2590 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-1 SETBACKS \ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Solar Street Storm Sewer Special Instruction: Notes: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Type: ,OO SEQUIRED PARKING $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Page I of2 Description Type of Construction Value Date Calculated t ul|-r_[i\(i Il\rr(Jr(vrA.lll2]l l $ \J Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676F2x 541-7 26-37 69 Inspection Line ITY Building/Combination Permit PERMIT NO: COM2004-00024ISSUED: 01/08/2004APPLIED: 01/0812004EXPIRES: 07/0812004 VALUE: Fee Description -Mechanical Issuance Fee- + lloh Administrative Fee + 1oh State Surcharge Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $r0.00 $4.s0 $3.1s $12.00 $4.00 $29.00 $62.6s Date Paid u8t04 u8104 u8104 u8t04 u8t04 lt8t04 Receipt Number 2200400000000000014 2200400000000000014 2200400000000000014 2200400000000000014 2200400000000000014 2200400000000000014 Plan Reviews To Request an inspection call the 24 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 Gas: After line is installed and required testing and capped if not attached to an appliance. 2 Rough Mechanical: Prior to Cover 3 Final Gas: When all gas work is complete. 4 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 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 witl 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. ,lLu/vL a ?, Owner or Contractors Signature Page2 of2 Date H ees l-rlo I l(eourreo tnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Cfficia! Receipt Development Services I)epartment Public Works Department Date:0u08t2004 12:05:27Pl[I coM2004-00024 coM2004-00024 coM2004-00024 coM2004-00024 coM2004-00024 coM2004-00024 Furnace - up to I btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0%o Adminiskative Fee 12.00 4.00 29.00 10.00 3.15 4.50 $62.65Item Total: Payments: Type ofPayment Paid Received By Check Number Batch Number Authorization Number How Received Amount Paid Check ASSOCIATED HEATING & Al/C, jmp INC 0l I 125 In Person Payment Total: ( lFmf;m* $62.65 -$ffir