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Home My WebLink AboutPermit Mechanical 2003-10-15F' 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: COM2003-01052ISSUED: 1011512003APPLIEDz 1011512003 EXPIRESz 0411512004 VALUE: SITE ADDRESS: 2428L7TIJST ASSESSOR'S PARCEL NO.: 1703243400323 PROJECT DESCRIPTION: Install gas furnace with AC Springfield TYPE OF WORI(: Heating System TYPE OF USE: New Residential Owner: JAMES KOWALEWSKI Address: 242817TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-747-4015 Contractor Tvpe Mechanical Contractor EUGENE HEATING & COOLING Expiration Date 10t22t2005 Phone 541-726-7654 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: \st Drive Rqd: %o ofLot Coverage: R-3 VN $ Per Sq Ft or multiplier Square Footage or Bid Amount lHt )\Type: Downspouts/Drains: REQTIIRED PARKING Total: Total Value of Project Pase 1 of2 Description Type of Construction Value Date Calculated License 149452 rrull]t rlt\ (r lt\r \-rluYr4\ r r\-ll I Lot Size: Ft lst Floor: Ft 2nd Floor: Basement: Itt Garage/Carport Other: Surface Area: \he Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01052ISSUED: 1011512003APPLIED: 10/1512003EXPIRES: 0411512004 VALUE: Fee Description -Mechanical Issuance Fee- + lloh Administrative Fee + 7oh Strte Surcharge Air Handling Unit Up to 10,000 Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimur/Adj ustment Mechanical Total Amount Paid Amount Paid Date Paid 10/15/03 10/15/03 10/15/03 10/1s/03 10/15/03 10/1s/03 10/15/03 10/15/03 $r0.00 $4.50 $3.1s $8.00 $6.00 $12.00 $4.00 $15.00 Receipt Number 1200200000000002320 1200200000000002320 1200200000000002320 1200200000000002320 1200200000000002320 1200200000000002320 1200200000000002320 1200200000000002320 $62.6s 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 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 2 Rough Mechanical: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. By signaturer l 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 Springlield 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 c I Owner or Signature w Pase2 oI2 Date '@ iees raro I Keourreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Offi{ial Receipt Development Services Department Public Works Department Receipt # z 1200200000000002320 Date: 1011512003 2:l7zl4P}I coM2003-01052 coM2003-01052 coM2003-01052 coM2003-01052 coM2003-01052 coM2003-010s2 coM2003-01052 coM2003-01052 + 7Yo State Surcharge + llYo Administrative Fee Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets 1-4 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- 3.15 4.s0 12.00 8.00 6.00 4.00 15.00 10.00 Item Total:$62.65 Check Number Batch Number Payments: Type ofPayment Cash Change Paid By ASSOC HEATTNG ASSOC HEATING Received AuthorizationNumber [IowReceived In Person In Person Payment Total: Amount Paid s70.00 ($7.35) djb djb $62.65 coM2003-010s2 coM2003-01052 coM2003-01052 coM2003-01052 coM2003-01052 coM2003-01052 coM2003-01052 coM2003-01052 + 7o/o State Surcharge + ljYo Administrative Fee Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Appliance Vent Gas Outlets l-4 Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- Item Total:ti62.65 3.15 4.50 12.00 8.00 6.00 4.00 15.00 10.00 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Cash Change ASSOC HEATING ASSOC HEATING djb djb In Person In Person Payment Total: s70.00 ($7.3s) $62.6s