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Home My WebLink AboutPermit Mechanical 2004-02-17Status Issued ?11 \\fh S treet, Springfi erd, oR 541-726-3753 phone 541-72G3676Fax 541-7 26-37 69 Inspection Line SITEADDRESS: 263020THST ASSESSOR'S PARCEL NO.: 1703244203700 PROJECT DESCRIpTION: Instalt propane insert Owner: ROMI LUCAS Address: 2630 N 20TH ST SPRINGFIELD OR 97477 Building/Combination Permit PERMIT N ISSUED: APPLIED: EXPIRES: VALUE: O: COM2OO4-00178 02/17/2004 02/17t2004 08/17/2004 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Phone Number: Residential Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10t22t2005 Phone 541-726-76s4 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 \ri\ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: N E01lG 1H TRM\.I $HALL EXP ,\ZED UNDER 1 ABAIq REQUIRED PARKING Total: Handicapped: Compact:ISP q}'EP,HOR OR IS Street Improvements: Storm Sewer Available: Special Instruction: Notes: AU1 COM ME NCED PER\O 0. $ Per Sq Ft or multiplier Coverage: Square Footage or Bid Amount r^-4{4r ic r -R00--?32-?-344) Total Value of Project Pase I of2 DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Value Date Calculated requlres you to follow rules Utility 'lotilication are set fort n oAR 952-00 1-0010 through oAR 952-00 )090. You maY obtain coPies ol the rules I center.the telePhone Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2004-00178ISSUED: 0211712004APPLTED| 02fi7t2004 EXPIRESz 0811712004 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7oh State Surcharge Gas Fireplace LP Gas Tank & Piping Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.50 $3.1s $15.00 $12.00 $18.00 $62.6s Date Paid 2fi7t04 2n7t04 2lr7t04 2n7104 2n7t04 2n7t04 Receipt Number 2200400000000000144 2200400000000000144 2200400000000000144 2200400000000000144 2200400000000000144 2200400000000000144 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. 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 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 l i c zlz f ,,'r or Contractors Signature Pase2 of2 Date / r ees rato I t(eourreo rnsDectrons I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Spitngfield Official Receipt Development Services Department Public Works Department Receipt #z 22OO400000000000 144 D ate:02tl.7,t2004 9:21:lOAM coM2004-00177 coM2004-00177 coM2004-00178 coM2004-00178 coM2004-00r78 coM2004-00178 coM2004-00178 coM2004-00178 coM2004-00177 col0'd2004-00177 coi[l2004-00r77 coM2004-00177 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + ljYo Administrative Fee LP Gas Tank & Piping Gas Fireplace -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical + 7o/o State Surcharge + l0o/o Administrative Fee Air Handling Unit Up to 10,000 Heat Pump 2s.00 10.00 3. l5 4.50 12.00 15.00 10.00 18.00 3. 15 4.50 8.00 12.00 Item Total:$r2s.30 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Cash Change AUTOMATICHEAT AUTOMATIC HEAT djb djb In Person In Person Payment Total: $130.00 ($4.70) slrs]to- col[/d2004-00177 coM2004-00177 coM2004-00178 coM2004-00178 coM2004-00178 coM2004-00178 coM2004-00178 coM2004-00r78 col0ld2004-00177 coM2004-00t77 coM2004-00177 colt|d2004-00t77 Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7oh State Surcharge + l0%o Administrative Fee LP Gas Tank & Piping Gas Fireplace -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical + 7o/o State Surcharge + llYo Administrative Fee Air Handling Unit Up to 10,000 Heat Pump 25.00 10.00 3. l5 4.50 12.00 15.00 10.00 18.00 3. l5 4.50 8.00 12.00 Item Total:$r25.30 Type ofPayment Paid By Received By Batch Number Authorization Number lfow Received Amount Paid Cash Change AUTOMATICHEAT AUTOMATIC HEAT djb djb In Person In Person Payment Total: $ 130.00 ($4.70)-Tr2*t0-