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Home My WebLink AboutPermit Mechanical 2004-12-06Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-0I485ISSUED: 1210612004 APPLIEDz 1210612004EXPIRES: 06/0612005 VALUE: SITEADDRESS: 260031STST ASSESSOR'S PARCEL NO.: 1702193200600 PROJECT DESCRIPTION: Gas furnace Owner: EARL MCELHANy Address: 2600 N 31ST ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PhoneNumber: 541-747-1689 Contractor Type Mechanical Contractor HOME COMFORT HEATING & AIR License 84164 Expiration Date 06tzst2007 Phone 541-345-2838 CONTRACTOR INFORIVIATI( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: #of ,\1 Range Type: \t1 EXP \RE , Energy Path: # of Stories: Height of Structure Type of Heat: Water Type: Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh oILot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN HEN ERM\1 \S N \SP Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount REQUIRED PARI(NG Total: Handicapped: Compact: to Total Value of Project DEVELOPMENT INFORMATION Description Tvpe of Construction Page I Value Date Calculated I, U ll,l-rll'l (J rN LL,r(lYrA r r(,N..l ID Side I Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01485ISSUED: 1210612004APPLIED: 1210612004 EXPIRESz 061061200;5 VALUE: Amount Paid Date Paid Receipt Number 1200400000000001694 1200400000000001694 1200400000000001694 1200400000000001694 1200400000000001694 1200400000000001694 Fee Description -Mechanical Issuance Fee- + l07o Administrative Fee + loh State Surcharge Appliance Vent Furnace - up to 100,000 btu Minimu m/Adj ustment Mechanical Total Amount Paid $10.00 $4.50 $3.15 $6.00 $12.00 $27.00 tzt6t04 tzt6t04 t2t6t04 t2t6104 t2t6t04 tzt6t04 $62.65 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Reouired Insnections 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. O"altD-X-- 6r.*;Owner or Contractors Pase2 of2 Date <ts \flt _r ees ralo I 225 Fifth Street Sprrngfiel.l, Oregon 97 477 541-726-3759 Phone _-Jity of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200400000000001694 Date: 1210612004 10:16:18AM Job/Journal Number coM2004-01485 coM2004-0148s coM2004-01485 coM2004-01485 coM2004-01485 coM2004-01485 Description + 7%o State Surcharge + ljYo Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.1s 4.50 12.00 6.00 27.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check HOME COMFORT djb 12678 In Person $62.65 Payment Total: -Sffi r2t6t2004 Page I of I .'ITIOTfD L}._