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Home My WebLink AboutPermit Mechanical 2004-03-30"?* OF SPRIN Building/Combination Permit PERMIT NO: COM2004-00350ISSUED: 0313012004APPLIED: 03/3012004EXPIRES: 09/3012004 VALUE:% Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 2258 33RD ST ASSESSOR'S PARCEL NO.: 1702193404500 PROJECT DESCRIPTION: Install heat pump and furnace Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: Address: KNIGHTS DUANE A & SUSAN E 2258 33RD ST SPRINGFIELD OR 97477 Contractor Tvpe Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2005 Phone 541-747-7445 License 25790 CONTRACTOR INFORMATION # of Units: 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: R-3 YN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o oflot Coverage: 1H\ 'wvu,C }v'. aq\ f.so Lot Size: Sq Ft ls! Ff u\ PARKING Total: Handicapped: Compact: I\S N01 ERM\SPE D t0R AUlHOB\ CO \I\\'IENr D AY PE t, ANY 180 $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of project Page I of2 Description Type of Construction Value Date Calculated q .ttUILI-rl1\(r l-t\I UI(IYIAI lt l\ | Building/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: COM2004-00350ISSUED: 0313012004APPLIED: 03/3012004 EXPIRES: 09/3012004 VALUE: tr'ees Paid Amount Paid Date Paid Receipt Number 1200400000000000417 12004000000000004r7 1200400000000000417 r200400000000000417 1200400000000000417 Fee Description + l0o/o Administrative Fee + 7Yo State Surcharge Furnace - up to 100,000 btu Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid $4.s0 $3.1s $12.00 $12.00 $31.00 3t30t04 3t30t04 3t30104 3t30t04 3t30104 $62.65 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. Reouired Insnect 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. 5--o or Contractors Signature Date Pase2 of2 \l 225 Fifth Street *tr Springfield, Oregon 97 477 541-726-3759 Phone Ci.y of Springfield Official Receipt Development Services Department Public Works Department #:t7 Date:2:39:14PM coM2004-00350 coM2004-003s0 coM2004-003s0 coM2004-00350 6( coruzoo4-oo35o + 7Yo State Surcharge + l0Yo Administrative Fee Fumace - up to 100,000 btu Heat Pump Minimum/Adj ustnent Mechanical Item Total:$62.6s 3. l5 4.50 12.00 12.00 31.00 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check MARSHALLS INC +n r-*f djb 17915 In Person Payment Total: $62.6s $62.6s flue,r^ -.LsstJ"o-Pti t,lfl{?\.- fYue.r- [t- (