The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2005-10-7 _~,e,@lfig,~I!~',., " .~. ,~ . .,. - " ~ jt Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '''''-CITY OF SPRINGFIELD Building/Combination Permit' PERMIT NO: COM2005-01392 ISSUED: 10/07/2005 AIr LIED: 10/06/2005 EXPIRES: 04/07/2006 VALUE: SITE ADDRESS: 2136 15TH ST ASSESSOR'S PARCEL NO.: 1703252208300 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: InstaIJ gas furnace and ac 'Owner: JEREMY COWAN Address: 2136 15TH ST SPRINGFIELD OR 97477 Phone Number: 541-746-0530 Contractor Type Mechanical I CONTRACTOR INFORMATION I to . on laW requII ~" you. 't . Contractor AliENiION: Ore~d by tMdCfOOPn U~~ation Date Phone EUGENE HEATING~\'e8m!tNft~~~. ThOsd49ma~ ;e,.., lnr\,~'p/2212005 541-726-7654 f'~uIiiiIN~i~ffi~u\TI~~~~~%i~s by II I v,~. . . \ may obtaIn l;U '. e telephone 009~'IfS1WJ,~enter. (Note. .t~ NotificatibQt Size: CH~'i'fh~li of the Oregon UtIlIty 44)' Sq Ft 1st Floor: nury~~'O egf:is ~ _800-332-23 . Sq Ft 2nd Floor: Wate f~e: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled n/a Occupant Load: R-3 . # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: VN I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees '{,eE- Paved Drive R~Jf 'tt'\E WORK ~~\S P~RMtt ~rSlYERM\l \$ MOl ~UiPnQ'7~p_ UND~~ ~~ ~J}:,oNeD rOR CO MENTS I\N'l Sidewalk Type: Street Storm Sewer Available: Special Instruction: " ~~ Downspouts/Drains Notes: I Valuation Description I Description Type of Construction $PerSqFt or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Total Amount Total Value of Project Fees Paid' Amount Paid Date Paid CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: COM2005-01392 ISSUED: 10/07/2005 APPLIED: 10/06/2005 EXPIRES: 04/07/2006 VALUE: Receipt Number 1200500000000001481 1200500000000001481 1200500000000001481 1200500000000001481 1200500000000001481 1200500000000001481 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, $10.00 $4.50 $3.15 $12.00 $12.00 $21.00 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 10/7/05 $62.65 I Plan Reviews, Rough Mechanical: Prior to Cover 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 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 an times during const~tion. --r;; ~f1A r-tn t ^ JM-:tiLJO 00 IfS '1 ~ Owner or Contractors Signature 2 of 2 Date ) 225 Fifth Street Springfield, Oregon 97477 541-726:3759 Phone ~~ ~~~ of Springfield Official Receipt !~elopment Services Department Public Works Department Job/Journal Number COM2005-0 1392 COM2005-0 1392 COM2005-0 1392 COM2005-0 1392 COM2005-0 1392 COM2005-0 1392 Payments: Type of Payment Cash C~lange 'I JI)b/Journal Number (rt>M2005-0 1392 COM2005-0 1392 COM2005-0 1392 COM2005-0 1392 COM2005-0 1392 . COM2005-01392 Payments: . T~e of Payment Cash Change ".~I ./ .J ~ :r :r 10/7/2005 RECEIPT #: 1200500000000001481 Date: 10/07/2005 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Boiler/Camp Up To 100,000 btu Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By AUTOMATIC HEAT AUTOMATIC HEAT Item Total: CbeCk.Number AuthorizatIon Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Boiler/Camp Up To 100,000 btu Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By AUTOMATIC HEAT AUTOMATIC HEAT Item Total: CbeCk. Number AuthorIzation Received By Batch Number Number How Received djb In Person djb In Person Payment Total: 1 of 1 12:21:01PM Amount Due 3.15 4.50 12.00 12.00 21.00 10.00 $62.65 Amount Paid $63.00 ($0.35) $62.65 Amount Due 3.15 4.50 12.00 12.00 21.00 10.00 $62.65 Amount Paid $63.00 ($0.35) $62.65