HomeMy WebLinkAboutPermit Mechanical 2005-10-10
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01329
ISSUED: 10/10/2005
APPLIED: 09/28/2005
EXPIRES: 04110/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,:", SITE ADDRESS: 260 W H ST
, ASSESSOR'S PARCEL NO.: 1703341104900
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install new furnace
Owner:
Address:
REBECCA LAMARCHE
260WHST
SPRINGFIELD OR 97477
Phone Number:
541-736-3981
Contractor Type
Mechanical
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~"Ut Stones:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
08/31/2006
Phone
541-683-2590
'1
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
, # of Units:
0:' Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
, Front yard Setback:
~ Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
~.. Storm Sewer Available:
Special Instruction:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!:e 1 of2
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CITY OF SPRINGFIELD~
Building/Combination Permit
PERMIT NO: COM2005-01329
ISSUED: 10110/2005
APPLIED: 09/28/2005
EXPIRES: 04/1012006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
10/10/05
10/1 0/05
10/10/05
10/10/05
10/1 0/05
2200500000000001406
2200500000000001406
2200500000000001406
2200500000000001406
2200500000000001406
Total Amount Paid
$62.65
I Plan Reviews I
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.
Reouired Insoections I
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 withORS 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
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Owuor or Cootraotors 57
Date
Pae.e 2 of2
225 Fifth Street
S(1ringfiHd, Oregon 97477
541-726-3759 Phone
SPRING."...., iii"
WI,:
*'
r"lty of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
CpM2005-0 1329
COM2005-0 1329
COM2005-0 1329
COM2005-0 1329
COM2005-0 1329
Pilyments:
Type of Payment
C\1eck
',\
.,..
l
10/1 0/2005
RECEIPT #:
2200500000000001406
Date: 10110/2005
Description
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee-
+ 7% State Surcharge
Paid By
ASSOCIATED HEAT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 13698 In Person
Payment Total:
Page 1 of 1
11:51:11AM
Amount Due
4.50
12.00
33.00
10.00
3.15
$62.65
Amount Paid
$62.65
$62.65