HomeMy WebLinkAboutPermit Mechanical 2005-8-25
CITY OF SPRINGFIELD -
. Building/Combination Permit
PERMIT NO: COM2005-01112
ISSUED: 08/25/2005
APPLIED: 08/17/2005
EXPIRES: 02/25/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
SITE ADDRESS: 5916 G ST
ASSESSOR'S PARCEL NO.: 1702342200408
Springfield TYPE OF WORK: Heating System
. PROJECT DESCRIPTION: Replace gas furnace
TYPE OF USE: Repair
Residential
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTiCE: .
-' - ..- n' '^ I I CVOIDt:Ir: THF WORK
~~I~H~,-i~p'~j(i~~~RQ-Y.$~ENi'llSI IS NOT
COMMENCED ORIS ABANUUNtU ,OR Sidewalk Type:':
ANY 180 DAY PERIOD.
~::. Owner: RICHARD BAYS
Address: 5916 G ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR INFORMATION'
Contractor License
ASSOCIATED HEATING & AIR CONDITIO 106275
ATTENTION: ~'mbIMN~_N I
. follow rules adopted by the Oregon tllty
# of Units: Notification Center. 1fhet3~tMf~ are set forth
Primary Occupancy Group: In OAR ~-001-001 oIft~f~~ ~A1f~~$~-001-
Se~ondary Occupa?cy GrouIU090. You mayobtairrrep~J~fltne rules by
'. Primary ConstructIo? Type . calling%e center: )flHfe:1~g~elephone
, Secondary Construction Type.number for the Orerfl1t5t'P.f~otification
. # of Bedrooms: . C t r i 1- ~.~rf)}'~:4i.
. en e S prmlUelT'Btllfdmg: n/a
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-747-2553
Expiration Date
08/31/2005
Phone
541-683-2590
. Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Downspout~lDrains:
, Notes:
_.
.,
I Valuation Description'
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Pal!e 1 of 2
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01112
ISSUED: 08/25/2005
APPLIED: 08/17/2005
EXPIRES: 02/25/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
,,:.541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$10.00 8/25/05 2200500000000001156
$4.50 8/25/05 2200500000000001156
$3.15 8/25/05 2200500000000001156
$6.00 8/25/05 2200500000000001156
$12.00 8/25/05 2200500000000001156
$27.00 8/25/05 2200500000000001156
Total Amount Paid
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour-recording at 726-3169'. 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 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.
(]r~~
ownrl" Contractors Signature
15---- &)' -V ~
Date
Paee 2 of 2
225 Fifth Street
'f ,.
S.pringfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01112
COM2005-01112
COM2005-01112
"j
CbM2005-01112
COM2005-01112
COM2005-01112
RECEIPT #:
2200500000000001156
Date: 08/25/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Appliance Vent
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Payments:
Trpe ofPayment Paid By
Check ASSOCIATED REA TING
:(
~!
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 13503 In Person
Payment Total:
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8/25/2005
Page 1 of I
1:37:38PM
Amount Due
3.15
4.50
12.00
6.00
27.00
10.00 ;
$62.65
Amount Paid
$62.65
$62.65