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Home My WebLink AboutPermit Mechanical 2004-11-10 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01389 ISSUED: 11/10/2004 APPLIED: 11/10/2004 EXPIRES: 05/10/2005 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 36 ALLEN AVE ASSESSOR'S PARCEL NO.: 1703224401600 Springfield TYPE OF WORK: Heating System TYPE OF USE: Residential PROJECT DESCRIPTION: Install gas furnace, piping and h20 htr Owner: LANCE CRANDALL Address: 36 ALLEN AVE SPRINGFIE:t;.D OR 97477 Phone Number: 541-747-9843 Contractor Type Mechanical Contractor MARSHALLS INC I CONTRA;~iI.l~J.N!NFORMATION I ' THIS PERMIT SHALL EXPIRE IF THE .WORK AUTHORIZED lM1cfnsf1'HS rlEffi~lltji'y~j~te ~:--l:J'I;.~:::; ~~:]2 0'W~fHl M"nnt\n:li/~PI~005 BUILDINGJ'lNIj'0~D. Phone 541-747-7445 VN # of Stories: Height Of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a ,. DEVELOPMENT INFORMATION. REQUIRED PARKING , Overlay Dist: Total: ' # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: ATTENTION: Oregon law requires you to 15!13'" ,~'i,:,! :'.-1,\+,,,,-1 h~' th" ()r"C'nn IltHitv I PUBLIC IMPROV~mli~n Center. Those rules are set forth , in OA~2-00~.QPJ&>.!hwu~h OAR 952-001- 0090. You may t'btaln colftes of the rules by calling the clJ1\tm.sI{~mtMYtelephone number for the Oregon Utility Notification Center is 1-800-332-2344). Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I " ~ _l._~'",.' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount' Value Date Calculated Total Value of Project Pa2:e 1 of 2 ! CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-01389 ISSUED: 11110/2004 APPLIED: 11110/2004 EXPIRES: 05/10/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $6.00 $12.00 $4.00 $23.00 11/10/04 11/10/04 11/10/04 11/10/04 11/10/04 11/10/04 11/10/04, Receipt Number 1200400000000001594 1200400000000001594 1200400000000001594 1200400000000001594 1200400000000001594 1200400000000001594 1200400000000001594 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. I 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 ofthe 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 t;~~Cj(D ~ ~ '---""" ' , Owner or Contractors Signature \~ - DLj \ \ \ Date Paj!e 2 of2 225 _Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-01389 COM2004-01389 COM2004-01389 COM2004-01389 COM2004-0 1389 COM2004-01389 ' COM2004-0 1389 Payments: Type of Payment Check 11/10/2004 r<:ty of Springfield Official Receipt t'elopment Services Department Public Works Department RECEIPT #: 1200400000000001594 Date: 11/10/2004 Description + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Gas Outlets 1-4 Minimum! Adjustment Mechanical -Mechanical Issuance Fee~ Paid By MARSHALLS INC Received By djb Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 18296 In Person Payment Total: lO:30:36AM Amount Due 3.15 4.50 12.00 6.00 4.00 23.00 10.00 $62.65 Amount Paid $62.65 $62.65