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HomeMy WebLinkAboutPermit Mechanical 2004-8-26 .~ \ , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .- CITY OF SPRIl'ild'l~LU Building/Combination Permit PERMIT NO: COM2004-01067 ISSUED: 08/2612004 APPLIED: 08/26/2004 EXPIRES: 0212612005 VALUE: SITE ADDRESS: 1180 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703264103800 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: PROJECT DESCRIPTlON: Install gas furnace, air conditioner, gas line, and duct work. Alteration Residential Owner: AMPARO OFELIA Address: PO BOX 448 SPRINGFIELD OR 97477 Contractor Type Mechanical Phone Number: 541-912-3422 I CONTRACTOR INFORMA TlON I Contractor RONS REA TlNG AND AIR COND Phone 541-343-6829 I BUILDING INFORMA TlON I '" 't- ,#:6rStOrles: Lot Size: R-3 ,\'0<d\~~~ of Structure Sq Ft 1st Ftoor: &, ~ ~Tj.e.sOPf Heat: Sq Ft 2nd Floor: VN ~ R,<<:' <-~ater Type: Sq Ft Basement: 0-\S ~~~~ange Type: ~ Ft Garage/Carport ~" "' ~ Energy Patb: o~~t,Rther: . -< S~_,~~~. ~ Sprinkled Building: nf"~0'? ~ .,p1li,1!i'l~ Load: -<-. ." .,'<" '-:l ~ ." {'t;' f' ;-[\ ~,~,\'\v~~,<,~~\)<v~ ~'o;k..<<t'bEVELOPMENT INFORMATlON:P\0-J~0 C?)'-J'!:~,?"Q'\ '''",~S'0~~.~'3 ~~ ot;' A...." \.s-0'?O~ 0\'> ~g.UlREDPARKING , :-0"' ~~v '> 0C$ o"Q 0 ::<:- ~..:s' ~f' ~o Frontyard Setback: ~ f;J~ ,'Q~ Overlay Dist: . 0\ ~e; -<",<:-0<0 0,>C$ '? 0 ,~e; ,&,dVital: Side 1 Setback: '3 ~ # Street Trees$~~~oo<;l0\' <::J ~ o<;l,e;. '$'0 ~o~ ~andicapped: Side 2 Setback: ~ Paved Driry~~~:' 00~ s:p" <if' ~~0,0~~~!l-~~compact: Rearyard Setback: % of ~"'C\!.ver~e: \:)<::J' o"Q'< \. ~ ot;' 'J)'!: Solar Setbacks: ,~o .,c,1} C?)':J'!: ",1>':'" 0~e;^\0C$ ~c::r~ ll~ ^ ~ '\' r, v q.; I PUBLIC IMPRO~Er"NJ;S:i~o\ ~~\~ . \,)- c,1>"~"Q'O' 00""Sidewalk Type: t;''> # oCUnits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description License 159648 Expiration Date 04/29/2006 DownspoutslOralns: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Total Value of Project Paeelof2 ,. \ 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 BoilerlComp 3-15 UP Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid . . LIl f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-0I067 ISSUED: 08/26/2004 APPLIED: 08/26/2004 EXPIRES: 02/26/2005 VALUE: I FI'I" tiWU Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $22.00 $12.00 $4.00 $7.00 8/26/04 8/26/04 8/26/04 8/26/04 8/26/04 8/26/04 8/26/04 1200400000000001269 1200400000000001269 1200400000000001269 1200400000000001269 1200400000000001269 1200400000000001269 1200400000000001269 $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. Ul'oulrl'rl Tn.nl'l'tlon.. Rough Gas: After line is installed and required testing and capped If not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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 ofthe 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 ermlt card is located at the front of the property, and the approved set of plans will remain on the site at all '~~}~\\\~ 14'dlr1O'-t Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone I , Job/Journal Number COM2004-0 I 067 COM2004-0 1 067 COM2004-0 1067 COM2004-0 1 067 COM2004-0 1 067 COM2004-0 I 067 COM2004-0 1 067 Payments: Type of Payment Check 8/26/2004 . RECEIPT #: .""~'~"'~~,. m," i, Ilk. "- - ~ . - . ~ I I - ---~~"". ", . liE' of Springfield Official Receipt _elopment Services Department Public Works Department 1200400000000001269 Date: 08/26/2004 Description Furnace - up to 100,000 btu Boiler/Comp 3-15 HP Gas Outlets 1-4 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By RON'S HEATING AND AIR CONDITIONING Item Total: Check Number Authorization Received By Batch Numher Number How Received Jrnp 6612 In Person Payment Total: Page 1 of1 12:03:07PM Amount Due 12.00 22.00 4,00 7.00 10.00 3.15 4.50 $62.65 Amount Paid $62,65 $62.65