HomeMy WebLinkAboutPermit Mechanical 2004-8-26
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.- 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.
"- - ~
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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