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Home My WebLink AboutPermit Mechanical 2004-10-26 , '; Status Issued , 'IJ leo.u\{es 'l;\\\~ goO a: OlegoO ,rtn 225 Fifth Street, Sprin~t'f\~{e 0 b'l tne ale set 0 "\. 541-726-3753 Ph,.1{i\~N S aoO?\e ose t\l\eS \\952-00 541-726-3676 Fa~\\oW t~\e cen\el. ~n\n{OUgn Of:>,: he {\l\eS '0'1 541-726-3769 Ins~t~eoo'\.OO'\~ O?\es 0' ~ \ ?tlone ~UW:-n 0.5.2. _ t~r.\\{\ c ~rf.) \e e ~"1'\ \rt vi," ..na,/ .. - INO~I::t. '. ..'o:\.\I\v.... OU~v.~,,'I\" ~\.\:.. I U~S~:JN \ SITE ADDRESS: ~'itV {s<i)O{\ '32.2'344/. Springfield ASSESSOR'S PARCiL.,N(9J:\Of1 ~~~~~o~ "U\\'\"- ceo\e PROJECT DESCRIPTION: Install new furnace Owner: TROY LATHAM Address: 2328 BEVERLY ST SPRINGFIELD OR 97477 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01328 ISSUED: 10/26/2004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: TYPE OF WORK: Heating System TYPE OF USE: New Residential Phone Number: 541-543-3560 I CONTRACTOR INFORMATION' Contractor License Expiration ,'Qate Phone AUTOMATIC HEAT ~O~~~.~~q\.,.~~\ EXPIRE \1ic1i2~2~tJ5KI\T 541-726-7654 li;;.r' T' ....t. \ ' U\S UtL-l.\VIII Iv UO BUlLDING~FplW*-1i'I~~~,ER Tn r " '~ClMMENCED OR IS i\BANDONE~ FOR # ofStorles. Rn Di\'( PERIOD. Lot Size: Height o~t~u~tUTe Sq Ft Ist Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Type of Construction Total Value 'of Project Pa2e 1 of2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Value Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01328 ISSUED: 10/26/2004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I 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 $10.00 $4.50 $3.15 $6.00 $12.00 $27.00 10/26/04 10/26/04 10/26/04 10/26/04 10/26/04 10/26/04 Receipt Number 1200400000000001515 1200400000000001515 1200400000000001515 1200400000000001515 1200400000000001515 1200400000000001515 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 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. (" ~~ QQ.Jr, ltlsl"If>L\ Owner or ~tors ~gnature Date Pae:e 2 of 2 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone ~~ r'ity of Springfield Official Receipt ,velopment Services Department Public Works Department Job/Journal Number COM2004-0 1326 COM2004-01326 COM2004-01326 COM2004-0 1326 COM2004-0 1326 COM2004-01326 COM2004-01326 COM2004-01327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 Payments: Type of Payment Cash Change Job/Journal Number COM2004-01326 COM2004-0 1326 COM2004-0 1326 COM2004-01326 COM2004-0 1326 COM2004-0 1326 COM2004-01326 COM2004-0 1327 COM2004-01327 COM2004-01327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1327 COM2004-0 1328 COM2004-0 1328 COM2004-0 1328 COM2004-01328 COM2004-0 1328 COM2004-01328 10/26/2004 RECEIPT #: 1200400000000001515 Date: 10/26/2004 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~ + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ Paid By AUTOMATIC HEAT AUTOMATIC HEAT Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: 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~ + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ + 7% State Surcharge + 10% Administrative Fee Furnace - up to 100,000 btu Appliance Vent Minimum! Adjustment Mechanical ~Mechanical Issuance Fee~ Item Total: Page I of2 9:35:58AM Amount Due 3.15 4.50 12.00 6.00 4.00 23.00 10.00 3.15 4.50 8.00 12.00 25.00 10.00 3.15 4.50 12.00 6.00 27.00 10.00 $187.95 Amount Paid $200.00 ($12.05) $187.95 Amount Due 3.15 4.50 12.00 6.00 4.00 23.00 10.00 3.15 4.50 8.00 12.00 25.00 10.00 3.15 4.50 12.00 6.00 27.00 10.00 $187.95 Payments: Type of Payment Cash Change 10/26/2004, RECEIPT ':.~, , Paid By AUTOMATIC HEAT , AUTOMATIC HEAT 1200400000000001515 Received By djb djb Page 2 of2 )ate: 10/26/2004 Check Number AuthuJ"lzation Batch Number Number How Received In Person In Person Payment Total: 9:35:58AM Amount Paid $200.00 ($12.05) $187.95