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Home My WebLink AboutPermit Mechanical 2004-10-5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01236 ISSUED: 10/05/2004 APPLIED: 10/05/2004 EXPIRES: 04/05/2005 VALUE: SITE ADDRESS: 4127 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702323303901 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Heat pump and air handler Owner: SCHIELE BETTY A TE Address: 2316 15TH ST SPRINGFIELD OR 97477 Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction TYPE OF USE: New Residential I CONTRACTOR INFORMATION. Expiration Date 12/23/2005 Phone 541-747-7445 Contracl<pfEN.TlON: Oregon law requires yJdq~nse MARSHEtt~~b., ~r1()rtprl h" the Oreaon ~~i7~9 N~tification ~/lJUK.DIN(JpJ:NFORMA'T-Io~th In OAR 952- 01-UU1 U mruu!J' I U/"\r1 \JoJy,,-v 1; 0090. You may o~ll1iStfl)~'e~s of the rul~~ by &"'"9 the cenlkig\JltlQ;(fSlruettwe1ph0!1liJ number for the lN~~ti~y Notltic~tj{)n VN Center i~g{J:5!fa-2344). Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Sidewa~Type: N01\CE: "^\1 5\-1Jl.LL EXP\RE \F :^~;'~~v-tsfDrains: 1\-1\5 PERw, R 1\-1\5 PERwl\\ A\HHOR\IEO UNO~5 Jl.BANDONED fOR ~~~~;~%~~ ~~R\OO. Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Pae:e 1 of2 Value Date Calculated '-.""~'7".."'."..I.Ii.'~'.~.'" ". ........ '.. .......... IIkJ:M:.... -, '.., '\'?""" , ' ..' -..,.: ,..~....-... - .,~.......,....,.._.-..-'.. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01236 ISSUED: 10/05/2004 APPLIED: 10/05/2004 EXPIRES: 04/05/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line L Fees paidJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge, Air Handling Unit Up to 10,000 Heat Pump MinimumlAdjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 10/5/04 10/5/04 10/5/04 1015/04 10/5/04 10/5/04 Receipt Number 1200400000000001433 1200400000000001433 1200400000000001433 1200400000000001433 1200400000000001433 1200400000000001433 Total Amount Paid $62.65 I Plan Reviews, 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 , 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 ofany 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 :::g~~Oca~ ~t ~ ::t of the pro~~. aod the approvoo s~ ~;:s ; T~n the site at ~ Owner or Contractors Signature Date ( Paee 2 of2 225 Fifth Street . - Springfield, Oregon 97477 541-726-3759 Phone s;.P~. .I..N~..F...I"..: ii'... '. .."........ 1IIi:. . :'__d_~ -: rity of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2004-01236 COM2004-01236 COM2004-01236 COM2004-01236 COM2004-0 1236 COM2004-01236 Payments: Type of Payment Check 10/5/2004 RECEIPT #: 1200400000000001433 Date: 10/05/2004 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALLS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 18232 In Person Payment Total: Page 1 of 1 10:02:48AM Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid $62.65 $62.65