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Home My WebLink AboutPermit Mechanical 2007-10-30 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01614 ISSUED: 10/30/2007 APPLIED: 10/30/2007 EXPIRES: 04/30/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line TYPE OF WORK: Heating System Springfield SITE ADDRESS: 5772 KALMIA LN ASSESSOR'S PARCEL NO.: 1802041403200 TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat Pump Phone Number: 541-726-3395 Owner: CRUMROY JULIE M Address: 5772 KALMIA LN SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I License 161742 Expiration Date 10/11/2008 Phone 541-746-1040 Contractor Type Mechanical Contractor INNOVATIVE AIR INC BUILDING INFORMATION. Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Stories: Height of Structure: Type of Heat: Water Type: Range.Type: Energy Path: Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Frontyard 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: Sidewalk Type: Downspou'Mm~itii':il8-00g" ~ SI JaluaO UO!l\:!O!J!lON Al!l!in u05aJO 'a4l JOJ Jaqwnu " auol../da/Ell El4l :EllON) 'JEllUao aln DUI/leo q SalnJ a4l JO se!doo U!Blqo Aew no)., "060e ~ ~?"O-Z^~6^~V9_ ~,5nOJ4l 0 ~OO- ~OO-c96 8'10 UJ /l J J, - .x -e,'M V"""''1J. A"lUd~ uultBOIlIJON' ^l!I!1n uo5aJO El4l Aq peldope saln..! MO'/fOl Ol no/.. saJ!nbaJ Mel u05ElJO :NOIIN311V Storm Sewer Available: Special Instl'Uction: ~~U' HCft: Notes: THIS PERMIT SH AUTHORI7f:fll't.'~~L EXPIRE 11= T/../S IYJ~ . l;OMMENC -- v/wen I HIS PERMt- "- nn ANY 180 DAEyD OR IS ABANDONE~ ~~&uron Description I PERIOD, n $ Per Sq Ft Square Footage or multiplier or Bid Amount Description Type of Construction Value Date Calculated " Pa\?:e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01614 ISSUED: 10/30/2007 APPLIED: 10/30/2007 EXPIRES: 04/3012008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4,00 $9.00 $14.00 $27.00 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 10/30/07 2200700000000001649 2200700000000001649 2200700000000001649 2200700000000001649 2200700000000001649 2200700000000001649 2200700000000001649 Total Amount Paid $81.50 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ReQuired 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. ~J - ;;;. /e>hl/ti7 / '-- Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street Sprhigfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01614 COM2007-01614 COM2007-01614 COM2007-01614 COM2007-01614 COM2007-01614 COM2007-01614 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200700000000001649 Date: 10/30/2007 Description Heat Pump Air Handling Unit Up to 10,000 Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By PAMELA DARNELLlINNOV A TIVE Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 038160 In Person Payment Total: Page 1 of 1 lO:12:lIAM Amount Due 14.00 9.00 27,00 20.00 2.50 4.00 5,00 $81.50 Amount Paid $81.50 $81.50 10/30/2007 ~ Q) LOCATION OF PROPOSED WORlC ASSESORS MAP: Q). ~ OWNEI< ~ ADDRESS: 00 CITY: ~. ~, . o . ~ . ~, Q) .~. . Corn 2407,- l:)~~<.<1l:~\,~~7~:._.'::L_':_; ,>-~) (""'; ~/ ~:~..; 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(54I)726-3753 . FAX: (541)726-3689 ".--. City Job Number C) 1 I ~ S S 1, ~ G. (\ -..L -q7t{7~ Ka\ rv'\ \' (',.c. TAX LOT: )I T LA \ \ ~ L-' r u 1V'\ (" 0 y S 7 7 ~ Ka \ ~ ItA. <; ~ r '^j.(2:" ~~, PHONE: 7 ~ in - '3 ]q~ G(\-.e.." (!)R , ZIP: q747f!; STATE: . DESCRIffiON OF WORK: :t (\, <; +0\.\ \ C\. t\' 0 A o-f- NEW' V ADDITON, DEMOLISH. , - . \-\~J ?lA rl\ 9 I OTHER: VALUE: 115 , Cl.1l1:.2 I CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPIRES PHONE GENERAL: ']: V\ r\ 0 VA- + " \I t.. r+ \ (' l n L , <s I d...D r r.tlt t I ; '\ IZ&.J:Ft- 1(, - IE" ({ 1 ~r'\ ./l. , -~, C..I\,.rllC\D("S~ LH~J1Lc.l!/1Jll~~ Stfl-1Q\.g-lOt.fO Cc,VoJ -~ 7 - I - ClOD ~ ~, ELECTRICAL: c.. . 7 ~,r ~; J\5 r-:~ \ I' t {. -r ~ '-rl-^ c. 7, 0. ~ ~ q, L/ ~ - ~l"~ ~ t..,~ 1\ C01Jl. CL 'i3"~ 17 ~ S, ~ ,~S-- '" t.{ It; ~ MECHANICAL PERMIT PLUMBING PERMIT ITEM FEE ITEM FEE Furnace Exhaust Hood Vent Fan No, Wood Stove/Insert/Fireplace Unit Fixtures Residential Bath(s) No, Sanitary Sewer IT, Water IT, Storm Sewer IT, Mechanical Permit Subtotal '*Minimum of $45,00 State Surcharge 8% Administrative Fee 10% Issuance Fee Technology Fee %5 Plumbing Permit Subtotal *'Minimum of $45.00 State Surcharge 8% Administrative Fee 10% Technology Fee %5 TOTAL MECHANICAL TOTAL PLUMBING Vec~lanica~ - - . , - - .., -- _.. "-" / . Ylisce~_aneous J_umoing . Shared Drive(T)lBuilding Fonns/Pennit Worksheet08-06,doc