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HomeMy WebLinkAboutPermit Mechanical 2007-12-10 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01810 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: Status Issued ,225 Fifth Street, Springfie]d, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1 J 50 D ST ASSESSOR'S PARCEL NO.: 1703351408600 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Install heat pump TYPE OF USE: New Residential Total: Handicapped: ~t~o~w. 1tI teO.'\e9Pf'. ~ \O~~ ~ W. ...e 0 ~,e S :f.. (1,0"- I PUBLIC IMPROVEMENT~O~' ~~~\e~~~set\l~O~:t~\eS:l ~\ ,.! t\l\eS ~~Ill W.~~~~es 0\ ~\e~"O~ot\ \o\\o~ e.'i.,of'. nOV(S\1~o.\~.!J.e" \"e ~O~'V.r;Jbl ~o'i.\~\~? 90'2'-o:9.';Illlp'f"~ ~\\~ ~). \(\ 01'1 '10\1(\\ ce(\\e . eQ,Of'. ~?:z, OCl9~\i(\Q, \~~t \"e ~\~ClO c <<\.'Oet (\\0t (\\1'" C0 Owner: BARBARA SMITH Address: 1150 D ST SPRINGFIELD OR 97477 I, CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor INNOVATIVE AIR ]NC License 161742 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORMATlO~1 X. ~~v" # o~ ~~ \~:' \'b ~\)\ \\O~~~~~ S~~~ 1~~~t.~ to'" \~\~i \\\1.t.\l \}~~~fi\~Y "'\}'~O Ct.Q \Rh ,Ype: I" \J\\J\t.~ ~ ~ y Path: C~'i \~~ Q~ Sprinkled Building: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer A vailahle: Special Instruction: Notes: I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa2e I of2 Phone Numher: 541-747-7844 Expiration Date 10/1112008 Phone 541-746-1040 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01810 ISSUED: 12/1012007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paicl I Fee Descriotion . -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Heat Pump MinimumlAdjustment Mechanical Amonnt Paid Date Paid $20.00 $5.00 $2.50 $4.00 $14.00 $36.00 12110107 12/10/07 121] 0/07 12/10/07 12110107 12110/07 Receipt Number 2200700000000001810 2200700000000001810 2200700000000001810 2200700000000001810 2200700000000001810 2200700000000001810 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. I Rellllirecl lnsnections 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 aU required inspections are requested at the proper time, tbat each address is readable from the street, that the permit card is located atthe front of the property, and the approved set of plans will remain on the site at aU times during construction. (~(~~ _n , / Owner or Contractors Sig!!.at m~ /?;//o /ZOO9- Date Pa2e 2 of2 225 Fifth Street Springfi;ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 181 0 COM2007-0 181 0 COM2007-0 181 0 COM2007-01810 COM2007-0 181 0 COM2007-01810 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001810 Date: 12/10/2007 Description Heat Pump MinimumlAdjustment Mechanical ~Mechanicallssuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BARBARA K SMITH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 7807 In Person Payment Total: Page 1 of 1 2:41:34PM Amount Due 14,00 36,00 20,00 2,50 4,00 5,00 $81.50 Amount Paid $81.50 $81.50 12/1 0/2007