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Home My WebLink AboutPermit Building 2005-4-15 _~~~}.~~~Jft.I'-!i~i,.,...,,,.,.~"-, ' 1 ~/ 4, \ "!.': ~ II ~' , . . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00431 ISSUED: 04/15/2005 APPLIED: 04/15/2005 EXPIRES: 10/15/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 'I 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5660 DAISY ST 22 ASSESSOR'S PARCEL NO.: 1702334401401 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential \ PROJECT DESCRIPTION: Install heat pump and air handler Owner: NORMAN IVES Address: 5660 DAISY ST SP 22 SPRINGFIELD OR 97478 Phone Number: 541-998-5443 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 I BUILDING INFORMA!I(:>N I' Expiration Date 08/31/2005 Phone 541-683-2590 VN # of Stories: Lot Size: Heig(1,~~K9rq!Ore90n 'aw requl~-y!iu\a Floor: TYIlS~.y9f.~es adopted by the Orag II 6\iflw Floor: , "lfmn~.won Center. Those rules ar ~ 1~fMment: Rftit~~,g2-o01-o010 through OA ~ f.f~ge/Carport EW~. AAB: may obtain co i s f th ~ t ~A"er: ' Sprm 1'l1'filllIdfIle: t 'iN tPnl. 0 1'0 allVLoad: ca ling me ceo ere 0 e: me te eo 0 9 DEVELolMi-RTT: ~ - b - ~;iro' 'lity Notification ...-2344). REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type ( Secondary Construction Type: . # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: , Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd:, Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: . . Street Improvements: Storm Sewer Available: Special Instruction: I ruuLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIT SHALL rD'\FJ,~fp"Jfu~}jfrMhQ8K , AUTHORIZED UNDER THIS PtRMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ( : Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 ~~}~_~~~.s,~I~L~..r, " ~ !~,.. \ l ) I ~ I' t I i . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00431 ISSUED: 04/15/2005 APPLIED: 04/15/2005 EXPIRES: 10/15/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 4/15/05 4/15/05 4/15/05 4/15/05 4/15/05 4/15/05 Receipt Number 1200500000000000453 1200500000000000453 1200500000000000453 1200500000000000453 1200500000000000453 1200500000000000453 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 mad~ the following work day. I Req"ired Ins.pectionsJ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agre,e, that I have carefully examined the completed applicatio'n 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. ~NJ-l ~ 9~. ~ Owner or Contractors Signature ,..--- ~;'f'/os Date Pae:e 2 of 2 225 Fifth Street Springfieldt Oregon 97477 541-726-3759 Phone . ~ of Springfield Official Receipt "elopment Services Department Public Works Department RECEIPT #: 1200500000000000453 Date: 04/15/2005 10:51:24AM Job/Journal Number COM2005-00431 " COM2005-00431 COM2005-00431 COM2005-00431 COM2005-00431 COM2005-00431 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3.15 4.50 8.00 12.00 ' 25.00 10.00 $62.65 Amount Paid Check ASSOCIATED HEATING djb 12907 In Person Payment Total: $62.65 $62.65 ,\ :f , , 't " , ,\ 4/15/2005 Page 1 of 1