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Home My WebLink AboutPermit Mechanical 2008-2-13 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00222 ISSUED: 02/13/2008 APPLIED: 02/1312008 EXPIRES: 08/13/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 758 S 57TH ST ASSESSOR'S PARCEL NO.: 1802041104800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat Pump Owner: CHARLENE LOUISE CURRY REVOCABLE TRU Address: 758 S 57TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CLIMATE CONTROL INC License 62196 Expiration Date 10/2512009 Phone 503-453-4822 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building, Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEM~tTION: Oregon law requires you to S I 0 ow rules~d,{:IDt~p--b'y' ttJe Oregon Utility treet mprovements: Notification Ce%ellihIdJl~'rules are set forth Storm Sewer Available: In OAR 952-00d~fiOoi1lf~n~AR 952-001- Special Instruction: 0090. You may obtain copies of the rules by 'OTI CtE. calling the center. (Note: t,he tel~pho~e Notes:N. EXPIRE IF THE WORK number for the Oregon Utility Notification THIS PERMIT SHALL Center is 1-800-332-2344). AUII-IUhILtu- ui~iJlg -r"i 113 ~[r.MlTIC tlCT " COMMENCED OR IS ABANDONED rQ)1.Iuation Description I ANY 180 DAY PERIOD. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00222 ISSUED: 02/13/2008 APPLIED: 02/13/2008 EXPIRES: 08/13/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description ~MechanicalIssuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Air Handling Unit Up to 10,000 Heat Pump Minimuml Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $6.00 $2.50 $9.00 $14.00 $27.00 2/13/08 2/13/08 2/13/08 2/13/08 2/13/08 2/13/08 2/13/08 2200800000000000204 2200800000000000204 2200800000000000204 2200800000000000204 2200800000000000204 2200800000000000204 2200800000000000204 Total Amount Paid $83.50 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. Reouired InsDections 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. ~qJ- ~ O~r or Contractors Signature ?/rY/<7 ;/ Date Pa2e 2 of2 \ """, , I; . ~~ o ::::crOR'S NAME , Mechamcal Permit Subtotal t" 1< ""MInimum of $50.00 ~ State Surcharge12% Adrmmstrahve Fee 10% Mechamcal Issuance Fee $20 00 One apphance $40 00 Two or more apphances Technology Fee %5 r1, ~\ f/Jl L~ . ~~} ~ ~~: SP~~l",:GtFfEl:....D 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 , /;/ t~G;.ff&;;;" -$;,>, ~ City Job Number LOCATION OF PROPOSED WORK: ASSESORS MAP: TAX LOT: $ OWNER: JTft.tYe- ckTo/J,' ADDRESS: 7,f' A' J r7 TN. (7. - - --. CITY. Sf/,";Zp'~,'J'/ T dVle>-Y-- . , PHONE: If'I/- 7'1~ - OQI.J. .. ZIP: 97Lf7R /1/2 STATE: , DESCRIPTION OF WORK: ~JI /C,Je'F tl-.-~ ,('h,.,.,I..-/ Hed7/~ ~..If?I;T Jy-ff~ NEW: / REMODEL. ADDITON. DEMOLISH: OTHER: VALUE: . ADDRESS CONST CONfRACTOR # PHONE EXPIRES PLUMBING' MECHANICAL: ')7$0 /(4i~v__ ELECTRICAL: ccfJtt I C, 9.r'f 7 o'/ot5' I9I- O~- ~.kP MECHANICAL PERMIT PLUMBING PERMIT ITEM FEE ITEM FEE Furnace FIXtures ReSidential Bath(s) No. Exhaust Hood Vent Fan No. Wood Stove/Insert/Fireplace Umt Samtary Sewer Water IT. IT. IT. Storm Sewer Plumbmg Permit Subtotal ""Mimmum of $50.00 State Surcharge 12% Admlmstrative Fee 10% Technology Fee %5 TOTAL MECHANICAL TOTAL PLUMBING . . CtJ /77 2.-(;-v 1---- - 0 f .).. ~ d Shared Dnve(T )/BUlldmg Forms/Penmt Worksheet 1-08 doc 225 Fiftll Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00222 COM2008-00222 COM2008-00222 COM2008-00222 COM2008-00222 COM2008-00222 COM2008-00222 Payments: Type of Payment CredttCard cRecelOtJ RECEIPT #: 2200800000000000204 Date: 02/13/2008 DescriptIOn AIr HandlIng Unit Up to 10,000 Heat Pump MIntmum/AdJustment Mechanical ~MechanIcal Issuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee Paid By CLIMATE CONTROL Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJm 053897 In Person Payment Total: Page I of 1 2:19:30PM Amount Due 900 1400 2700 2000 250 600 500 $83.50 Amount Paid $83 50 $83.50 2/13/2008