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Home My WebLink AboutPermit Mechanical 2004-7-7 . CITY OF ~rK11"'l(j1<1J!;LD' Building/Combination Permit PERMIT NO: COM2004-00823 ISSUED: 07/07/2004 APPLIED: 07/07/2004 EXPIRES: 01107/2005 VALUE: . Status Issued 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1120 FAIRVIEW DR SPACE I '" ASSESSOR'S PARCEL NO.: 1703273100600 Springfield TYPE OF WORK: Heating System Total: Handicapped: ~~ct: ~ ,\v,'i. ~ \\<;}'\ ,"9\v..~!i'~" ~~o.. I PUBLIC IMPROV~rF~~~..~v,~~~;,\v,\~\\~li)~'i.\)' \\\) c. ~'i."'~I'-'\) ~~~1~~Type: ,\"1\\'" l\'i\\"" "li)~":';'ffi).. ~~'\"I\V :t.~c.'i.~ ~"outsmrains: c.'\)~~'O<;) '\)~ ~~'l TYPE OF USE: PROJECT DESCRIPTION: Install heat pump Owner: ELLEN MCPHERSON Address: 1120 FAIRVIEW DR SP 1 SPRINGFIELD OR 97477 :!.. I CONTRACTOR INFORMATION' Contractor ~\@ License ASSOCIATED HEATIl'i(e..4g~~:'~ ..J06275 ~~_~l?tNI # of Units: &~1J~'if!\M~ Primary Occupancy Group: ~\ !'fCiDnI 'I.~ '. Secondary Occupancy Grou", 0fS' -. ((fIf~~T e"Of., ~qtt\O\\\~~ Primary Construclion Type Qo9O: \W.. ~ .~~\. Secondary Construction Type: ~ \Of~ ,e: # of Bedrooms: ~~... nergyPath: Sprinkled Building: Contractor Type Mechanical nla I DEVELOPMENTINFORMATION . Frontyard Setback: Side 1 Selback: Side 2 Setback: Rearyard Selback: Solar Selbacks: Overlay Dist: # Slreel Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Streel Improvements: Storm Sewer Available: ." Special Inslruction: Notes: I Valuation DescriDtion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amounl Type of Construction Total Value of Project Paee 1 of2 New Residential Phone Number: 541-726-5268 Expiration Date 08/31/2004 Phone 541-683-2590 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl GaragelCarporl Sq Ft Other: Occupant Load: REQUIRED PARKING Value Date Calculated . . CITY Ul' ~r'.t<lj'\jvl'IELD Building/Combination Permit PERMIT NO: COM2004-00823 ISSUED: 07/07/2004 APPLIED: 07/07/2004 EXPIRES: 01107/2005 VALUE: Status Issued ~~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Fees PBidJ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% Slale Surcharge Heat Pump MinimumlAdjuslment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $33.00 7/7/04 7/7/04 7/7/04 7/7/04 7/7/04 1200400000000001044 1200400000000001044 1200400000000001044 1200400000000001044 1200400000000001044 Total Amount Paid $62.65 'l';,. I Plan Reviews .1 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 Tnsneetinns I Rough Mechanical: Prior 10 Cover Final Mechanical: When all mechanical work is complele. By signature, I slale and agree, that I have carefully examined the completed application and do hereby certify lhal 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 Stale of Oregon pertaining 10 the work described herein, and "- that NO OCCUPANCY will be made of any slructure without permission oflhe Community Services Division, Building Safety. I further certify that only contractors aud 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 lhe proper time, that each address is readable from lhe street, that the permil card is located at the front of lhe property, and the approved set of plans will remain on the sile at all times during 'construction. 8/?~p4 ~ 7/7/oct Owner or Contractors Signa lure Date ;'l Paee 2 of2 ": 225 Fiftl\ Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00823 COM2004-00823 COM2004-00823 COM2004-00823 COM2004-00823 Payments: Type of Paymenl Check t;:'j ,', 7/7/2004 RECEIPT #: .~~. Q"..~~.:. Wi! ,~ ~ C '. :'.1 Jiii..ty of Springfield Official Receipt "elopment Services Department Public Works Department 1200400000000001044 Date: 07/07/2004 Description + 7% State Surcharge + 10% Administrative Fee Heal Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By ASSOCIATED HEATING Item Tolal: Check Number Authorization Received By Batch Number Number How Received djb II 738 In Person Payment Total: . Page I of I IO:55:25AM Amount Due 3,15 4,50 12,00 33,00 10,00 $62.65 Amount Paid $62,65 $62.65