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Home My WebLink AboutPermit Mechanical 2003-6-12 j , Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00486 ISSUED: 06/12/2003 APPLIED: 06/12/2003 EXPIRES: 1211212003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , \ SITE ADDRESS: 6892 IVY ST ASSESSOR'S PARCEL NO,: 1802022309700 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Add heat pump Owner: MALONEY THOMAS C & BETH A Address: 6892 IVY ST SPRINGFIELD OR 97478 Contractor DEAN HEATING , DEAN M SCHULTZ:~' st' ~ 133733 02l23/~09~\ "- ~':!s:s. O~.~ ~- MALONEY THOMA~~'QETH A -' ~ .....0 c-' . . ".. l""!. ~"'!.. ~ ....J ~ 0' ]oJ .... :A.I'f,~G INFORMATION I ,lJ r!5 'lJe; !iP ~Co 'lJ ~ .....~~ Q;; I!' ~/'>..Oj ~ &.~ ~ ~ EQ) r.>S' -, "- 'lJ :>:.' <if # of Buildings: ~"'- q; s:s of Stories: ,ie'oS; ~:f"'\'l" -oS' iJ.~ Primary Occupancy Group: R- '~~~ Height of Structure {ll'Sq~Ft;Ist.Floor:0" o~ 4..,. ~ ~ -~ ('>' ... -'..;;....:s: ;:0\ Secondary Occupancy Group: ~,Q"" Type of Heat: 0 "Sq,~t fl'<I,,!lI~": "" ~ Primary Construction Type ~_~ f!J 'f . Water Type: ~<::!) ~~,s.!J'F,!;B~e~Jn!.;,~ W Secondary Construction Type: L ':) _~.;:::,~ Range Type: .;:;.Y"JI. .Sq.Ft Garage/Carport ~v~, ~v0~"'~~-~ # of Bedrooms: ~. ."" ^ ..... Energy Path: ,0 'li ;::::SlJ.Ft;Other:5'......- ~<j!f:(;'$:> q; ;...,,' Co 'lJ ....,-.... (':i " ~ n<C; ~ ~ ~ ~ ",'lJ (j ,gmpervjou~.S!il'face Area: .f; -":!t- -"" 'l' ". ..::; ,... c:l -"" ,t;;, f"'\ .' ~~ ~~ I DEVELOPMENT INFORMATioN~ ,5:'~ d>V ~~~I..J ~'lJ i'" SETBACKS 't' t'''l> :\.~ ' ~ ~. -7' ~o ~....& lffiQUIRED PARKING .....~ ~O~~~~ ~ Overlay Dist: "" ~ 95 /if;:) Total: # Street Trees Rqd: '" <!i' (j of' Handicapped: t;;, Paved Drive Rqd: Compact: Contractor Type Applicant Mechanical Owner Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I License Expiration Date Phone 541-767-0626 541-767-0626 % of Lot Coverage: I PUBLIC IMPROVEMENTS' Sidewalk Type: DownspoutsIDrains: , Paee 1 of2 . . CITY OF ~rtuNul'lJj,LD Building/Combination Permit PERMIT NO: COM2003-00486 ISSUED: 06/12/2003 APPLIED: 06/12/2003 EXPIRES: 12/1212003 VALUE: I 'I , , ~ Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Type of Construction $ Per Sq Ft Square Footaee Value Date Calculated Total Value of Project I FI'I's Paid' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $33.00 6/1 2/03 6/1 2/03 6/12/03 6/12/03 6/1 2/03 2200200000000001051 2200200000000001051 2200200000000001051 2200200000000001051 2200200000000001051 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 made the following work day. [..RI'onirl'd UI'dinn. , 1 Rough Mechanical: Prior to Cover 2 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 t front of the property, and the approved set of plans will remain on the site at all tiV;;:tr:z jl 0 ~Q-65 Owner or Contractors Signature J Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00486 COM2003-00486 COM2003-00486 COM2003-00486 COM2003-00486 Payments: Type of Payment Cbcck 6/12/2003 City of Sp&:ingfieJd Development Services Department Public Works Department Official Receipt Receipt #: 2200200000000001051 Description -Mechanical Issuance Fee- Heat Pump Minimuml Adjustment Mechanical + 7% State Surcharge + 10% Administrativc Fec Paid By DEAN HEATING & AIR 10:35:24AM Received By jmp Date: 06/12/2003 Amount Paid Item Total: 10.00 12.00 33.00 3.15 4.50 $6Z.65 Check Number Conllrm No Amount Paid 62.65 $62.65 3499 How Received In Person Payment Total: Page I of I . . cReceipt.rpt , , CITY ()F S:~lINGFIELD, OREGON . 0 !, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 \ Ci9'-JobNumberC.O~ 2ro3- ~~ Date ~-(Z -03 B' 1 & 2 Family Dwelling or Accessory D New Construction D Multi-Family [3" Addition/AlterationlReplacement D Commercial/lndustrial, D Tenant Improvement JobAddressb8'QJ :Z:t/V 5ff{li-Xfffd/O(L '[7/.f75" Lot Block ( D D Demolition Other S~bdivision Bldg No. Tax MapITax Lot Suite No. I~Ol.. O"'L '2. ~~lOc) Project Name Description of Work/location on premiseslspecial conditions 4cJJ ffeA! fu JJI P . 1- ..-. . . -.-. " " D ,Property Owner " _ " Name ?;;1V\ MA( 0 I-iey Mailing Ad~ress ~? q;l. . -t" J/ l. City 511!1rJa11f:eld State oR zip"l7tf7'i' Phone' 73{" (1'i'1/ Fax ., 1..- 1& 21'amily Dwel/(ng. SQ Ft , ;3ehiNd 6/tR,-Aq>e. " x $/SQ Ft Value New Dwelling Area Garage/Carport Area Other Structure Area Owner Representative Phone Total Value Fax _.G()111111er:ef.a!/I nd.J!Strjal/M.!'!~i -fa,!, ily_ SQ Ft X $/SQ Ft Value ~tE~~~~~~~h~:;;~7~~;;~~;::;'~ Mailing Address ij'-:;:>ol i&1.4-IN 5-/ / City .5-/R /AUphe/cl State t!/ R Zip r 7~7? Phone 767COL,2G Fax 7cf-1-2- <?# Existing Building Area New Building Area Total Value r'" .._...... --~ --- -- ..~ -,"- - ..'..__.._'n__.. ~--_.-.._._-.-- ~- --. D :A!:cM!.ec.t/D~"ign.e!'/liT)gi1J.ee.r_.__ Name 1....~ _.~ Existing New Address City Contact Person State Zip Occupancy Group(s) , Const. Type(s) Number of Stories Phone' Fax D l!;o~<i~to;'(~j .'. _ ~._~ _,.-~_~=~:= _~_. .-._--'-_-=..-l-":"'=--==~= Contractor's Name CCB# Expiration Date -.----....,.- Phone # D ~R~~!(je",ti~llh:oJe.~ti-'-~= _=____.__~:'".~== ====-=~=..:-=..: Heat Source: Primary " Secondary Water Heater Range Energy Path Do you require any of the following for this project? , Over-width or Second Driveway DYes D No Temporary Power DYes D No Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under provisions ofORS 701 and may be required to be licensed in the iurisdiction where work is being performed. , I FOl' Qffiee Use Only. 1 PLAN CHECK FEE I & 'L. ~' 5 General Plumbing Mechanical Electrical D ~Com",e~~ialji~d!tsi:ri"fPioJecis~., Has site review application been submitted? DYes D No D NIA If so, Name of Planner Journal Number ( /7ef1 A.J #eA-J /1Je?' / 133733 :7-0'1 7{;7.D6J.b 1 RCPT# !u.OO"t-\ as \ 1 DATE 106-\"2..- 01, I I BY l...'>t'I\?1 BUILDING PERMIT APPLICATION Shared Drive(T:)/Building FomlslBuilding rennit Application 1O-02.doc