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Home My WebLink AboutPermit Mechanical 2005-4-22 . Status Issued 225 Fifth Street, Springfield, DR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 5943 JESSICA LN ASSESSDR'S PARCEL ND.: 1802032301400 . ' * . CITY VI< ~rJ:Ul~\..-.-I<IELD" Building/Combination Permit PERMIT NO: COM2005-00458 ISSUED: 04/22/2005 APPLIED: 04/21/2005 EXPIRES: 10/22/2005 VALUE: Springfield TYPE .oF WDRK: Heating System IYI'E .oF USE: New Residential A fTENTION: Oregon law requires you to . fOI,;oW rules adopted by the Oregon Utilitl( . L,,",vu,ouo, "',,, "",. I f10~ ruws arES~"!f4\l15'7 in OAR 952-001-ocl1~f}frotY9N ffAR 962-00'1- 87 0090. You may obtain copies of the rules by calling the center. INnt". th" t"I"nhnnn number for the Oregon UtilitY Notiiication I CONTRACTDR INFDRMA TIQ\\blter is 1-S0D-332-2344}. License Expiration Date Phone 460 06/27/2005 541-726-0100 PRDJECT DESCRIPTIDN: Heat pump and coil .owner: Address: SHARDN SCHMIDT 5943 JESSICA LN SPRINGFIELD DR 97478 Contractor Type Mechanical Contractor CDMFDRT FLDW # of Units: Primary .occupancy Group: Secondary .occupancy Group: Primary Coustruction Type Secondary Constructiou Type: # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction BUILDING INFDRMATION I .' -I' VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: NOtiCE: Sq Ft Basement: Range Type: THIS PERMIT SIJALL E>~~lft 9"a'l~~~Carport Energy Path: 1 Sq Ft Dther:- VV U ii t\ Sprinkled Buildi~~:ORIZED lll/~f)ER TfOicfi'~aQn't~ih~d:NOT (,\f'I",HlIC~If'Cn no Ie ^ Q ^ t\ln(H,lcn (nD I DEVELOPMENT INFDRMATIDNr'IRIOD. REQUIRED PARKING Total: Handicapped: Compact: .overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: IPUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 < . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Heat Pump Minimum/Adjustment Mechanical Total Amount Paid Amount Paid $10,00 $4,50 $3,15 $12,00 $12.00 $21.00 $62,65 Total Value of Project Fees P~irl I Plan Reviews I Date Paid 4/22/05 4/22/05 4/22/05 4/22/05 4/22/05 4/22/05 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00458 ISSUED: 04/22/2005 APPLIED: 04/21/2005 EXPIRES: 10/22/2005 VALUE: Receipt Number 2200500000000000472 2200500000000000472 2200500000000000472 2200500000000000472 2200500000000000472 2200500000000000472 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 Reonired Tnsrections 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 ofthe 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 tim~s during constr~;u... .2 /~ t//A:- Owner or ~ractors Si~nature -- ------. Pal!e 2 of2 Y-.;Q-o~ Date 2,15 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . .~.~._o_._ '. ~! ~ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000000472 Date: 04/22/2005 lO:03:10AM Job/Journal Number COM2005-00458 COM2005-00458 COM2005-00458 COM2005-00458 COM2005-00458 COM2005-00458 Description + 7% State Surcharge + 10% Administrative Fee Boiler/Camp Up To 100,000 btu 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 12.00 12.00 21.00 10.00 $62.65 Amount Paid Check COMFORT FLOW HEATING CO nJm 5026 In Person $62.65 Payment Total: $62.65 4/22/2005 Page I of I