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Home My WebLink AboutPermit Mechanical 2004-5-3 . Status Issued * . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00512 ISSUED: 05/03/2004 APPLIED: 05/0312004 EXPIRES: 11/0312004 VALUE: 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 788 LAKSONEN LP ASSESSOR'S PARCEL NO.: 1702352202800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Add heat pump Owner: BUBLITZ WILLIAM S Address, 788 LAKSONEN LOOP SPRINGFIELD OR 97478 Contractor Type Mechanical I CONTRACTOR INFORMATION' Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 BUILDING INFORMATION' Expiration Date 08/31/2004 Phone 541-683-2590 # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VN I~'& Secondary Cons~uwy\!.\D'pe: tli>.LL E'i.?IRE If l\~~i\: # of Bedrooms: Ul5 ?cRWlli 5 Ell. itll5 ?ERti Ifath: i~Ii\-IGRIlC~ \l~~ Ie, l>.ei>.WJO~t.O CGWI~\:.NQOL~PER\OOI DEVELOPMENT INFORMATION' SETBAC~'/ ,'0 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: A TTFNTION: Oreaon law requires you to IPUB~~~:,~~,~~v_~~::~:t;~ in OAR 952-001-0010 thfOU~~01. 0090. You may obtain copiMJtm.rmm)ll(,s: calling the center. (Note: the iiifiphonl number lor the Oregon Utility NotificalioA Center is HIOQ-332-2344). REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction, Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 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 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid . ~ Amount Paid $10.00 $4.50 $3.15 $12.00 $33.00 $62.65 I Plan Reviews I Date Paid 5/3/04 5/3/04 5/3/04 5/3/04 5/3/04 . CITY OF ~rK11,\(hl'lJ!.LD Building/Combination Permit PERMIT NO: cOM2004-00512 ISSUED: 05/03/2004 APPLIED: 05/03/2004 EXPIRES: 11103/2004 VALUE: Receipt Number 1200400000000000610 1200400000000000610 1200400000000000610 1200400000000000610 1200400000000000610 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 Reouirl'd Insol'ctionsJ 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signatnre, 1 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 withoul 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. /5/11'77"'" J;!, -4--'" ~ Owner or Contractors Signature Paee 2 of2 5-'3-0<'; Date 225.:.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Joh/Journal Number COM2004-00512 COM2004-00512 COM2004-00512 COM2004-00512 COM2004-00512 Payments: Type of Payment Check 5/3/2004 RECEIPT #: ~ JiiilY of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000000610 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By ASSOCIA TED HEATING Received By djb Page I of 1 Date: 05/03/2004 1 :08:30PM Item Total: Check Number Authorization Batch Number Number How Received Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid 11461 In Person Payment Total: $62.65 $62.65 u. ..