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HomeMy WebLinkAboutPermit Building 2003-7-9 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line * . CITY OF ~rKlI'lt.NJ!,LD Building/Combination Permit PERMIT NO: COM2003-0060S ISSUED: 07/09/2003 APPLIED: 07/09/2003 EXPIRES: 01/09/2004 VALUE: Status Issued SITE ADDRESS: 2150 LAURA ST SPACE 201 ASSESSOR'S PARCEL NO.: 1703271004700 Springfield TYPE OF WORK: Manufactured Home in Park TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Install heat pump Owner: MARIAN STEVENS Address: 2150 LAURA ST 226 SPRINGFIELD OR 97477 Phone Number: 747-2937 I CONTRACTOR INFORMATION I Contractor Type Owner Contractor MARIAN STEVENS License Expiration Date Phone 747-2937 BUILDING INFORMATION I # of Buildings: 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: -Impervious Surface Area: SETBACKS I DEVELOPMENTINFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: . .- -~:::1Vi. /aV' II -.. ':"L~ ,'oomed b .... tPUBLI~;'}MPROVEMENTS I ,I il,{ ~.. 1. Y -1ft: L..",~u" t Street Improvements: . Lt, el Thcs;;! I I U I/Ily Sidewalk Type: , "'''''U(', -(1r. < n t u es are set to"c' Storm Sewer Avallable:1I'1" Ob;': 1;;01/011 OAR 952-00: NOT/Cf)pwnspoutslDrains: Special Instructlon:(' I~~' cemt 1m Ccpias 01 the rules b THIS PIiRMIT SHAll E ~.. t ). "1" o:r. (Nota: the telephone AYiHORIZED UN XPIRE IF THE WORK Notes: , . "'~, ,':~~n Utifity Nctitication GQMMfNCED 0 DER THIS PERMIT IS NOT ""??"AA' 4~IV <nil 3 R IS ABANnmll:n ("{'r, .... \ ".~.. 1'\1 rtHIUD. - . I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paeelof2 . . CITY OF SPRIr~ut<mLJJ. Building/Combination Permit PERMIT NO: COM2003-0060S ISSUED: 07/09/2003 APPLIED: 07/09/2003 EXPIRES: 01/09/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F..... Paid' Fee Description -Mechanical Issnance 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 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 2200200000000001202 2200200000000001202 2200200000000001202 2200200000000001202 2200200000000001202 Total Amount Paid $62.65 I Plan Reviews , 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 Relluir..d J n.n..ction., 1 Final Mechanical: When all mechanical work is complete. By signature, 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 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. . ~~,)y~~ Owner or Contractors Signature ~711/cJd' Dati / Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-00605 C0M2003-00605 COM2003-00605 COM2003-00605 COM2003-00605 Payments: Type or Payment Check ~~'_.... ~ Receipt #: 2200200000000001202 Description Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fe.... + 7% State Surcharge + 10% Administrative Fee Received By dim Check Number Batcb Number Autborization Number Paid By ASSOCIATED HEATING 10500 City of Springfield Official Receipt Development Services Department , Public Works Department Date: 07/09/2003 11:29:40AM Amount Paid 12.00 33.00 10.00 3.15 4.50 $62.65 Item Total: How Received In Person Payment Total: Amount Paid $62.65 $62.65 . .