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Home My WebLink AboutPermit Mechanical 2005-5-17 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~. . CITY OF ~rKll'lGFIELD . Building/Combination Permit PERMIT NO: COM2005-00577 ISSUED: 05/17/2005 APPLIED: 05/16/2005 EXPIRES: 11/17/2005 VALUE: ~ , SITE ADDRESS: 1141 LAUREL AVE ASSESSOR'S PARCEL NO.: 1802064200201 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Change out heat pump TYPE OF USE: Repair Residential Owner: Address: MARTHA KlLE 1141 LAUREL AVE SPRINGFIELD OR 97478 Contractor Type Mechanical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer A vailahle: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: NO Sprinkled Building:TlCE: nla f HI.C:: DLrH "'_ I DEVELOPl\,...., ,NFORMA;rION 'I~ll EXPIRE IF THr: 1.11"...... IJUIVIMENCED 0 ER THIS PEREQUlRED'PARKlNG ., .... R IS A "'VI/, IS NO "'!J'. Overlay D,st:ANY 180 DAY PERIOD BANDOIv1:~~I;JR T # Street Trees Rqd: . . Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I CONTRACTOR INFORMATION' Contractor COMFORT FLOW License 460 BUILDING INFORMATION I R-3 VN ATTENTION: Oreaan law reauires yOU to fonaw rules 'I PUBE1C'lMPROVEMENTS~i Notlflcatloll C". .._.. .. .___ . _.__ _ _ __. .. _.I.h in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Phone Number: 541-726-4337 Expiration Date 06127/2005 Phone 541-726-0100 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Sidewalk Type: Downspoutsmrains: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Tvpe of Construction Paee 1 of2 Value Date Calculated . . CITY OF ~rKll"\juN~LJJ . Building/Combination Permit PERMIT NO: COM2005-00577 ISSUED: 05/17/2005 APPLIED: 05/16/2005 EXPIRES: 11/17/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pail! I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical Amount Paid $10.00 $4.50 $3.15 $12.00 $33.00 Date Paid 5/17/05 5/17/05 5/17/05 5/17/05 5/17/05 Receipt Number 2200500000000000602 2200500000000000602 2200500000000000602 2200500000000000602 2200500000000000602 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. , Reou~ 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 he 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. .Q,......~ _~R , Owner or Contractors Signature 'i3/II/tfn ~aie I Pa2e 2 00 225 Fifth Street S.rfingfield, Oregon 97477 541-726-3759 Phone . Bj~'RI!"''!F1'''''._'' ;.. Wir-.. , -"" .' . , ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00577 COM2005-00577 COM2005-00577 COM2005-00577 COM2005-00577 P.yments: Type of Payment Check " ., ., 5/1712005 RECEIPT #: 2200500000000000602 Date: 05/17/2005 Description + 7% State Surcharge + 10% Administrative Fee Boiler/Comp Up To 100,000 btu Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW Item Total: Check Number Authorization ReceIved By Batch Number Number How Received IIh 29859 In Person Payment Total: Page 1 of 1 I :56:57PM Amount Due 3.15 4.50 12.00 33.00 10.00 $62,65 Amount Paid $62.65 $62.65