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Home My WebLink AboutPermit Mechanical 2004-6-18 . . CITY OF ~rK.lj'\jljJ:<mLD Status Finaled Building/Combination Permit PERMIT NO: COM2004-00725 ISSUED: 06/18/2004 APPLIED: 06/18/2004 EXPIRES: 12/18/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6830 HOLLY ST ASSESSOR'S PARCEL NO.: 1802031106400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pnmp and air handler (ou rtsC\ \ Owner: BETH BEATTY Address: 1175 S 69TH ST SPRINGFIELD OR 97478 - 541-736-1882 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor RONALD H OTTOSEN License 140770 Expiration Date 02/08/2006 Phone 541-736-3940 BUILDING INFORMA nON, # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a NOTICE: I DEVELOPMENT INFORMATION I THIS PERMIT SHALL EXPIRE IF I Ht WUKI\ Frontyaf\VW1iJ!.',,~rED UNDER THIS PERMIT IS rb'flrlay Dist: Side 1 S~~~j\~,~JIENCED OR IS ABANDONED FOR # Street Trees Rqd: Side 2 Set6ac\{: Paved Drive Rqd: Rearyara.!l~t1ia~Q:D A Y PERIOD. % of Lot Coverage: Solar Sethacks: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ATTENTION:d PUBL1C;:'MPROY~f:~IS I follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 0090. You may obtain copies of the rules b) calling the center. (Note: the telephone n, ,mhAr for the Ore9on Utility Notification .Center'~~ :63:;:.:;,::1;:....: r Valuation Descriotion I Sidewalk Type: DownspoutslDrains: Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Page I of2 j . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00725 ISSUED: 06/18/2004 APPLIED: 06/18/2004 EXPIRES: 12/18/2004 VALUE: Status Finaled 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line l....ta. P~id , Fee Description -Mechanical Issuance Fe.... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number. $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 6/18/04 6/18/04 6/18/04 6/18/04 6/18/04 6/18/04 2200400000000000814 2200400000000000814 '2200400000000000814 2200400000000000814 2200400000000000814 2200400000000000814 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. , ~(ii"JIIired I nsn.."tions' rI . 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 herehy certify that all information hereon is true and correct, and 1 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 descrihed herein, and that NO OCCUPANCY will he 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. Owner or Contractors Signature Date Paee 2 of2 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00725 ISSUED: 06/18/2004 APPLIED: 06/18/2004 EXPIRES: 12118/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,. cd~ SITE ADDRESS: 117j-S69TH PL~W :"nV'~ringfield ASSESSOR'S PARCEL NO.: 1802022602300 ~ {!,lIJJUIJ' (~ PROJECT DESCRIPTION: InstaU heat pnmp and air handler TYPE OF WORK: Heating System TYPE OF USE: New ~ 't-l()?~ -,ff.. Ie 't~ \\~~ I PUBLIC IM~NU\'\~\.\. ~~\S \ll?\lIH ~O'i\' , i\'\\S ~~?\i~o U~~~~pJA~~O . ~U~,,^l~C~\) ~l\QI!i~SpoutslDrains: , CO '\~\} O~'( ~~'( Owner: BETH BEATTY Address: 1175 S 69TH ST SPRINGFIELD OR 97478 I CONTRACTvn.u,.ORMATION I Contractor \a'If ~l8S ~;;cense RONALDHQ.'Q;9~GG". _ ""QO~_",'MOV70 d"l1:lI"r.~ ~"...t '-'''''''_-_ ~ ~ '-_" 1lJ'BUI ~IINFO~ ~~-.l~wr.!.-lllH _ I.' "! _~~OV\fU"'~ \~9{U\1:l" #orunits: ~~ ~~01 19phO(\a Primary Occupancy Group: ,,0Iit\ ~ ;;;m'Il~~~n6fl\icatiO(\ Secondary Occupancy Group: ~.\ "~!I'~ ft'Dlliti'!"AA) Primary Construction Type ~ tof\l\tlWm _"""". . Secondary Construction Type: ~ cenw' Ra'\i e ype: # of Bedrooms: Energy Path: Sprinkled Building: Contractor Type Mechanical I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . '~J Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Total Value of Project Pa2e 1 of2 Residential Phone Number: 541-736-1882 Expiration Date 02/08/2006 Phone 541-736-3940 nla Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: .:,' Value Date Calculated ~iF. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fe..... + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimuml Adjustment Mechanical Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00725 ISSUED: 06/1812004 APPLIED: 06/1812004 EXPIRES: 12/18/2004 VALUE: I F~~s P.llirl , Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 6/18/04 6/18/04 6/18/04 6/18/04 6/18/04 6/18/04 2200400000000000814 2200400000000000814 2200400000000000814 2200400000000000814 2200400000000000814 2200400000000000814 $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. ~ R~()uir~rl Insn~dio~ Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do herehy certify that aU 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. ~).~m-(S7)(b~L Owner or Contractors Signature (/IX;Jr;? Date Pa!!e 2 of2 225 Fifth Str.eet, . Springfield, Oregon 97477 541-726-3759 Phone . Wit~~ ..~ .. ._~~ .-- . .' av of Springfield Official Receipt "elopment Services Department Public Works Department RECEIPT #: 2200400000000000814 Date: 06/18/2004 1 :52:50PM Job/Journal Number COM2004,00725 COM2004-00725 COM2004-00725 COM2004-00725 COM2004-00725 COM2004-00725 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance F ee- Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batcb Number Number How Received Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 Amount Paid Check RON OTTOSEN djb 2140 In Person Payment Total: $62.65 $62.65 ; 6/18/2004 Page 1 of 1