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HomeMy WebLinkAboutPermit Mechanical 2003-7-8 ... .- Lll l' OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00595 ISSUED: 07/08/2003 APPLIED: 07/08/2003 EXPIRES: 01108/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4532 IVY ST ASSESSOR'S PARCEL NO.: 1802051209600 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Install Heat Pump Owner: KANIPE GUY Address: 5320 LEOTA ST SPRINGFIELD OR 97478 Owner: KANIPE JOANN Address: 5320 LEOTA ST SPRINGFIELD OR 97478 AD CI'llluN,ure\jlJllld" '''YU''~' follow rules adopted by the Oregon ~ Notification Center, Those rules are s Contractor Type Mechanical Owner Contractor EUGENE HEATING & COOLING KANIPE GUY Ul U1"\n ::1~lr--VU I.UU IV 1l11VUHII Ur'll' . -. ,. I. CONTRACTORINFORMJ\'FIONct'tain copios of th~ " I , calling me comer. (Note: the te'~ '1 ." numbeLicelise Ore!i'xpiriitiori Date:, Phone 1'I945his 1-800-10/2212005 541-726-7654 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 DEVELOPMENT INfr,RMATION t I1U 11;~RM\T SHALL EXPIRE IF THE ~tRED PARKING Overlal.~l~: ED UNDER THIS PERMIT ItoWllT # StreetPt\tUN~%ED OR IS ABANDONED Fl!AAndicapped: Paved nrGMAW:~ 00 Compact: ANV 180 DAY PERI . % of Lot'Cdverage: Frontyard Sethack: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Dralns: Notes: Paee I of2 . . CITY OF ~Y.Kll'1GFIELD . Building/Combination Permit PERMIT NO: COM2003-00595 ISSUED: 07/08/2003 APPLIED: 07/08/2003 EXPIRES: 01/08/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project .1 F~~~ ~ Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Numher $10.00 $4.50 $3.15 $12.00 $33.00 7/8/03 7/8/03 7/8103 7/8/03 7/8/03 2200200000000001193 2200200000000001193 2200200000000001193 2200200000000001193 2200200000000001193 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. I R~nllir~tlln~n~dinn~J 1 Rough Mechanical: Prior to Cover 2 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 wiII 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 quired inspections are requested at the proper time, that each address is readahle from the street, that t~hmit card is I at d at the front of the property, and the approved set of plans will remain on the site at all times during c os ruction. . ~ ~~ 7-~~03 Owner or Contractors Signature v Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-00595 COM2003-00595 COM2003-00595 COM2003-00595 COM2003-00595 Payments: Type or Payment Cash . . , \~. II:'I~. i ~l ..., ,..-......."" -.- j ."._.,~ -. Receipt #: 2200200000000001193 Description Heat Pump Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Paid By AUTOMATIC HEAT CO. Received By ddk Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/08/2003 10:57:14AM Amount Paid 12,00 33,00 3.15 4,50 10,00 $62.65 Item Total: How Received In Person Payment Total: Amount Paid $62,65 $62.65