HomeMy WebLinkAboutPermit Mechanical 2003-7-8
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.- 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