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Home My WebLink AboutPermit Building 2008-6-16 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00867 ISSUED: 06/16/2008 APPLIED. 06/16/2008 EXPIRES. 12/16/2008 VALUE. 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1926 H ST ASSESSOR'S PARCEL NO 1703361202900 Spnngfield TYPE OF WORK Heatmg System TYPE OF USE AlteratIOn Residential PROJECT DESCRIPTION Heat pump and air handler change out Owner Address HOLLENBECK GARY R & K E 1926 H ST SPRINGFIELD OR 97477 I CONTRACTOR INFO~A TION I Contractor Type Mechamcal Contractor CHARLES VAUGHN HUGO License 117043 ExpiratIOn Date 09/03/2008 Phone 541-937-2859 BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIOn Type # of Bedrooms # of Stones Height of Structure Type of Heat Water Type Range Type Energy Path Sprmkled Buddmg Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Cdrport Sq Ft Other Occupant Load nla I DEVELOPMENTINFORMATION I Frontyard Setback Side I Setback Side 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Total Handicapped Compact I PUBLIC IMPROVEMENTS I Street Improvements Stonj'''&"'e~ll('J'Jllr''Ii,'1on law reqUires you to S '-"I"'" r"'ot- orlopted by the Oregon U\llIty pecla 'InSlr1Je IOn 1 th Notllicatlon Center Those rules are set or N ~OAR 952-001-0010 through OAR 952-001- 00090 You may obtain copies 01 the rules by NOTICE' . "_ ___.._~ (~I.....+.o. tho tcle1rhnnp. . n~~b:r I~~ the 6re~on Utility NOtlli....,t'lJ" I Hit "tHIVIII :'HALL t!\t'IHt It- I Ht VVUHI\ Center IS 1-800-332-2344). ValuatIOn DescnD~lJ.1t JRIZED UNDER THIS PERMIT IS NOT COM v1ENCED OR IS ABANDONED FOR ~~Jt1g ~I~~y PERIODYalue Date Calculated SIdewalk Type DownspoutslDrams DescriptIOn Tvpe of ConstructIOn $ Per Sq Ft or multIplIer Paee I of 2 CITY OF ~rKll'\it..t<lJ!,LD Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED: EXPIRES' VALUE: CO M2008-00867 06/16/2008 06/16/2008 12/16/2008 225 Flftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees PaId I Fee DeSCriptIOn -Mechamcal Issuance Fee-- + 10% AdmmlstratIve Fee + 12% State Surchdrge + 5% Technology Fee Air HandlIng Umt Up to 10,000 Heat Pump MlmmumlAdjustment Mechamcal Amount PaId Date Paid ReceIpt Number $20 00 $500 $600 $250 $900 $1400 $27 00 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 1200800000000000653 1200800000000000653 1200800000000000653 1200800000000000653 1200800000000000653 1200800000000000653 1200800000000000653 Total Amount Pdld $83 50 I Plan ReViews I To Request an mspectlOn call the 24 hour recordmg at 726-3769 All inspectIOns requested before 7:00 a m. wIll be made the same workmg day, mspectlOns requested after 7 00 a.m. wIll be made the followmg work day I ReoUlred I nsnectJ?~~ . Rough Meehamcal Pnor to Cover Fmal Mechamcal When all mechamcal work IS complete By S1gndture, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance with the O. dlllancc> of the City of Springfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY Will be made of any structure without permiSSIOn of the Commumty Services DIvIsIon, BUlldmg Safety I further certIfy that only contractors and employees who are m complIance with ORS 701 005 Will be used on this project I further agree to ensure that all required mspectlOns arc 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 remam on the site at all times dunng construction ~ V--A,~~ Cr /(.,-O'Y Owner or Contractors Signature Date Paee 2 of2 225 F,fth Strcct Spnngfield, Oregon 97477 5"1-726-3759 Phone ~~ IlL. CIty of Sprmgfield Official ReceIpt Development ServIces Department Pubhc Works Department Job/Journal Number COM2008-00867 COM2008-00867 COM2008-00867 COM2008-00867 COM2008-00867 COM2008-00867 COM2008-00867 Payments I ype of Payment Check cRecemtl RECEIPT # 1200800000000000653 Datc 06/16/2008 DeSCription Heat Pump Alf Handlmg Unit Up to 10,000 MlmmumJAdJustment Mechamcal -Mechamcal Issuance Fee- + 5% Technology Fee + t2% State Surcharge + 10% Admmlstratlve Fee PaId By PAC WEST HEATING Item Total l.:heck Number AuthorizatIOn Received By Batch Number Number How Received ddk 680 In Person Payment Total Page I of I 9 14 21AM Amount Due 1400 900 2700 2000 250 600 500 $83 50 Amount Paid $83 50 $83 50 6/16/2008