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Home My WebLink AboutPermit Mechanical 2005-05-25Building/Combination permitStatus Issued ?11\\fth Street, Springfierd, oR 541-726-3753 phone 547-726-3676 Fax 541 -7 26-37 69 Inspection Line SITE ADDRESS: 837 S 44 ASSESSORIS PARCEL NO.: PROJECT DESCRIpTION: Heat pump Springfietd TypE OF WORK: Heating Sysrem TYPE OF USE: New : coM2005_00616 05t25/2005 05t25t2005 Lu25t2005 Residential Phone Number: S4l_ egb tbt PERMIT NO ISSUED: APPLIED: EXPIRES: VALUE: TH ST 1802052105000 Owner: Address: Contractor Type Mechanical KATRINA FULTON 837 S 44TH ST SPRINGFIELD OR 97478 ASSOCIA rules adopted by the Expiration Date 08t37t2005 Phone 541-683-2590 0090. calling the R-rumberfor ote: the tel ephone Notification Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: by # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: \rN Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: REQUIRED PARI(NG Total: Handicapped: Compact: Water Type: Range Type: Energy Path: Sprinkled Buitding:nla Sidewalk Type: Downspouts/Drains: Y lru $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription TYPe of Construction Value Date Calculated I\/t CO AN Valuation Descrintion I Pase I of2 Building/Combination permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 1Yo State Surcharge Heat Pump Minimum/Adj ustment Mechanical PXXMIT NO: COM200S-00616ISSUED: 0st2it200iAPPLIED: 0St2Sl200SEXPIRES: ttt21t200s VALUE: Amount Paid $10.00 $4.50 $3.1s $12.00 $33.00 Total Value of Project Date Paid 5t25t05 5t25t05 5t25t05 5t25t05 5t25t05 recording Receipt Number 3200500000000000247 3200s00000000000247 3200500000000000247 3200500000000000247 3200500000000000247 Total Amount Paid $62.6s To Request an inspection call the 24 hour at726-3769. AII inspection requested before 7:00 7:00 a.m. wilt be made the following work wiII be made the same wor king day,inspections requested after a.m. day. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance withthe ordinances of the city of springfield and the Laws of ihe state of oregon pertaining to the work described herein, andthat No oCCUPANCY will be made of any structure without permission oltt. co--u"nity services Division, Building Safety.r further certify that onty contractors and employees who are in compliance with oRS 701.005 will be used onihis project.I further agree to ensure that all required inspeciions are requested at the proper time, that each address is readable from thestreet, that the permit card is located at the front of the proplrty, and the approved sei of plans will remain on the site at alltimes during construction. Rough Mechanical: prior to Cover Final Mechanical: When all mechanical work is complete. PIan Owner or Contractors Signature Pase 2 of2 Date zr L _agqlursu rnsoecuons I 225 Fitth Street SpringfieH, Oregon 97477 541-726-3759 phone City of Springfietd Official Receipt _ lvelopment Services Department Public Works Department RECEIPT #:3200s00000000000247 Date: 0512512005 t0:46:23AMJob/Journal Number coM2005-00616 coM2005-00616 coM2005-00616 coM2005-00616 coM2005-00616 Description + 7Yo State Surcharge + l0%o Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.l5 4.50 12.00 33.00 10.00 Type ofPayment Check TED HEATING Received By Batch Number djb 13074 Item Total Number How Received In Person Payment Total: Paid By ASSOCIA $62.65 Amount Paid $62.6s $62.6s s/2512005 Page I of I