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Home My WebLink AboutPermit Mechanical 2003-03-07Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541.,:7 26-37 69 Inspection Line Buildin g/C ombin ation Permit PERMIT NO: COM2003-00146ISSUED: 0310712003APPLIED: 03/07/2003E)0IRESz 0910712003 VALI]E: SITE ADDRESS: 1475 sTH ST ASSESSOR'S PARCEL NO.: 1703264201201 PROJECT DESCRIPTION: Heat pump and air handler Springfield TYPE OF TYPEOF USE: Heating System New Public Owner: SpRINGFIELD CITy OF Address: CITY HALL SPRINGFIELD OR 97477 Contractor Type Mechanical Owner Contractor EUGENE HEATING & COOLING SPRINGFIELD CITY OF License Expiration Date 10t2212005 Phone 541-726-7654il49452)t a, CONTRACT OR INFORMATI ON # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: s9 Paved Drive Rqd: Rearyard Setback: Solar Setbacks: %o ofLot Coverage: Street Storm Sewer Available: Special Instruction: Notes: Description Type of Construction $ Per Sq Ft Square Footage Overlay Dist: # Street Trees PARI(ING \t Sidewalk Type: DownspoutVDrains DEVELOPMENT INFORMATION lof2 Value Date Calculated I ,QP (l \(\ Valuation Description I FIELD Buildin g/C ombinatio n Per mit Status: Issued 225 Fifth Skeel Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:7 26-37 69 Inspection Line PERMIT NO: COM2003-00146ISSUED: 0310712003 APPLIEDT 0310712003E)PIRESz 0910712003 VALTJE: Total Value of Project DateFee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7%o State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical Total Amount Amount Paid $10.00 $4.50 $.rs $8.00 $12.00 $2s.00 $62.6s 3t6t03 3t6t03 3t6t03 3t6t03 3t6t03 3t6t03 Receipt Number 1200200000000000789 1200200000000000789 1200200000000000789 1200200000000000789 1200200000000000789 1200200000000000789 To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. red Insnections By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff 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 set of plans will remain on the site at the card at the front of the property, and the 3 or Contractors Signature 2of2 -rees rato I 317/2003 l0:19:28AM City of Springfield Development Services Department Public Works Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000789 Date: 0310612003 .ne Items: Job/Journal Number Description Amount Paid coM2003-00146 coM2003-00146 coM2003-00146 coM2003-00146 coM2003-00146 coM2003-00146 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0o/o Administrative Fee ryments: 8.00 12.00 25.00 10.00 3.15 4.50 Line Item Total:$62.6s Tlpe ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid Cash Change EUGENE HEATINGAND COOLING EUGENE HEATING AND COOLING In Person In Person 70.00 (7.3s) Page I of2 Total: cReceipt.rpt sFritlfiSFtG.L|} djb djb 3/7/2003 l0:19:28AM City of Springfield Development Services Department Public Works l)epartment Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 1200200000000000789 Date: 0310612003 ne Job/JournaI Number Description Amount Paid coM2003-00146 coM2003-00146 coM2003-00146 coM2003-00146 coM2003-00146 coM2003-00146 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0%o Administrative Fee Payments: 8.00 12.00 25.00 10.00 3.15 4.50 Line Item Total:$62.6s Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Cash Change EUGENE HEATING AND COOLING EUGENE HEATING AND COOLING djb In Person In Person 70.00 (7.3s)djb Page2 of2 Total:$62.65 cRec€ipt.rpt spffxiRFtx&u,