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Home My WebLink AboutPermit Mechanical 2004-01-30I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00134ISSUED: 0113012004APPLIED: 01/3012004EXPIRES: 0713012004 VALUE: SITEADDRESS: 252531STST ASSESSOR'S PARCEL NO.: 1702193400300 PROJECT DESCRIPTION: install heat pump Owner: MEL MEAD Address: 2525 31ST ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PhoneNumber: 541-746-2344 LicenseContractor Type Mechanical Contractor COMFORT FLOW Expiration Date 06t27t200s Phone 541-726-0100460 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN iso onv PERIOD. IS NOT $ Per Sq Ft or multiplier SHAtL EXPI RE IF THE WORK ER.tHIS PERMIT t0R Sidewalk Type: e center (Note the tolePhone lity Notification "sErhFJfillffu Oreg on uti REQUIRED PARIflNG Total: Handicapped: Compact: UND .l CO ANY or Bid Amount Total Value of Project Page I of2 DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Valuation Description Type of Construction e 1-RO o-T'eia344).Date Calculated Notes:THIS 5 U ll,ulr\ L; rN r Ur(Ivl,{ llgNl Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00134ISSUED: 0113012004 APPLIED: 01/3012004 EXPIRESz 0713012004 VALUE: Amount Paid $10.00 $4.50 $3.15 $12.00 $33.00 Date Paid Receipt Number 2200400000000000080 2200400000000000080 2200400000000000080 2200400000000000080 2200400000000000080 Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Heat Pump Minimum/Adj ustment Mechanical u30t04 u30104 y30t04 u30t04 u30t04 Total Amount Paid $62.6s 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. 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 will 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 required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the propertyo and the approved set of plans will remain on the site at all times during construction. 0 or Signature Date t Pase 2 of 2 m I I ees raro l(eoulreo lnsDecuons 225 Fifth Stre0t Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Olficial Receipt Development Services Department Public Works Department 2z09zl coM2004-00134 coM2004-00134 coM2004-00134 coM2004-00134 coM2004-00134 + 7Yo State Surcharge + llYo Administrative Fee Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Item Total:$62.65 3.15 4.50 12.00 33.00 10.00 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOW djb 24666 In Person Payment Total: $62.6s $62.6s (.