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Home My WebLink AboutPermit Mechanical 2003-06-20Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00541ISSUED: 0612012003APPLIEDz 0612012003 EXPIRESz 1212012003 VALUE: SITE ADDRESS: 1040 S 34th Pl ASSESSOR'S PARCEL NO.: 1802062402201 PROJECT DESCRIPTION: Install heat pump Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Owner: Address: WAGNON EDWARD MORRIS 1O4O S 34TH PL SPRINGFIELD OR 97477 Contractor Type Mechanical Owner Contractor COMFORT FLOW WAGNON EDWARD MORRIS Expiration Date 06t27t2003 Phone 541-726-0100460 CONTRACTOR INFORMATION SETBACKS Frontyard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: t$s s N 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 \t 1\\t Sidewalk Type: Downspouts/Drains REQUIRED PARI(NG Total: Handicapped: Compact: $$ Notes: Square FootageDescription Type of Construction $ Per Sq Ft Page I of2 Value Date Calculated I r:t1 License l, U LLlrll\ rJ ri\ I (rl:{'lYrryl # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: \TN Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00541ISSUED: 0612012003 APPLIEDT 0612012003 EXPIRESz 1212012003 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7o/o State Surcharge Heat Pump Minimum/Adj ustment Mechanical Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $12.00 $33.00 $62.6s Total Value of Project Date Paid 6t20t03 6t20t03 6t20t03 6t20t03 6t20103 Receipt Number 1200200000000001597 1200200000000001597 1200200000000001597 r200200000000001597 1200200000000001597 tr'ees Paid Plan Reviews 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 Iocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Signature Pase2 of2 Date t t(eoutreo lnsDectlons 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department 597 Date: coM2003-00541 coM2003-00541 coM2003-00s41 coM2003-00541 coM2003-00541 + 1Yo State Surcharge + lUoh Administrative Fee Heat Pump Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- 3. r5 4.50 12.00 33.00 10.00 Item Total:$62.6s Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check COMFORT FLOW djb In Person Payment Total: s62.65 $62.6s *FH*x(tlErILS