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Home My WebLink AboutPermit Mechanical 2004-2-11 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 1nspectinn Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00164 ISSUED: 02/11/2004 APPLIED: 02111/2004 EXPIRES: 08/11/2004 VALUE: * .~~ SITE ADDRESS: 444 MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233405800 Springfield TYPE OF WORK:. Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Change nut package unit Owner: KENNETH CEROTSKY Address: PO BOX 888 SPRINGFIELD OR 97477 Phnne Number: 541-746-4498 I CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor COMFORT FLOW Phone 541-726-0100 't # nfUnits: Primary Occupancy Grnup: Secnndary Occupancy Grnup: Primary Cnnstructinn Type Secnndary Cnnstructinn Type: # nf Bedrnnms: SETBACKS Frnntyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Snlar Setbacks: Street Imprnvements: ". Stnrm Sewer Available: Special Instructinn: Nntes: License 460 Expiration Date 06/27/2005 I BUILDING INFORMATION I # nf Stnries: Lnt Size: R-3 Height nf Structure Sq Ft 1st Flnnr: Type nf Heat: Sq Ft 2nd Flnnr: VN Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carpnrt Energy Path: Sq Ft Other: \Jvm~eQ'.!.q!lllS;\lffiiWArea : __... ......Ir'\I\I.()rAOOn C::l II \J . _ I ...:1:+\, I DEVELOPMENT INFORM.~.'meNol,ted by lne ~~G~;~ 's~t f,irt ., t! n t;e[\l",r. Those ru _REQI:I!BlUllPARKING -lotltlca 10 -0010 through Vi'\!. ...~- Overlay Dis~:OAR 952-001 bt in copies oTiit\ll:rules t # Street Tre~R1Jd:(OU may 0 a Note: theHaiid.ia.p~&t: Paved Drive RlI!!;lIing the center. ( Utility<j!IIUiji~r.tlon tor the Oregon ) % nfLnt Cnvffil~per,",__+~r;~ 1.p.()(\_:'\~2-2344 . I rUDLlC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIH!otAlW<<6<<~ilfS:THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I Valuation Descriotion I $ Per Sq Ft nr multiplier Square Fnntage nr Bid Amnunt Descriptlnn Tvpe nf Cnnstructlnn Value Date Calculated Tntal Value Df PrDject Paee 1 Df2 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 Inspectinn Line Fee Descriptlnn -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Tntal Amnunt Paid I Ff'f'S Paid I Amnunt Paid Date Paid . CITY OF SPRI1'\j\.ot<1J<.,LlJ Building/Combination Permit PERMIT NO: COM2004-00164 ISSUED: 02/1112004 APPLIED: 02/11/2004 EXPIRES: 08/11/2004 VALUE: Receipt Number 1200400000000000192 1200400000000000192 1200400000000000192 1200400000000000192 1200400000000000192 To Request an inspection call the 24 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. $10.00 $4.50 $3.15 $12.00 $33.00 2/11104 2/11104 2/11104 2111/04 2/11104 $62.65 I Plan Reyiews I I Relluired TnsnectionsJ 1 Rnugh Mechanical: Prinr to. Cnver 2 Final Mechanical: When all mechanical wnrk is cnmplete. By signature, I state and agree, that I have carefully examined the cnmpleted applicatinn and do. hereby certify that all infnrmatinn herenn Is true and cnrrect, and I further certify that any and all wnrk perfnrmed shall be dDne in accnrdance with the Ordinances Df the City Df Springfield and the Laws nf the State nf Oregnn pertaining to. the wnrk described herein, and that NO OCCUPANCY will be made nfany structure withnut permissinn nfthe Cnmmunity Services DivisiDn, Building Safety. I further certify that nnly cnntractnrs and emplnyees who. are in cnmpliance with ORS 701.005 will be used no. this prDject. I further agree to. ensure that all required inspectinns are requested at the prnper time, that each address is readable frnm the street, that the permit card is Incated at the frnnt nf tbe prnperty, and the apprDved set nf plans will remain no. the site at all tiAd=UCjJL Owner Dr Cnntractnrs Signature Paee 2 nf2 v?- /11 /0 ~ Date 225 Fifth Street ... Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00164 COM2004-00164 COM2004-00164 COM2004-00164 COM2004-00164 Payments: Type of Payment Check _~'_.__'!I'IJI,I!, .. IIiIl .m...~.. i ._~; , ',,.,""'~ 'c".,",..-,~--) Receipt #: 1200400000000000192 Description + 7% Slate Surcharge + 10% Administrative Fee Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Received By djb Check Number Batch Number Authorization Number Paid By COMFORT FLOW 24814 City of Springfield Official Receipt Development Services Department ~ Public Works Department :7! Date: 02111/2004 11:35:18AM Amount Paid Item Total: 3.15 4.50 12.00 33.00 10.00 $61.65 How Received In Person Payment TDtal: Amount Paid $62.65 $61.65 . .