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HomeMy WebLinkAboutPermit Mechanical 2004-5-19 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00595 ISSUED: 05/19/2004 APPLIED: 05/19/2004 EXPIRES: 11120/2004 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1016 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703264109600 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Install heat pump Owner: SOGGE IRENE M Address: 1016 OLYMPIC ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor License EUGENE ELECTRIC SERVICE INC 90200 UNITED HEATING & AIR CONDITIONING 102602 BUILDING INFORMATION' # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: ~ Primary Construction TXIM"ENTIONY~rGgon il:lI:1~~ Secondary Constructio,\JlrJ',v rules adopted by h"dge~~~ # of Bedrooms: Notification Center. Thoro BIl~ in OAR 952-001.o010~~ n/a 0090..~oU ml:lY UU'fDK1\Ei~m":" 1!!!!"''''''n.ltIATION I calling the ce~ m. 1 Oiii!9 number for the Oregon Utillty SJW.III Center Is 1~~~ist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Stor~ Sewer A~a~~~~!CE: MIT SHALL EXPIRE IF THE WORK Spec181 Instrucl1oi\JHS PER DER THIS PERMIT IS NOT AUTHORIZED UN Notes: COMMENCED OR IS ABANDONED FOR HIV 1 Rn DAY PERIOD. New Residential Expiration Date 03/17/2007 04/04/2006 Phone 541-344-3561 541-688-9162 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pa2e 1 on Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Deseription -Meehanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid . . CITY OF SPRI~un""L1J Building/Combination Permit PERMIT NO: COM2004-00595 ISSUED: 05/19/2004 APPLIED: 05/1912004 EXPIRES: 1112012004 VALUE: Total Value of Project F~~s Pair! I Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $33.00 $4.90 $3.43 $43.00 $6.00 5/19/04 5/19/04 5/19/04 5/19/04 5/19/04 5/20/04 5/20/04 5/20/04 5/20/04 1200400000000000763 1200400000000000763 1200400000000000763 1200400000000000763 1200400000000000763 1200400000000000772 1200400000000000772 1200400000000000772 1200400000000000772 $119.98 I Plan Reviews I 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. ~r~rI Insn~ 2 Rough Mechanical: Prior to Cover 1 Final Mechanical: When all mechanical work is complete. 3 Rough Electric: Prior to Cover 4 Final Electric: When all electrical 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 ofthe 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2004-00595 COM2004-00595 COM2004-00595 COM2004-00595 Payments: Type of Payment CreditCard 5/20/2004 RECEIPT #: ~ Jiiily of Springfield Official Receipt "elopment Services Department Public Works Department 1200400000000000772 Date: OS/2012004 Descrlptloo Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee PaId By RUSS ROBBINS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000389 020759 In Person Payment Total: Page I of I 12:08:13PM Amount Due 43.00 6.00 3.43 4.90 $57.33 Amount PaId $57.33 $57.33