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Home My WebLink AboutPermit Mechanical 2003-7-15 . . CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2003-00626 ISSUED: 07115/2003 APPLIED: 07/15/2003 EXPIRES: 01115/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 858 RIVER HILLS DR ASSESSOR'S PARCEL NO.: 1703341212100 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residcntial PROJECT DESCRIPTION: Replace heat pump Owner: SHIPLEY RICHARD Address: 858 RIVER HILLS DR SPRINGFIELD OR 97477 Contractor Type Mechanical Owner I CONTRACTOR INFORMATION .. Contractor License ASSOCIATED HEATING & AIR CONDITIO 106275 SHIPLEY RICHARD I BUILDING INFORMATION I Expiration Date 08/31/2004 Phone 541-683-2590 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Sctback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: laW requires you to t'ol 1l:::1\I \ IUN:Uleg~l~ the Oregon Utility , Notes: folloW r.ules adoptlllTh:se rules arlllset felt NotificatIOn cent~~1 0 through OAR 952..()O b in OAR 952-001- btaln copies of the rulos, . 0090. You may 0 (Note' the telephOne calling the centar. U\\Ilty Notltlcation number for the.01rEl~~;_332_2344). Centel1S . Sidewalk Type: DownspoutslDrains: b\lOYIC~: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pal!e 1 of2 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00626 ISSUED: 07115/2003 APPLIED: 07115/2003 EXPIRES: 01115/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees tlWU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $12.00 $33.00 7/15/03 7/15/03 7/15/03 7/15/03 7/15/03 2200200000000001250 2200200000000001250 2200200000000001250 2200200000000001250 2200200000000001250 Total Amount Paid $62.65 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. I Relluirerl Jnsne~tjnn\l 1 Rougb Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, tbat I have carefully exsmiued tbe completed application and do hereby certify that all information bereon is true and correct, aud I furtber certify that any and all work performed sball be done in accordance witb tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and that NO OCCUPANCY will be made of any structure without permission oftbe Community Services Division, Building Safety. I furtber 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 tbe proper time, that eacb 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 ljifJD:J Date (\, /~~])/~(,6~ Page 2 ofl 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00626 COM2003-00626 COMl003-00626 COM2003-00626 COM2003-00626 Payments: Type of Payment Check -~",..,~~,~ ,., .", ,;, Wi:." i ;c_~~tj: ,1 . . ,J _' "....... Receipt #: 2200200000000001250 Description Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By llh Check Number Batch Number Authorization Number Paid By ASSOCIATED HEATING 10506 City of Springfield Official Receipt Development Services Department, Public Works Department' Date: 07/15/2003 1:I3:00PM . Amount Paid Item Total: 12.00 33.00 10.00 3.15 4.50 $62.65 How Received Amount Paid $62.65 $62.65 In Person Payment Total: . .