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Home My WebLink AboutPermit Mechanical 2003-4-8 CITY OF SPRINljlilELJ) . Building/Combination Permit PERMIT NO: COM2003-00250 ISSUED: 04/08/2003 APPLIED: 04/08/2003 EXPIRES: 10/08/2003 VALUE: __~~I3IJ!'1~E'~~i~,""",,,_,,,, ~ ;'.' ~:"~"::;,_::~~",,-~-;;,,"?":>.:,,,, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5625 E ST ASSESSOR'S PARCEL NO.: 1702331404700 " Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: HVAC system Owner: KINTIGH DAVE Address: 38741 E CEDAR FLAT RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION. Contractor Type Mechanical Owner Contractor DEAN M SCHULTZ KINTIGH DAVE License 133733 I BUILDING INFORMATION I # of Buildings: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary ConUw-GtiW\-Type VN Water Type: Secondary Cd\\MM&i~ T!pe: E IF TH~=pe: # of BedroomTHIS PERMI' SHALL EXPIR ner,uy-' ath: AUTHORIZED UNDER THIS PERMI I'> I-qV vG;y1f.l[IHJ[~ ~R ~1 "Q fJ t'.!not\lI::n FOR SET&~tJ~O DAY PERIOD. I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTEN' . I PUBLIC IMPROVEMENTS . I I TION'Orego . Stree1f~Wf~lt~o t n law requIres you to StoNrPYtWAtWfomtbt4ft. ~~~~ the ,Oregon Utility spJll~at9.ia8.001~0010'thro~r~ es are set tortl 0090. You may obtain . g OAR 952~01 Notes:calUng the center: (Ncop~es of the rutes ~ nUWlber fnr tho.. ""'v' _ ote. the telephonA C- -. - ...~..,,, ulI/Jry Noti'i -, . enterls 1-800 . rll un. .. I -332-2344). ValuatIOn DeSCrIptIOn New Residential Expiration Date 02/23/2005 Phone 541-767-0626 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Description Type of Construction $ Per Sq Ft Square Footaee Paee 1 of2 Value Date Calculated ,_"?J~~,,,-~q~I.~~.f',.,,",,~_,",,,, ~ , ~ ~.' Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2003-00250 ISSUED: 04/08/2003 APPLIED: 04/08/2003 EXPIRES: 10/08/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project I Fees Paid I Fee Description Amount Paid Date Pai Receipt Number -Mechanical Issuance Fee- $10.00 4/8/03 2200200000000000713 . + 10% Administrative Fee $4.50 4/8/03 2200200000000000713 + 7% State Surcharge $3.15 4/8/03 2200200000000000713 Air Handling Unit Up to 10,000 $8.00 4/8/03 2200200000000000713 Furnace - up to 100,000 btu $12.00 4/8/03 2200200000000000713 Heat Pump $12.00 4/8/03 2200200000000000713 Minimum/Adjustment Mechanical $13.00 4/8/03 2200200000000000713 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 Reouired Insnections I 1 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 property, and the approved set of plans will remain on the site at all times during construction. ~J?P - , 4Jg/OJ Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00250 COM2003-00250 COM2003-00250 COM2003-00250 COM2003-00250 COM2003-00250 COM2003-00250 Payments: Type of Payment Check Paid By Receipt #: 2200200000000000713 Date: 04/08/2003 Description Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Received By Check Number Confirm No DEAN HEATING AND AIR djb Page I of I 4/8/2003 t 2:26:09PM City of Springfield Development Services Department Public Works Department Official Receipt Amount Paid 12.00 8.00 12.00 13.00 3.15 4.50 10,00 Line Item Total: $62.65 How Received Amount Paid In Person 62.65 $62.65 Payment Total: " cReceipt.rpt