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Home My WebLink AboutPermit Mechanical 2004-8-4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00961 ISSUED: 08/04/2004 . APPLIED: 08/04/2004 EXPIRES: 02/04/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2717 MAlA LP ASSESSOR'S PARCEL NO.: 1703251406700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: BETTY WIEMERS REVOCABLE LIVING TRUS Address: 2717 MAlA LOOP SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INFORMATION. Contractor . Licen~,,'& Expiration Date PACIFIC AIR COMFORT INC .... 'l~ ~ ~r:J\ 03/25/2006 I BUILDING INF~~ 'r.~" . . t)'\\'V~I. ~q(s~\\~~~" \~~~~r:J~ R-3 ~ v.fo ~~ ~t1lt ~~~re VN \\\~~ !j'e$.~\\)\)' . C~~ 1\~1>Type: ~~. Energy Path: _ Sprinkled Building: .' . Phone . 541-672-9510 # of Units: Primary Occupancy Group: Secondary Occupancy Group: . Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ..n/a Street Improvements: Storm Sewer Available: Special Instruction: I DEVELOPMENT INFORMATION ~~ ~"'v ot\~~ Overlay D~t~ W'f"'9 ~e~ sIJ'" .s N!~~$9~~~.~ ~\,",,~e ~,~~~ o\..~- \O~~\C~'(\O ~~~~e09~~~~ ~O . p ~6'" 'J o'f)'\P" ~d-e..~. ~O IPUB~.' .~~r~ ~'\)6l \ol !fjt Vi ~ Sidewalk Type: "u~ ce~ REQUIRED PARKING Total: Handicapped: Compact: I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Downsp'outs/Drains: Notes: I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pae:e 1 of 2 1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Total Amount Paid L Fees Paid I Amount Paid $10.00 $4.50 $3.15 $12.00 $33.00 $62.65 I Plan Reviews I Date Paid 8/4/04 8/4/04 8/4/04 8/4/04 8/4/04 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2004-00961 ISSUED: . 08/04/2004 APPLIED: 08/04/2004 EXPIRES: 02/04/2005 VALUE: Receipt Number 1200400000000001180 1200400000000001180 1200400000000001180 1200400000000001180 1200400000000001'180 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 Insoections . Rough Mechanical: Prior to Cover 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, a'nd 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. , ~.~) ILL / . Y_lf\-" Owner or Con ctors Signature Pae:e 2 of 2 Quo, e l- , ~ClL:JLf. l ( Date 225 Fifth Street Springfield, Oregon 97477 541-726-37~9 Phone r;ty of Springfield Official Receipt t'elopment Services Department Public Works Department Job/Journal Number COM2004-00961 COM2004-00961 COM2004-00961 COM2004-0096I COM2004-0096I Payments: Type of Payment Check 8/4/2004 RECEIPT #: 1200400000000001180 Date: 08/04/2004 . Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee~ Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received PACIFIC AIR COMFORT INC djb 8651 In Person Payment Total: Page 1 of 1 9:17:53AM Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid $62.65 $62.65