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Home My WebLink AboutPermit Building 2003-9-26 <f _~r~{~lilf.1$t.~~' } :< .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00968 ISSUED: 09/26/2003 APPLIED: 09/25/2003 EXPIRES: 03/26/2004 VALUE: SITE ADDRESS: 5335 Daisy St 69 ASSESSOR'S PARCEL NO.: 1702330001300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: SHARON GADSEN Address: 5335 DAISY ST #69 SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor MARSHALLS INC # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone Number: 541-870-5289 , CONTRACTOR ll'lJ<uRMATION I License 25790 Expiration Date 12/23/2003 Phone 541-747-7445 I BUILDING INFORMATION I # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: t Type of Heat: Sq Ft ~~(l~S VOu 0 Water Type: . N1\ON:oreQ$I'~t a'lteeJfSuon Ut\\\W , Range Type: A11E s adoptESQ lFi . arJ\t~q"ft}ip~Hon. Energy Path: to\\OW r,u\e center .S"~6t~ffi:O~ 952-00 Notit\cat\on 001.00~mp&!fllms SM~'fS N\fa$ \ - f f' os;? ':1 ...t'\n\es 0 \ --^ I DEVELOPMENT INFo.rl0.N1 },a'i ~;~. {Note,: ~he dlB'''t\~~\\on ca\\ing me ce oregon itE~1t PARKING tor the 0 ~3~.23 . Overlay Dist: nu"'berC nter \s 1.80 .Total: # Street Trees Rqd:' \ e Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: THIS PERMIl>~"'n~Podt~~f1a~n~ THE r~~~ I\UTHORIZED UNDER THIS PERMIT I 'COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 of 2 _l%ffll~.~~,,~~'.~.~i'.. , .' . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00968 ISSUED: 09/26/2003 APPLIED: 09/25/2003 EXPIRES: 03/26/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fe~ ~~iU Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 9/26/03 9/26/03 9/26/03 9/26/03 9/26/03 9/26/03 2200200000000001593 2200200000000001593 2200200000000001593 2200200000000001593 2200200000000001593 2200200000000001593 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording a.t 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 Ren..uired In!pections . 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 ~e:;:g';tr~'tiOo. J / . /,1 __ /I/~/A--/ JjXi:tI'." tf-26 ~I')~ ,;L' v . Owner or Contractors Signature Date . Pa2;e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~. City of Springfield Official Receipt Development Services Department Public Works Department ( Receipt #: 2200200000000001593 Date: 09/26/2003 2:46:21PM Amount Paid 3.15 4.50 8.00 12.00 25.00 10.00 $62.65 r Job/Journal Number COM2003-00968 COM2003-00968 COM2003-00968 COM2003-00968 COM2003-00968 COM2003-00968 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Item Total: Payments: Type of Payment Check Paid By MARSHALLS INC Received By djb Check Number Batch Number Authorization Number How Received In Person Payment Total: Amount Paid $62.65 $62.65 . .