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Home My WebLink AboutPermit Mechanical 2004-1-6 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00015 ISSUED: 01106/2004 APPLIED: 01106/2004 EXPIRES: 07/15/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6015 MICA ST ASSESSOR'S PARCEL NO.: 1802033400135 TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: MARK LEMLEY Address: 6015 MICA ST SPRINGFIELD OR 97478 Phone Number: 541-343-2010 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor OWNER CRYSTAL CLEAN AIR INC License Expiration Date Phone 96878 02/17/2005 541-484.2286 I BUILDING INFORMATION I VN # 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: ON"Oregon law reqUlr~~XP:~.:.~ # Street Tr~~T' do tad by the oremlgMc\\~'ft Paved Dri~\lf rules a P Those ru'es ~tf! ' u._tif'1ftion Center.. 11 OAR 9~2.()() % of Lot t!:\M!~1t ~52"()01-O01 0 thro~g f th rutes l n OA ~ : '. ," \ta\n coptes 0 e ~~nvoumay ~~oi"lt!:~Eo' thAte{e.~hone I PUBLIC IMPRO\' .IU.~.rlN9'S~ ~ Oregon Utmty NotttlcatlOn nU"I'-!.... t.lr 9",",,-* o~ ~~2.-2344). ,... ':' ...tl!:'rl3'lueWHI'f{'l'ype: Downspouts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa!!e 1 of 3 "':$e9J;N~R'~' I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $4.60 $3.22 $43.00 $3.00 $0.30 $0.21 $3.00 $10.00 $4.50 $3.15 $12.00 $33.00 1/6/04 1/6/04 1/6/04 1/6/04 1/8/04 1/8/04 1/8/04 1/15/04 1/15/04 1/15/04 1/15/04 1/15/04 Total Amount Paid $119.98 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00015 ISSUED: 01106/2004 APPLIED: 01106/2004 EXPIRES: 07/15/2004 VALUE: Value Date Calculated Receipt Number 1200400000000000012 1200400000000000012 1200400000000000012 1200400000000000012 1200400000000000025 1200400000000000025 1200400000000000025 1200400000000000055 1200400000000000055 1200400000000000055 1200400000000000055 1200400000000000055 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. 1 Rough Electric: Prior to Cover 2 Final Electric: When all electrical work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. Pal!e 2 of 3 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: COM2004-00015 ISSUED: 01106/2004 APPLIED: 01106/2004 EXPIRES: 07/15/2004 VALUE: 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 d ring construction. .rt4 Owner or Contractors Signature Page 3 of3 &1- 1~---d1 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-000 15 COM2004-000 15 COM2004-000 15 COM2004-000 15 COM2004-000 15 Payments: Type of Payment Check ....; Reccipt#: 1200400000000000055 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical ~Mechanical Issuance Fee- Paid By CRYSTAL CLEAN AIR Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/15/2004 10:10:36AM - Amount Paid Item Total: 3.15 4.50 12.00 33.00 10.00 $62.65 How Received In Person Payment Total: Amount Paid $62.65 $62.65