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Home My WebLink AboutPermit Building 2004-12-16 .. __ LIll' OF ~t'101'\jut<1~LD . Building/Combination Permit PERMIT NO: COM2004-01539 ISSUED: 12/16/2004 APPLIED: 12/16/2004 EXPIRES: 06/16/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2222 DAPHNE ST ASSESSOR'S PARCEL NO.: 1703244201900 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: DINO PHILYAW Address: 2222 DAPHNE SPRINGFIELD OR 97478 Phone Number: 541-912-7150 . I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor PACIFIC AIR COMFORT INC License 39237 Expiration Date 03/25/2006 Phone 541-672-9510 BUILDING INFORMATION I VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: ~ $!I Ft 2nd Floor: Water Type~ \a'ff yequ\1'eSon O~~IUFt Basement: Ii.~' ~ bY tll9 oreg Se\~9r\lt Garage/Carport mr~fianoP ~ ru\eS are 9S~cf,l-Other: to prinkled~g .....,.Ig~ IOc'lYflant Load: "In 1I~";;_ ~. .l\nl~ "=.~:..: ...4 '''9 rule:>" I DE\IIl~i>MEN,r;:UtJj)QRM,{fU~n" te\e?nO~on . ~.r.J _' t\'Iee&..v.. ~NO~llical REQUIRED PARKING ~~(.t\'Ieoregon -332-2344). . 1~;:;;t~iiJlJ:1..so0 Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Sccondary Construction Type: # of Bedrooms: R-3 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I PUBLIC IMPROVEMENTS I \ Sidewalk W~WGR\\ "Ol\C~~M\I S~"'\.\. eo~W~~~'lwPn;i~~\ . ~~:OR\IeOOll~~~; ~~~NOGt-4eO fOR . CGMMeONCO~v PeRIGO. "'v ~ B ", I Valuation Descriotion I Street Improvements: Storm Sewer Available: Special Instruction: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pagelof2 " 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 Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical Penalty Fee - BWOP Mechanical Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01539 ISSUED: 12/16/2004 APPLIED: 12/16/2004 EXPIRES: 06/16/2005 VALUE: / I fn tlWU Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $45.00 12/16/04 12/16/04 12/16/04 12/16/04 12/16/04 12/16/04 12/16/04 1200400000000001750 1200400000000001750 1200400000000001750 1200400000000001750 1200400000000001750 1200400000000001750 .1200400000000001750 $107.65 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 R"onir"t1 \iw'''~tinn\J 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, 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. ~_~Lb 21_ ~A flj1 Owner or Contractors Signature _)~ iw / ()L( Da~1 t . Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . s~~~:~ Wic av of Springfield Official Receipt .elopment Services Department Public Works Department . /- . Job/Journal Number COM2004-0 1539 COM2004-0 1539 COM2004-01539 COM2004-0 1539 COM2004-0 1539 COM2004-0 1539 COM2004-0 1539 Payments: Type of Payment Check 12/16/2004 RECEIPT #: 1200400000000001750 Date: 12/1612004 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Penalty Fee - BWOP Mechanical Paid By PACIFIC AIR COMFORT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 9552 In Person Payment Total: PaRe I of I 9:08:29AM Amount Due 3.15 4.50 8.00 12.00 25.00 10.00 45.00 $107.65 Amount Paid $107.65 $107.65