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Home My WebLink AboutPermit Mechanical 2004-2-17 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00177 ISSUED: 02/17/2004 APPLIED: 02/17/2004 EXPIRES: 08/17/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5196 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042102000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Instal heat pump and air handler Owner: GAIL OLDFIELD Address: 5196 FORSYTHIA ST SPRINGFIELD OR 97477 Phone Number: 541-726-5662 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor EUGENE HEATING & COOLING License 149452 Expiration Date 10/22/2005 Phone 541-726-7654 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 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: R-3 SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Notes: Frontyard Setback: Overlay Dist: Side 1 Setback: #,~~t:~G~~d: Side 2 Setback: N01\Ct:"'\ S\-\I\\..\.. t.~P\RW\f~~,\>~9'~: Rearyard Setback: \\-\\<2> t>t.R~\O U~OER \\-\\S ~~f~erage: Solar Setbacks: f\U\\-\.OR\lE OR \S ~.Bf\~ ,.... rr..\('{:f) . - CUN\I,,\\...I - p't.\"\\\.fJ I' t-.IV ~8Q Of\'{ . I PUBLIC IMPROVEME~IS_~ "'0 e on law reqUIres you to f\"'" 1"\1 I LJ" .1~. r 9 urn Street Improvements: f II w rules ado~~~Qregon I I Y o 0 . Thi se rw.es are set fort Storm Sewer Available: \Iotificatlon cent"own!i~outsJnrejA~ 952-00' Special Instruction: \ OAR 952-001-001 Q t roug 'l 0090. you'may obtain copies of the rules calling the center. (Note: t~e telepho~e nllrnh~r fnr the Oregon UtilIty Notification I Valuation Description{ r'''+N i~ 1-RnO-~~;1Z-~"'+"'" Total: Handicapped: Compact: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 . S~FllNQI!tJ;gLD r-~ ' .ii "5; Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00177 ISSUED: 02/17/2004 APPLIED: 02/17/2004 EXPIRES: 08/17/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees PaidBI 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 $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 2/17/04 2/17/04 2/17/04 2/17/04 2/17/04 2/17/04 Receipt Number 2200400000000000144 2200400000000000144 2200400000000000144 2200400000000000144 2200400000000000144 2200400000000000144 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 Insoections . 1 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefuIly 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. j7:!10~.~ CL ~~~"C IIJ eo, 2-!t7 ~'/ . I Date O~r or Contractor~ Signatur~ Pa\?:e 2 of 2 225 Fiftl.'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00177 COM2004-00177 COM2004-00178 COM2004-00178 COM2004-00 178 COM2004-00 178 COM2004-00178 COM2004-00178 COM2004-00 177 COM2004-00 177 COM2004-00177 COM2004-00177 Payments: Type of Payment Cash Change Job/Journal Number COM2004-00 177 COM2004-00 177 COM2004-00 178 COM2004-00178 COM2004-00 178 COM2004-00 178 COM2004-00178 COM2004-00 178 COM2004-00 177 COM2004-00177 COM2004-00 177 COM2004-00177 Payments: Type of Payment Cash Change Reccipt#:2200400000000000144 Description Minimum/Adjustment Mechanical ~Mechanical Issuance Fee~ + 7% State Surcharge + 10% Administrative Fee LP Gas Tank & Piping Gas Fireplace ~Mechanical Issuance Fee- Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Paid By AUTOMATIC HEAT AUTOMATIC HEAT Received By djb djb Description Minimum/Adjustment Mechanical ~Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee LP Gas Tank & Piping Gas Fireplace -Mechanical Issuance Fee~ Minimum/Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Paid By AUTOMATIC HEAT AUTOMATIC HEAT Received By djb djb Check Number Batch Number Authorization Number Check Number Batch Number Authorization Number City of Springfield Official':tl.eceipt Development Services Department Public Works Department Date: 02/17/2004 9:21:10AM Amount Paid 25.00 10.00 3.15 4.50 12.00 15.00 10.00 18.00 3.15 4.50 8.00 12.00 $125.30 Item Total: How Received In Person In Person Payment Total: Amount Paid $130.00 ($4.70) $125.30 Amount Paid Item Total: 25.00 10.00 3.15 4.50 12.00 15.00 10.00 18.00 3.15 4.50 8.00 12.00 $125.30 How Received In Person In Person Payment Total: Amount Paid $130.00 ($4.70) $125.30