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HomeMy WebLinkAboutPermit Miscellaneous 2010-12-21 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00946 IVR Number: 811142752071 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.OLUS ISSUED: APPLIED: 12/21/2010 12/21/2010 ! EXPIRES: / VALUE: 06/19/2011 $0.00 SITE ADDRESS: 3622 S EST, Springfield, OR 97478.6350 ASSESOR'S PARCEL NO: 1702314303402 PROJECT DESCRIPTION: SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential Install ductless heat pump system Phone Number: OWNER: ADDRESS: MIKEL STEVE R 3622 S E ST SPRINGFIELD OR97478 Contractor Type Mechanical Contractor Contractor Name HARVEY & PRICE CO # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: CONTRACTOR INFORMATION I Lie Type eeB BUILDING INFORMATION I # of Stories: Height of Structure: Type of He.at: Water Type: Range Type: Hazmat: Lie No 77 Lie Exp 10/31/2012 Phone 541-746-1621 Lot Size: Sq Ft1 st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: ' 0 Occupancy Load: Electrical Specially Code Edition: Springfield Fire Code Edition: Mechanical Specially Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural SpeciaJty Code Edition: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: '11'JTlCE: THIS PERMIT S i\UTHORIZED U~~~L EXPIRE IF THE WORK COMMENCED OR R THIS PERMIT IS NOT "NY 180 DAY PER;~ ABANDONED FOR . D. Springfield Building Permit Site Information I ATTENTION. 0 follow rules ~do~t~~nb'aw requires you to Notlfrcation Center y the Oregon Uti/it ~n OAR 952.001_00'lZ:~ose rules are set for~ oeo. You may obt. rough OAR 952-001 e ',. arn COpre f . "..!ng the een'n ,s 0 the rules b nUmber for the Or. (Note: the telephone Y C regO/1 Utility N '. enter is 1.aOO-33n otlflcation . ,,-2344). 12/211201 3:10:32PM Page 1 of 3 5f=:~,;::~ ~.;!l!~~ ~OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00946 IVR Number: 811142752071 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfieJd.or.U5 PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 12/21/2010 EXPIRES: VALUE: 06/19/2011 $0.00 SITE ADDRESS: 3622 S EST, Springfield, OR 97478-6350 ASSES OR'S PARCEL NO: 1702314303402 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install ductless heat pump system DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: High~st point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Amount Paid $17.00 $79.00 ._-"~- State of Oregon_ Surcharge (12% o~ylicable !..esL___________~_1.52 Te:!'nology ~<::. (5% of permit total) $4.80 Total Amount Paid $112.32 Description Air Handling Unit up to 10,000 elm First Appliance Fee Date Paid 12/21/2010 12/21/2010 12/21/2010 12/21/2010 Receipt # 375207 375207 375207 375207 Springfield Building Permit 12/21/201 3:10:32PM Page 2 013 SPRI.;. G,~FIE~ ~'11....".. 1*it \!'b ,i4ra -~'~OREGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 81f-SPR2010-00946 IVR Number: 811142752071 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 12/21/2010 EXPIRES: VALUE: 06/19/2011 $0.00 SITE ADDRESS: 3622 S EST, Springfield, OR 97478.6350 ASSESOR'S PARCEL NO: 171)2314303402 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install ductless heat pump system Plan Review ~ DeDartment Permit Issuance Received Due Date ComDleted 12/21/2010 12/21/2010 12/21/2010 Result Issued Reviewer Nancy Machado Initial Review Over the Counter David Bowlsby 12/21/2010 12/21/2010 12/21/2010 Comments: Over the counter permit Application.Acceptance;.:..: \" '12/21/2010 12/21/2010.., .12/21/2010: ':', -Over llie Counler~.r: "Davia Bowlsby ':_:~;~-':"~;~~",,:,>_c.: ".y ,t ~ - ,_,~~T:~ '-''''~~''~~;:~;;~'::~.:.:~~-.:,"_ r,:../ :;...,:.:;,".,'~~ ~~"" :/~~~p\ .~.~f.. ;,~L.';::: ~ ~~. -!,,,, ~. ~~:r ~...;/ ~ "~, ..... .>,.kL,.",.~_.,.~:~, . h " m '.".. .. ~.;; \-,]i~tr:.. '" .. '.. "t INSPECTIONS REQUIRED I Inspections 2300 Rough Mechanical 2999 Final Mechanical 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 or 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 i pections are requested at the proper time, that each address is readable from the street, that the permit car I located at e rent of the property, and the approved set of plans will remain on the site at all times during . constru io Date Springfield Building Permit 12/21/201 3:10:32PM Page 3 of 3 c S;.~:\N,;:',IE, ~ .,-;(~ . ~.!1\..'OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00946 3622 S E ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726~3753 permilcenter@ci,springfield.or.us RECElI'T NO: 201000]] 17 RECORD NO: 8II-SPR20IO-00946 DATE: 12/21/2010 [PJ;~.G.BiptjQ~- ';;C-.';.",;" ~ "~_:-v4'P0;, .~.""-i...~;:,;.t';0~': ;;;"cc_bUNjJ;_Q6.E;\"::=-::::';_;t.!IIi()_lJ~T:P_U_E ., . .." Air Handling Unit up to 10,000 elm 224-00000-425604 $17.00 First ~pliance Fee 224-00000-425604 $79.00 State of Ore90n Surcharge (12% of applicable fees) 621-00000-215004 $11.52 Technology fee (5% of perr:"it total) 1 00-00000-425605 $4.60 TOTAL DUE: $112.32 ~"Pi< YMEI'[TIt~AYOR'-;\CflSHjERNMAfHAqO;i:: :C.QMMENIS >., ;",-," "'rr,;?/'rv.!,~,:;;~MQ.lJ_~T P~ID ., ~ Check 025294 HARVEY & PRICE CO $112.32 $112.32