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Home My WebLink AboutPermit Mechanical 2002-12-20 '-. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2002-01392 ISSUED: 12/20/2002 APPLIED: 12/20/2002 EXPIRES: 06/20/2003 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1917 J ST ASSESSOR'S PARCEL NO.: 1703361202100 Springfield TYPE OF Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and furnace Owner: BERG JEFFREY S & T AMERA L Address: 1917 J ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owner Contractor License Expiration Date Phone CRYSTAL CLEAN AIR INC IMo'nC\E: 9687Lt EXPIRE IF ~t1t'WlYAK 541-484.2286 BERG JEFFREY S & TAMERA1Jt;lI~ PER~~~ :~~ n 1111l r:Q~AIT l~ NOT BUILDIN&4 I ABANDONED FOR # of StM~: 180 DAY PERIOD. Lot Size: Height of Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: # of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: SETBACKS I DEVELOPMENT INFORMA nON I REQUIRED PARKING O I D't Uj"',I-'I\!liOI\l:OrenonlawreqwTretS'I!outo vel' ay IS:" -" . - .1:'1 I , 0 a:j .:' # Street Treesfollow rules adoptea by the OrlI1PJdMlI1"~d: Paved Drive,\iujtHcation Center. Those rUleSebfi.~~J~orm in OAR 952-001-0010 through OAH 9o~-OO'I- % of Lot COo5~&~:yoU may obtain copies of the rules by callinQ the center. (Note: the telepho~e --, ----.- --to..tne uregon ulIIny i\lUUII~c:U1VII IPUBLIC IMPROVEMENTS.. I ~. _ 1 80n -:ln2 2344) _ ente, IS !" v",;:1 - . Sidewalk Type: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Downspouts/Drains Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft Square Footae:e Value Date Calculated 1 of 2 Status: Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2002-01392 ISSUED: 12/20/2002 APPLIED: 12/20/2002 EXPIRES: 06/20/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid. Fee Description -Mechanical Issuance Fee- + 7% State Surcharge + 8% Administrative Fee Furnace - up to 100,000 btu Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Receipt Number $10.00 12/20/02 1200200000000000437 $3.15 12/20/02 1200200000000000437 $3.60 12/20/02 1200200000000000437 $12.00 12/20/02 1200200000000000437 $12.00 12/20/02 1200200000000000437 $21.00 12/20/02 1200200000000000437 Total Amount $61.75 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. LReouired Insoections I 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 ofthe 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 s~, ree , 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 es during constru~~# , , ~ i3'7~ /:2-;20,.....tJ2- V Owner or Contractors Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2002-0 1392 COM2002-0 1392 COM2002-0 1392 COM2002-01392 COM2002-01392 COM2002-01392 Payments: Type of Payment Check Paid By Description Furnace - up to 100,000 btu Heat Pump Receipt #: 1200200000000000437 Date: 12/20/2002 Minimum! Adjustment Mechanical + 7% State Surcharge + 8% Administrative Fee ~Mechanical Issuance Fee~ CRYSTAL CLEAN AIR Received By Check Number Confirm No djb Page I of I 12/20/2002 ' 9:45:06AMt City of Springfield Development Senrices Departm ent Public Works Department Official Receipt Amount Paid 12.00 12.00 21.00 3.15 3.60 10.00 Line Item Total: $61. 75 How Received Amount Paid In Person 61.75 $61. 75 Payment Total: cReceipl.rpt