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Home My WebLink AboutPermit Mechanical 2004-3-1 (2) . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00236 ISSUED: 03/0112004 APPLIED: 03/0112004 EXPIRES: 09/0112004 VALUE: . Status Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726-3769 InspectioD LiDe SITE ADDRESS: 1612 RAMBLING DR ASSESSOR'S PARCEL NO.: 1703252209200 SpriDgfield TYPE OF WORK: HeatiDg System # of UDitS: # of Stories: Primary OccupaDcy Group: R-3 Height of Structure SecoDdary OccupaDcy Group: Type of H!~t-c. 'J'lQ?-~ Primary CODstruction Type VN I~ ~PP.: \S ~Qi SecoDdary CODstrDctioD TYI'01\C'C:. S\\~\.\. f~ g,\>l:yp&i Q?- # of Bedrooms: ~'~t.?-\'lI\i ~\)t.?- ~~&.QN) \' i~~~I-\Q?-\l~?f'\} nil. \S f\~t\ f CQ\'lI\'lI't.~O=~1 J)~~HbpMENT INFORMATION I f\~'l ,\'0 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o "0\l\0 Yo of Lot Coverage: eQ\l,(es, '\,\" (\ laVl ( 0(\ \,)\1 I, _,,,"I.o(egO '..' .he o(eg . ~ollor I pUBlliciMrSOVEMENT~~'I,e (\l\e~;R 952-001 IV"- , v"..- - \,,(o\lg\1 .~ " <,jleS ~o\i\ica\IO(\ 00\ -00\ 0 opi&Sjdewallt ~~81\i3 0"fl,95Z- b\ai(\C '"o\eleP '~~ (\ ,.. '{ \l (TIa'/ 0 ~",o\e',D?w~p<<t!\WDralns: 0090, ,0 \\1e ce(\\e(. 0(\ \,)\,11\'/ v call,(\9 \\1e 0(e9 ~~2-2344). bel lot '~ 1_~(\('\-' ' nUm ,...--"'".... TYPE OF USE: PROJECT DESCRIPTION: Heat pump aDd air haDdler OWDer: STEVEN TENUAEFF Address: 1612 RAMBLING DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type MechaDical Contractor J CO ENTERPRISES INC License 156807 BUILDlN", ",,,uNvIATION I SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImprovemeDts: Storm Sewer Available: SpeclallDstruclion: Notes: . I Valuation Descrintion I DescrlptioD $ Per Sq Ft or multiplier Square Footage Dr Bid AmouDt Tvpe of CODstructioD Total Value of Project. Pacelof2 New ResideDtial PhoDe Number: 541-726-8970 Expiration Date 09/09/2005 Phone 541-689-1667 Lot Size: Sq Ft 1st Floor: Sq Ft 2Dd Floor: Sq Ft Basement: Sq Ft GaragclCarport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Hnndicapped: Compact: Value Date Calculated . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726-3769 IDspection Line I F""s Pllid I Fee Description -MechaDlcal IssuaDce Fee- + 10% AdmlDlstrative Fee + 7% State Surcharge Air HaDdliDg UDlt Up to 10,000 Heat Pump MIDimDm/AdjustmeDt MechaDlcal AmouDt Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 3/1/04 3/1/04 3/1/04 3/1/04 3/1/04 3/1/04 Total AmouDt Paid $62.65 I Plan Reviews , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00236 ISSUED: 03/0112004 APPLIED: 03/0112004 EXPIRES: 09/0112004 VALUE: Receipt Number 2200400000000000196 2200400000000000196 2200400000000000196 2200400000000000196 2200400000000000196 2200400000000000196 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 Ro>ouir"d Tns~~ 1 Rough MechaDlcal: Prior to Cover 2 FIDal Mechanical: WheD all mechaDlcal work is complete. By slgDature, I state aDd agree, that I have carefully examiDed the completed applicatioD and do hereby certify that all IDformatloD hereoD Is true aDd correct, and I further certify that aDY and all work performed shall be do De In accordance with the OrdiDaDces of the City of Springfield aDd the Laws of the State of Oregon pertalDlng to the work described hereiD, and that NO OCCUPANCY will be made OfaDY structure without permission of the CommuDity Services Division, Building Safety. I further certify that oDly cODtractors aDd employees who are 10 compliaDce with ORS 701.005 will be used on this project. I further agree to eDsure that all required Inspections are requested at the proper time, that each address Is readahle from the street, that the permit card Is !!!J:ated at the froDt of the property, aDd the approved set of plans will remalD 00 the site at all times durlDg cODstructioD. ~ OWDer or <;oDtractors SigDature Pace 2 of2 6'5-o1r6VJ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20Q4..00236 COM2004-00236 C0M20Q4..00236 C0M2004-00236 C0M20Q4..00236 COM2004-00236 Payments: Type of Payment CreditCard "~ ~--- Receipt #: 2200400000000000196 Description + 7% State Surcharge + 10% Administrative Fee Air Handling Unit Up to 10,000 Heat Pump Minimum! AdjustmeDt Mechanical -Mechanical Issuance Fee-- Received By djb (.;beck Number Batcb Number Authorization Number Paid By GAYLE TILLER 000310 001156 .- ,. City of Springfield Official ReceIpt Development Services Department Public Works Department Date: 03/0112004 2:28:38PM Amount Paid Item Total: 3,15 4.50 8,00 12.00 25.00 10.00 $62.65 How Received 10 Person PaymeDt Total: Amount Paid . $62,65 $62.65 .