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HomeMy WebLinkAboutPermit Mechanical 2004-12-7 . Status Issued 225 Fifth Street, Sprlngfleld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5744 Ridge Crest Dr ASSESSOR'S PARCEL NO.: 1802041401304 .... CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2004-01491 ISSUED: 12/07/2004 APPLIED: 12/07/2004 EXPIRES: 06/0712005 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Change out heat pump Owner: MARY TULL Address: 5744 RIDGE CREST DR SPRINGFIELD OR 97478 Contractor Type Mechanical Contractor COMFORT FLOW # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Phone Number: 541-747-5171 I CONTRACTOR INFORMATION I License Expiration Date ATTF"'Tln'I.~,On___r ' 06/27/2005 , " ..:.J-._.'L..,....""f...II~YuulO BUILDING ~NfOF.~\\il'lOll'..pted by the Oregon Utilitu ",v,"""abun venter Those rul ." # ofStorlesOAR 952-001-0010 throu ms re.set forth Height otJSOOctUr& may obtain copi ~ s~~-9P.1o Type of Heanlling the center. (Note: : {lJiij8Jtr Water TYPlUmber for the Oregon Uti! I iIj . P~t: Range Type: Center is lJlM. '>M IPi!fIkiUWarport Energy Path: ~ ~ther: Sprinkled Building: nla Occupant Load: Phone 541-726-0100 , 'DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay D1st: Total: # Street Trees R.sd: Handicapped: Paved Driv:IR4i1:CE: Compact: % ofLot Cqve~getRMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT I PUBLIC IMPROVEMENTS ,-u UH I~ !\tJ!\NUUNED FOR " ",.. ,. 'Y PERIOD. Sidewalk Type: DownspoutslDrains: I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Paee 1 on . 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 Heat Pump Minimum/Adjustment Mechanical Total Amount Paid I F~~~ Paid' Amount Paid Date Paid . Loll f OF ~rK11~bl!U!,LJJ Building/Combination Permit PERMIT NO: COM2004-01491 ISSUED: 12/07/2004 APPLIED: 12/07/2004 EXPIRES: 06/07/2005 VALUE: Receipt Number 1200400000000001699 1200400000000001699 1200400000000001699 1200400000000001699 1200400000000001699 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. $10.00 $4.50 $3.15 $12.00 $33.00 12/7/04 12/7/04 12/7/04 12/7/04 12/7/04 $62.65 I Plan Reviews I I 1Il1~"'I'r'~l'1 In~n~~tion. . ri1111' ill III ill 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. ~~~ / ~- Owner or Contractors Signature \ \ I I \ I Paee 2 of2 /2- '7- 0 l( Date 225 Fifth Street Springfield, Oregon 97477 541-726-3159 Phone . a~ Wit, ," Job/Journal Number COM2004-01491 COM2004-0I49 I COM2004-0l49 I COM2004-0 1491 COM2004-0l49l Payments: Type of Payment Check I \ \ \ I I \ ! I I: \ I I I I I 12/7/2004 RECEIPT #: I JiIi1y of Springfield Official Receipt .elopment Services Department Public Works Department 1200400000000001699, Date: 12/07/2004 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW Received By djb Page I of 1 Item Total: Check Number Authorization Batch Nnmber Number How Received 28024 In Person Payment Total: 9:17:32AM Amount Due 3.15 4.50 12.00 33.00 10.00 $62.65 Amount Paid $62.65 $62.65