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Home My WebLink AboutPermit Mechanical 2003-9-26 . . Lll f OF SPKll'lu1<U,LIJ Building/Combination Permit PERMIT NO: COM2003-00854 ISSUED: 09/26/2003 APPLIED: 09/04/2003 EXPIRES: 03/26/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1428 QUlNALT ST ASSESSOR'S PARCEL NO.: 1703253200900 - Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler ATTENTION:Oregon law reqUIres YOU 10 Owner: TOIIOW rUles aoop.teo oy the Uregon Utility Address: ~~IiJl~k~s~fi.i~eFIItLDaoRS~Jff' in"OA~ 952-001-0010 throuQh OAfl952-00 0090. You may obtain copies of the ~qlp" 1 calling the center. (Note: thl,{;Q~1JRAC.TOR INFORMATION I nUFrlber for the Oregon Utility Notification Contractor Type Cel~&Atr'ltOO-332-2344). License Electrical ROBS ELECTRIC INC 156678 Mechanical COMFORT FLOW 460 BUILDING INFORMATION I Expiration Date 08/14/2005 06/27/2005 Phone 54 t -686-5444 54 t -726-01 00 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: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 .' I DEVELOPMENT INFORMATION I SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: l:aTlCf: THIS PERiv1IT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I of 3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I III I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project FpP~ tIiILI Fee Description -Mechanical Issuance Fcc- + 10% Administrative Fee + 7% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustment Mechanical + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Cire Ea Add Amount Paid Date Paid $10.00 $4.50 $3.15 $8.00 $12.00 $25.00 $4.60 $3.22 $43.00 $3.00 9/4/03 9/4/03 9/4/03 9/4/03 9/4/03 9/4/03 9/26/03 9/26/03 9/26/03 9/26/03 Total Amount Paid $116.47 I Plan Reviews I . L.11 f OF ~rKll'\j~l'u.LD Building/Combination Permit PERMIT NO: COM2003-00854 ISSUED: 09/26/2003 APPLIED: 09/04/2003 EXPIRES: 03/26/2004 VALUE: Value Date Calculated Receipt Number 1200200000000002061 1200200000000002061 1200200000000002061 1200200000000002061 1200200000000002061 1200200000000002061 2200200000000001588 2200200000000001588 2200200000000001588 2200200000000001588 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 Rpmvr,.f1I"~ I Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 3 Rougb Electric: Prior to Coyer 4 Final Electric: When all electrical work is complete. Paee 2 of3 ~ '-'..1. .I. V.I.' OI.n....U.,u.'.bL.LI . B~ng/Combination Permit PERMIT NO: COM2003-00854 ISSUED: 09/26/2003 APPLIED: 09/04/2003 EXPIRES: 03/26/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 sball be done In accordance with the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to tbe 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. e~e!t ~d<<!r.e.ss !s re.a.d.a!ll~ fro!l! t!te. . street, that the permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00854 COM2003-00854 COM2003-00854 COM2003-00854 Payments: Type of Payment CreditCard ~. ~I Receipt #: 2200200000000001588 Description Add, Alter, Extend Circ Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Received By njrn l:heck Number Batch Number Authorization Number Paid By DAVID R. LAWLER 000180 026759 City of Springfield Official Receipt. Development Services Department Public Works Department Date: 09/26/2003 I :54:37PM Amount Paid Hem Total: 43.00 3.00 3.22 4.60 $53.82 How Received In Person Payment Total: Amount Paid $53.82 $53.82 . .