HomeMy WebLinkAboutPermit Mechanical 2003-6-13
Status
Issued
,.... - CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00496
ISSUED: : 06/13/2003
APPLIED: 06/13/2003
EXPIRES: 12/13/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2099 BONNIE LN
ASSESSOR'S PARCEL NO.: 1703251210600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install electric furnace,and heat pump
Owner: HOAG GILBERT W
Address: 2099 BONNIE LN SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Owner
Contractor
HOME COMFORT HEATING & AIR
HOAG GILBERT W
License
84164
Expiration Date
06/25/2003
Phone
541-345-2838
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I BUILDING INFORMATION.
# of Stories: ~eS 'l0\) :~'\: Lot Size:
Height of Structw~o.\)\ 0" \)\\\\ ~ ~ Sq Ft 1st Floor:
Type O~H.eat~a~\\e O~e~ ~e set \0 O' Sq Ft 2nd Floor:
VN . t',f\ \~iit~'P~~Jl~!O':I e ~\)\eS a: X\ 9{:I2,-0 ~,Sq Ft Basement:
p0\\;.\ \~taii~PTrp~~'\OS \)~\\ O~ e t\)\eS 'Sq Ft Garage/Carport
\0\\0\j'J ~~o~~t~.cp~t~~\\\~O \eS 0\ \'(\ e~'(\O"~ Sq Ft Other:
~\ ~\'i.\Ca\\ e,,/'l_00"\-0 ~\a.\" CO~ . \'(\e \e\ ~;:\\ca\\o'lmpervious Surface Area:
\~O 'f'lQ~,," .,('\\J "...\A\e. to..\o\\
, ,,~. . n\t,;o.J . -.r ~,- . '."'\'OiI ,
\\' ]).E.VEF-'Q.eMENIf'~y.tO.:R'NfA:n(i).N~'; j'
IJ - a.'\\\' \~ - X \" ....., coO -v~
C h.e~'O \'\S "\-
,,\)~'Uve.!biy'fhst:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMEN~~ ' , ORK
lCE;. EXP\RE \f 1HE W
1H\S PE.~~nv:g\,\~e ~\S pE.RM\1 \S NOT
fl.U1HOHl!Mls\Jl1ID~rl ~~DONE.O fOR
ENCEO OR \S f:..
~~~~ 8Q Ofl.'1 PER\O\). .
Notes:
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
Square Footal!e
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
I Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum! Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4;50
$3.15
$12.00
$12.00
$21.00
6/13/03
, 6/13/03
6/13/03
6/13/03
6/13/03
6/13/03
Total Amount Paid
$62.65
I Plan Reviews I
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2003-00496
ISSUED: 06/13/2003
APPLIED: 06/13/2003
EXPIRES: 12/13/2003
VALUE:
Receipt Number
1200200000000001527
1200200000000001527
1200200000000001527
1200200000000001527
1200200000000001527
1200200000000001527
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 Reouired 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 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
tim~s during construction.
M~--- ~------U?<I :3~3
Owner or co~trat7to';cr
Paee 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00496
COM2003-00496
COM2003-00496
COM2003-00496
COM2003-00496
COM2003-00496
Payments:
Type of Payment
Check
6/13/2003
City of Springfield
Development Services Department ,
Public Works Department
Official Receipt
Receipt #: 1200200000000001527
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
HOME COMFORT
1O:40:55AM
Received By
djb
Date: 06/13/2003
Amount Paid
Item Total:
3.15
4.50
12.00
12.00
21.00
10.00
$62.65
Check Number Confirm No
Amount Paid
How Received
In Person
Payment Total:
62.65
$62.65
Page I of I
cReceipt.rpt