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HomeMy WebLinkAboutPermit Mechanical 2003-6-30 Building/Combination Permit PERMIT NO: COM2003-00S62 ISSUED: 06/30/2003 APPLIED: 06/30/2003 EXPIRES: 12/30/2003 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fox 541-726-3769 Inspection Line SITE ADDRESS: 7249 DAISY ST ASSESSOR'S PARCEL NO.: 1702353403900 . Lit t OF SPRINGFIELD Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Install heat pump. Owner: HERSCHEL D L & TRYHORN K E Address: 7249 DAISY ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Owuer Contractor COMFORT FLOW HERSCHEL D L & TRYHORN K E License 460 DUILUU'l., INFORMATION I # of Buildings: # of Stories: '1.0 . Primary Occupancy Group: R-3 Height of.Structure ~~ 'I ,-,\\,"J Secondary Occupancy Group: !~pe'~f"l;I.eat: \0<:' Primary Construction Type VN ",'l'l ~ ~a~~r,Typ~:;\ "r;) 'v " ,~ ?v Secondary Construction Type: ,,00 ,\ \I-Rang~ Type:S' ",'0. \"'''' "'01 E""-- ... J ,,\,3 # of Bedrooms: .".J :\e'-> ",I! nergy)Path: \V e ~"J' oo~ -(,.X\O ,o~~\' 0\ \X\'" 'RoO~. ~ .,.<,,' ,,,,<;'3' _,P.\. ",,\"\' '.0.<; .oW~._'>c\'O '\\0"'" \~00 v~~'\'\DEVEiOPMENT'IN"F:ORMATION I SETBACKS \O.\,c,i:>' ,,':it: "V \." \),. n';j- ~O\' "'." \\,'0'1 0\e ';),00 ....?;... \0 O\l'O .--{ov \X\0 C.~e O\~O.x~i'I~'Dist: oog '3\\'(;\~ \0\\\ \\'i> # Street Trees Rqd: C. <0'Oe\ "'e0\0 Paved Drive Rqd: 0~' v % of Lot Coverage: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: New Residential . Expiration Date. Phone 06/27/2005 541-726-0100 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS! \\t. '-l'l()~'f, . t.'1-?\~t. \ ~\l'liie~~\ Type: \\O,,\C~" ~\"i S\\t>.\.~~ "i\\\S ?~~t.~~SpoutslDralns: ,\\\S ?~~\l't.\) \)~~ \S t>.'Ot>.~\) I\\)\~ ~'t.~C't.\) ?'t.~\\)\)' CGWi ~\l \)t>.i t>.~i'\ Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of2 Building/Combination Permit PERMIT NO: COM2003-00562 ISSUED: 06/30/2003 APPLIED: 06/30/2003 EXPIRES: 12/30/2003 VALUE: . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Type of Construction Total Value of Project F~p~ Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid $10.00 $4.50 $3.15 $12.00 $33.00 6130/03 6/30/03 6/30/03 6/30/03 6/30/03 Total Amount Paid $62.65 I Plan Reviews , \..-111' OF SPRlN\Jt<lJ!.LD Value Date Calculated Receipt Number 1200200000000001671 1200200000000001671 1200200000000001671 1200200000000001671 1200200000000001671 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 ~~ . I Reouired uection~J I 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 tbe 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. ~~,~.::;~ sy..~~O '~"'-AI G,f A"61 fD ..; Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00562 COM2003-00562 C0M2003-00562 COM2003-00562 C0M2003-00562 Payments: Type of Paymeat Check ' . . ;A \ "~"".,.'''. lit", '"""''''..- -" ". ,- '. I " . u_,.. i i, ~ j u . ............,...-,. ," .-. Receipt #: 1200200000000001671 Description + 7% State Surcharge + 10% Administrative Fee Heat Pump Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By COMFORT FLOW Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/30/2003 1l:43:15AM Amount Paid Item Total: 3,15 4.50 12.00 33.00 10.00 S62.65 How Received 10 Person Payment Total: Amount Paid $62.65 S62.65