HomeMy WebLinkAboutPermit Mechanical 2005-9-20
Status: Issued
, 225 Fiftb Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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--
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01270
ISSUED: 09/20/2005
APPLIED: 09/19/2005
EXPIRES: 03/20/2006
VALUE:
SITE ADDRESS: 2086 DONNELLY DR
ASSESSOR'S PARCEL NO.: 1703271303300
Springfield TYPE OF
Heating System
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replace heat pump
Owner: HOLLY SOMBS
Address: 2086 DONNELLY DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor law requfuicen~e to Expiration Date
COMFORT FL~lv.ENTION: Oreg~nh' lhp. ol.~9)n Utility, 0612712007
101l0F1iiJ,:v~,~~:~~" .!RMJ\'f(O~~5"2"OvO' '1' ~
'\ .1 I IIIH r-I;1.
Not! Iv_"- rOUB" v' " '
in OAR 95~-~P~~&~~!;~oPies of the rules by
R-3 0090, ,{ollJfer~@~' (Note: the te\epho~e
calling 't% ~? ' ~ n Utility Notification
VN l\umbeTWntl! D~rOOO_332-2344),
Ril~r~~e~
Energy Patb:
Sprinkled
Contractor Type
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
"
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
> Description
Phone Number: 541-746-0327
Phone
541-726-0100
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay D1st:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLlC IMPROVEMENTS'
j'I'c. Sidewalk Type:Tur: WORK
NO Iv", .. \ ~)(P\Rt IF I nr:
TU\S PEDMI'T SHDowns~utSlDralns IS NO!
\ n n ER lR\~ rt:n"" ,
AUl HORIIED UON~ IS ABANDONED FOR
COMMENCED
ANY 1BO DAY PERIOD,
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
I of 2
.....'
.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01270
ISSUED: 09/20/2005
APPLIED: 09/19/2005
EXPIRES: 03/20/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
FI'I'r. P,llid.l
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
S10.00
$4.50
S3.15
S12,OO
S33,OO
Date Paid
9120/05
9120/05
9120/05
9120/05
9/20/05
Receipt Number
1200500000000001369
1200500000000001369
1200500000000001369
1200500000000001369
1200500000000001369
Total Amount
S62,65
I Plan Reviews I
To Request an inspection caD 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. wiD be made the following
work day.
IRl'n~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I slllte and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 wiD 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 ail 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 wiD remain on the site
at ail times during struction. ~
/2. _I / ~.#. -- ____ q - "('D-oS
Ow'ner ~Contractors Sig;ature Date
2 of 2
225 Fiftl} Street
Springfield, Oregon 97477
541-~26-3759 Phone
.
8"~.":
~
~-;
'Job/Journal Number
COM2005-0 1270
COM2005-0 1270
COM2005-0 1270
COM2005-0 1270
COM2005-0 1270
Payments:
Type of Payment
Check
:,
:(
-
,
9/2012005
RECEIPT #:
1200500000000001369
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW HEATING
Received By
djb
1 of 1
,.'
JiJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 09/20/2005
Item Total:
\,.;beck Number AuUlortzation
Batch Number Number How Received
31308 In Person
Payment Total:
3:03:I4PM
Amount Due
3,15
4.50
12,00
33,00
10,00
$62.65
Amount Paid
$62,65
$62.65