HomeMy WebLinkAboutPermit Mechanical 2003-9-26
t.
-Wlt~~J~qgJ~:
..'
. .
.
Status: Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2233 DORNOCH ST
ASSESSOR'S PARCEL NO.: 1703272207501
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00785
ISSUED: 09/26/2003
APPLIED: 08/18/2003
EXPIRES: 03/25/2004
VALUE:
Springfield TYPE OF
Heating System
PROJECT DESCRIPTION: Install heat pump and electric furnace
Owner: HOISINGTON PHILIP E & EDNA
Address: 2233 DORNOCH ST SPRINGFIELD OR 97477
TYPE OF USE:
New
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
ROBS ELECTRIC INC
HOME COMFORT HEATING & AIR
License
156678
84164
Expiration Date
08/14/2005
06/25/2007
Phone
541-686-5444
541-345-2838
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
JTrimary Construction Type
Secondary Construction
# of Bedrooms:
I BUILDING INFORMATION I
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
R-3
VN
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
I DEVELOPMENT INFORMATION I
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay OIst:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLlC IMPROVEMENTSI
Street
Storm Sewer Available:
Special InfWqtl'UE:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZEO UNOER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains
ATTENTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
numberforthe Oregon Utility Notification
Center is 1-800-332-2344).
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541.726.3769 Inspection Line
I Fp.p.~ Pairll
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$12.00
$12.00
$21.00
$4.60
$3.22
$43.00
$3.00
8/22/03
8/22/03
8/22/03
8/22/03
8/22/03
8/22/03
9/25/03
9/25/03
9/25/03
9/25/03
Total Amount Paid
$116.47
I Plan Reviews I
. CITY OF ~rK1j'<lt.t<l.li,LD
Building/Combination Permit
PERMIT NO: COM2003-00785
ISSUED: 09/2512003
APPLIED: 08/18/2003
EXPIRES: 03/25/2004
VALUE:
Receipt Numher
1200200000000001997
1200200000000001997
1200200000000001997
1200200000000001997
1200200000000001997
1200200000000001997
2200200000000001584
2200200000000001584
2200200000000001584
2200200000000001584
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 ~lrrl1~':r~1 'rl~?p.ctions I
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
3 Final Electric: When all electrical work is complete.
4 Rough Electric: Prior to Cover
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance wilh
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any structure wilhout 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 arc 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
Paee 2 of2
Date
"225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2003-00785
COM2003-00785
COM2003-00785
COM2003-00785
Payments:
Type of Payment
CreditCard
.
.
-.
"~
~1
~".._;+,.;
Receipt #: 2200200000000001584
Description
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
nJm
t:beck Number
Batch Number Authorization Number
Paid By
DAVID LAWLER
000179 025705
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/25/2003 3:40:35PM
Amount Paid
Item Total:
43.00
3.00
3.22
4.60
$53.82
How Received
Amount Paid
In Person
Payment Total:
$53.82
$53.82