HomeMy WebLinkAboutPermit Mechanical 2004-7-6
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. CITY OF SPKll'1tJ1'l~LD
Building/Combination Permit
PERMIT NO: COM2004-00820
ISSUED: 07/06/2004
APPLIED: 07/06/2004
EXPIRES: 01106/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SlTE ADDRESS: 1120 FAIRVIEW DR SPACE 32
ASSESSOR'S PARCEL NO.: 1703273100600
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
Repair
Residential
PROJECT DESCRIPTION: Heat pump change out
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Owner: LINDLEY DlANN R & DALE C
Address: 1120 FAIRVIEW DR #32 SPRINGFIELD OR 97477
Contractor Type
Mechanical
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I CONTRACTOR INF~\' -
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Contractor i: ~~t-.\.\. \~\c;, ~~~~nse
COMFORT .!\.~~ ;,.~"\ .~...\\'{t.~ ~o.~~'V 460
\\\\~ (~"DjNFi~fO~TION I
"'~"\~ :t,\\l.:..-l. '(tol!
,,\j~~ 'O~ ~lories:
R-3 ~"{ '\ Height of Structure
Type of Heat:
Waler Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
06/27/2005
Phone
541-726-0 I 00
# ofUnils:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
Lol Size:
Sq Ft Isl Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Olher:
Occupant Load:
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION'
. ~~QU1RED PARKING
Overlay Dist: _MfIi ~l41l
# Streel Trees Rqd: ~'~'~taPped:
Paved Drive Rqd: ~ ~ ...fl.e ~~tt:
% of Lot covera~O~'~o~~~~O~~~
~~~ :.""'~_I'cf,. .~~~\.o\.,&a~
I PUBLIC IMPR~.@IfM:)\~~;~.~~
~OW'- ~"i}j.. ~'l- WIl!w ~':~. ft:7T .
O~ ~~ r:Jlr'0\~f.
~ ~~. .~Qj~o\~ . tsIDrains:
~~ &''':~,
~~'(} W'
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Streel Improvements:
Storm Sewer Available:
Special Inslruction:
Noles:
I Valuation Descriotion I
Description
Type of Conslruction
$ Per Sq Ft
or mulliplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pal!elof2
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
I Fees Paid I
Amount Paid
Date Paid
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00820
ISSUED: 07/06/2004
APPLIED: 07/06/2004
EXPIRES: 01106/2005
VALUE:
Receipt Number
1200400000000001040
1200400000000001040
1200400000000001040
1200400000000001040
1200400000000001040
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.
$10.00
$4.50
$3.15
$12.00
$33.00
7/6/04
7/6/04
7/6/04
7/6/04
7/6/04
$62.65
I Plan Reviews .1
I Reouired Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 furtber 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 ofany structure without permission of the Community Services Division, Building Safety.
1 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
timRIng constructi'-______
,
Owner or Contractors Signature
Paee 2 of2
/ / 0 If') '-I
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
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Wir: :
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.~. ,r
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
1200400000000001040
Date: 07/06/2004
1:49:50PM
Job/Journal Number
COM2004-00820
COM2004-00820
COM2004-00820
COM2004-00820
" COM2004-00820
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum! Adjustment Mechanical
-Mechanical Issuance F ee-
Payments:
Type of Payment Paid By
Check COMFORT FLOW
Item Total:
<.:'heck Number Authorization
Received By Batch Number Number How Received
djb 26430 In Person
Payment Total:
Amount Due
3.15
4.50
12.00
33.00
10.00
$62.65
Amount Paid
$62.65
$62.65
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7/6/2004
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