HomeMy WebLinkAboutPermit Mechanical 2003-8-15
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00760
ISSUED: 08/15/2003
APPLIED: 08/15/2003
EXPIRES: 02/15/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4276 COLE WAY
ASSESSOR'S PARCEL NO.: 1802052408900
Springfield TYPE OF WORK: Healing System
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install heat pump
Owner: FOLLETT ANITA D
Address: 4276 COLE WAY SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construclion Type:
# of Bedrooms:
R-3
License Expiration Date
460 06/27/2005
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BUILDING INFORMATION I leo,\,I\\es ~ U\\I\\'1
0(\ lavJ 01e90(\ \ \01
# of Stories: 0~'.Ola9 -' '0'1 \ne 1 L~Si.Z~ CO
",,,,1:\' d ,,\e.... III e~ - c,.,.
Heig~~=tIl:t:~~ 0,. 1\,\05e ~H'I-!t l'st'~lo.gr:
Type or.\l!~t\I.I\ can\el. 0 '\'IloIl9n Sg F1t:2nil' Floor:
\O.!! '\0(\ 00\' 'c !), ' ~^n\:>
Watetl~\l$;" _00\- .(\ co?\e-,Sg fJ\!!~sel!,W~H
Ran~C[\!*:\ 951. 9.'/ 0'0\9.\ 'NO\e', \.S,? f~8~ragiilCarport
Ener/6lPath:,/OI.lI1' ce(\\el.' (\U\\SqIFtAOther:
00'4\>' \\'Ie gO ,,"-....,.
0.\\\(\1) '\'Ie Ole O_-::,'3Impervious Surface Area:
C ..nl\ 4.1!.()
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I DEVELOPMEN'I"INFORMNl'U)N I
Phone
541-726-0100
Vlhr
SETBACKS
REQUlREDPARKlNG
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
% of Lot Coverage: ~r:J~~
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I PUBLIC IMPROVEMENTS I '-'<.i-\l\"'~'-'<.~~~ 'tr:J~
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Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa2e 1 of2
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00760
ISSUED: 08/15/2003
APPLIED: 08/15/2003
EXPIRES: 02/15/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line.
I Ff'f'~ P3ill I
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$12.00
$33.00
8/15/03
8/15/03
8/15/03
8/15/03
8/15/03
1200200000000001967
1200200000000001967
1200200000000001967
1200200000000001967
1200200000000001967
Total Amount Paid
$62.65
I Plan Reviews I
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 Rf'ouirell Tn~of'f'tion~ 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 Springfietd 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
ti~\g~::. ~AA^W\(
Owner or Contractorse11nature Date
Paee 2 of2
225 Fifth 'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00760
COM2003-00760
C0M2003-00760
C0M2003-00760
COM2003-00760
Payments:
Type of Payment
Check
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Receipt #: 1200200000000001967
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
COMFORT FLOW
Received By
djb
l:heck Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Depar1ment
Public Works Department"
Date: 08/1512003 11:46:09AM
Amount Paid
Item Total:
3.15
4.50
12.00
33.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65
.
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